• Rapportage signaleringsoverleg ziekenhuisinfecties en antimicrobiele resistentie : jaren 2012 en 2013

      van der Bij AK; Bonten MJM; Budding W; Kardamanidis K; Notermans D; Spijkerman I; Timen A; ZIA; I&V (Rijksinstituut voor Volksgezondheid en Milieu RIVMNVMMVHIGWIPAMC, 2014-09-17)
      The Signaling Consultation of Hospital acquired Infections and AntiMicrobial Resistance (SO-ZI/AMR) was founded in 2012. It is a national notification point for outbreaks in hospitals and other healthcare facilities, of bacteria resistant to antibiotics. Between April 2012, when the SO-ZI/AMR started, and the end of December 2013, a total of 59 outbreaks were notified. Most of these outbreaks ended within 2 months, which means that the causative bacteria and the source were identified, and that transmission to other patients was stopped. A small number of outbreaks lasted longer than 2 months. None of the outbreaks were considered uncontrollable or a direct threat to public health. The notifications were mostly of outbreaks of the bacteria Staphylococcus aureus (MRSA, resistant against Methicillin), enterococci (VRE, resistant against Vancomycin) en Clostridium difficile. A few outbreaks were notified of the multidrug-resistant bacteria Klebsiella pneumoniae. Outbreaks of other bacteria or viruses were notified sporadically. The SO-ZI/AMR was established after the large-scale outbreak occurred in the Maasstad hospital in Rotterdam in 2011. The National Institute for Public Health and the Environment (RIVM) provides the secretariat. The purpose of the Signaling Consultation is the prevention or mitigation of large-scale outbreaks in hospitals through early recognition. The SO-ZI/AMR assesses the risk of the outbreak to public health and may advise a hospital to request external expertise. The SO-ZI/AMR also monitors the course of the outbreak. Notifications are voluntary, but do not come without obligations. All hospitals have committed themselves to this.