Prevention and Control of Multidrug-Resistant Bacteria in The Netherlands and Germany-The Impact of Healthcare Structures

Robin Köck, Karsten Becker*, Evgeny A Idelevich, Annette Jurke, Corinna Glasner, Ron Hendrix, Alexander W Friedrich

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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The Netherlands and Germany are neighbouring countries within the European Union but are differently affected by multidrug-resistant microorganisms (MDRO). In this narrative review, we summarize data about antibiotic use, the occurrence of MDRO and healthcare-associated infections in these two countries, as well as data about organizational and structural differences between the Dutch and German healthcare systems. These results are discussed with a focus on whether or how the organization of healthcare influences MDRO prevention. We found that from the point of view of MDRO prevention, a higher density of inpatient care, a higher number of hospitals, a longer length of stay and lower staffing ratios might facilitate MDRO dissemination in German hospitals.

Original languageEnglish
Article number2337
Number of pages10
JournalInternational Journal of Environmental Research and Public Health
Issue number7
Publication statusPublished - Apr-2020


  • antimicrobial resistance
  • Euregio
  • MRSA
  • ESBL
  • MDRO
  • infection prevention
  • antibiotic use

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