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. 2017 Nov;22(46):17-00062.
doi: 10.2807/1560-7917.ES.2017.22.46.17-00062.

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  1 , Annelot F Schoffelen  1 , Sabine C de Greeff  1 , Steven Ft Thijsen  2 , H Jeroen Alblas  1 , Daan W Notermans  3 , Anne Lm Vlek  1   2 , Marianne Ab van der Sande  1 , Tjalling Leenstra  1 ; National AMR Surveillance Study Group  4
Affiliations

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 et al. Euro Surveill. 2017 Nov.

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.

Keywords: ISIS-AR; Netherlands; antimicrobial resistance; surveillance.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Geographical distribution of medical microbiology laboratories, the Netherlands, May 2017 (n = 57)
Figure 2
Figure 2
Data flow of the Dutch national antimicrobial resistance surveillance system
Figure 3
Figure 3
Time trends for norfloxacin resistance in Escherichia coli, according to laboratory S/I/R interpretation versus re-interpretation of raw testing values according to EUCAST (n = 21,382 samples) and usage of antimicrobial susceptibility testing standards (n = 18 laboratories), the Netherlands, 2008–2015
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