National laboratory-based surveillance system for antimicrobial resistance: a successful tool to support the control of antimicrobial resistance in the Netherlands

Wieke Altorf-van der Kuil*, Annelot F. Schoffelen, Sabine C. de Greeff, Steven F. T. Thijsen, H. Jeroen Alblas, Daan W. Notermans, Anne L. M. Vlek, Marianne A. B. van der Sande, Natl AMR Surveillance Study Grp, Sandra Erkens - Hulshof, Tjalling Leenstra

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

19 Citations (Web of Science)

Abstract

An important cornerstone in the control of antimicrobial resistance (AMR) is a well-designed quantitative system for the surveillance of spread and temporal trends in AMR. Since 2008, the Dutch national AMR surveillance system, based on routine data from medical microbiological laboratories (MMLs), has developed into a successful tool to support the control of AMR in the Netherlands. It provides background information for policy making in public health and healthcare services, supports development of empirical antibiotic therapy guidelines and facilitates in-depth research. In addition, participation of the MMLs in the national AMR surveillance network has contributed to sharing of knowledge and quality improvement. A future improvement will be the implementation of a new semantic standard together with standardised data transfer, which will reduce errors in data handling and enable a more real-time surveillance. Furthermore, the scientific impact and the possibility of detecting outbreaks may be amplified by merging the AMR surveillance database with databases from selected pathogen-based surveillance programmes containing patient data and genotypic typing data.

Original languageEnglish
Pages (from-to)17-26
Number of pages10
JournalEurosurveillance
Volume22
Issue number46
DOIs
Publication statusPublished - 16 Nov 2017

Keywords

  • SELECTIVE DECONTAMINATION
  • ANTIBIOTIC-RESISTANCE
  • DIGESTIVE-TRACT

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