PMID- 31367344
OWN - NLM
STAT- MEDLINE
DCOM- 20200615
LR  - 20231013
IS  - 2047-2994 (Electronic)
IS  - 2047-2994 (Linking)
VI  - 8
DP  - 2019
TI  - Cross-border comparison of antimicrobial resistance (AMR) and AMR prevention 
      measures: the healthcare workers' perspective.
PG  - 123
LID - 10.1186/s13756-019-0577-4 [doi]
LID - 123
AB  - BACKGROUND: Cross-border healthcare may promote the spread of multidrug-resistant 
      microorganisms (MDRO) and is challenging due to heterogeneous antimicrobial 
      resistance (AMR) prevention measures (APM). The aim of this article is to compare 
      healthcare workers (HCW) from Germany (DE) and The Netherlands (NL) on how they 
      perceive and experience AMR and APM, which is important for safe patient exchange 
      and effective cross-border APM cooperation. METHODS: A survey was conducted 
      amongst HCW (n = 574) in hospitals in DE (n = 305) and NL (n = 269), using an 
      online self-administered survey between June 2017 and July 2018. Mann-Whitney U 
      tests were used to analyse differences between answers of German and Dutch 
      physicians (n = 177) and German and Dutch nurses (n = 397) on 5-point Likert 
      Items and Scales. RESULTS: Similarities between DE and NL were a high awareness 
      about the AMR problem and the perception that the possibility to cope with AMR is 
      limited (30% respondents perceive their contribution to limit AMR as 
      insufficient). Especially Dutch nurses scored significantly lower than German 
      nurses on their contribution to limit AMR (means 2.6 vs. 3.1, p </= 0.001). German 
      HCW were more optimistic about their potential role in coping with AMR 
      (p </= 0.001), and scored higher on feeling sufficiently equipped to perform APM 
      (p </= 0.003), although the mean scores did not differ much between German and 
      Dutch respondents. CONCLUSIONS: Although both German and Dutch HCW are aware of 
      the AMR problem, they should be more empowered to contribute to limiting AMR 
      through APM (i.e. screening diagnostics, infection diagnosis, treatment and 
      infection control) in their daily working routines. The observed differences 
      reflect differences in local, national and cross-border structures, and 
      differences in needs of HCW, that need to be considered for safe patient exchange 
      and effective cross-border APM.
FAU - Keizer, J
AU  - Keizer J
AUID- ORCID: 0000-0003-0080-436X
AD  - 1Department of Psychology, Health and Technology, Centre for eHealth and 
      Wellbeing Research, University of Twente, P.O. Box 217, 7500AE Enschede, The 
      Netherlands.
FAU - Braakman-Jansen, L M A
AU  - Braakman-Jansen LMA
AD  - 1Department of Psychology, Health and Technology, Centre for eHealth and 
      Wellbeing Research, University of Twente, P.O. Box 217, 7500AE Enschede, The 
      Netherlands.
FAU - Kampmeier, S
AU  - Kampmeier S
AD  - 2Institute of Hygiene, University Hospital Munster, Munster, Germany.
FAU - Kock, R
AU  - Kock R
AD  - 2Institute of Hygiene, University Hospital Munster, Munster, Germany.
AD  - 3Institute of Medical Microbiology, University Hospital Munster, Munster, 
      Germany.
AD  - Institute of Hospital Hygiene Oldenburg, Oldenburg, Germany.
FAU - Al Naiemi, N
AU  - Al Naiemi N
AD  - 5Department of Infection Prevention, Hospital Group Twente, Almelo/Hengelo, 
      Netherlands.
AD  - LabMicTA, Hengelo, Netherlands.
FAU - Te Riet-Warning, R
AU  - Te Riet-Warning R
AD  - 5Department of Infection Prevention, Hospital Group Twente, Almelo/Hengelo, 
      Netherlands.
FAU - Beerlage-De Jong, N
AU  - Beerlage-De Jong N
AD  - 1Department of Psychology, Health and Technology, Centre for eHealth and 
      Wellbeing Research, University of Twente, P.O. Box 217, 7500AE Enschede, The 
      Netherlands.
FAU - Becker, K
AU  - Becker K
AD  - 3Institute of Medical Microbiology, University Hospital Munster, Munster, 
      Germany.
FAU - Van Gemert-Pijnen, J E W C
AU  - Van Gemert-Pijnen JEWC
AD  - 1Department of Psychology, Health and Technology, Centre for eHealth and 
      Wellbeing Research, University of Twente, P.O. Box 217, 7500AE Enschede, The 
      Netherlands.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190722
PL  - England
TA  - Antimicrob Resist Infect Control
JT  - Antimicrobial resistance and infection control
JID - 101585411
SB  - IM
EIN - Antimicrob Resist Infect Control. 2019 Aug 8;8:133. PMID: 31413824
MH  - Adult
MH  - Aged
MH  - Antimicrobial Stewardship
MH  - Cross-Sectional Studies
MH  - *Drug Resistance, Bacterial
MH  - Female
MH  - Germany
MH  - Humans
MH  - Infection Control/*methods
MH  - Male
MH  - Middle Aged
MH  - Netherlands
MH  - Nurse's Role
MH  - Physician's Role
MH  - Practice Guidelines as Topic
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC6647090
OTO - NOTNLM
OT  - Antimicrobial resistance (AMR)
OT  - Cross-border
OT  - Euroregion
OT  - Germany
OT  - Healthcare worker
OT  - Infection control
OT  - Multidrug-resistant microorganisms
OT  - Netherlands
OT  - Prevention
COIS- Competing interestsAuthors KB, SK, RK, NAN and RTR are employed by the 
      participating hospitals.
EDAT- 2019/08/02 06:00
MHDA- 2020/06/17 06:00
PMCR- 2019/07/22
CRDT- 2019/08/02 06:00
PHST- 2019/03/13 00:00 [received]
PHST- 2019/07/15 00:00 [accepted]
PHST- 2019/08/02 06:00 [entrez]
PHST- 2019/08/02 06:00 [pubmed]
PHST- 2020/06/17 06:00 [medline]
PHST- 2019/07/22 00:00 [pmc-release]
AID - 577 [pii]
AID - 10.1186/s13756-019-0577-4 [doi]
PST - epublish
SO  - Antimicrob Resist Infect Control. 2019 Jul 22;8:123. doi: 
      10.1186/s13756-019-0577-4. eCollection 2019.