- Wieke Altorf-van der Kuil1, Annelot F Schoffelen1, Sabine C de Greeff1, Steven FT Thijsen2, H Jeroen Alblas1, Daan W Notermans3, Anne LM Vlek1,2, Marianne AB van der Sande1, Tjalling Leenstra1, the National AMR Surveillance Study Group4
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View Affiliations Hide AffiliationsAffiliations: 1 Centre for Infectious Diseases, Epidemiology and Surveillance, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands 2 Department of Medical Microbiology and Immunology, Diakonessenhuis, Utrecht, The Netherlands 3 Centre for Infectious Diseases Research, Diagnostics and Screening, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands 4 The members of the National AMR Surveillance Study Group are listed at the end of the articleWieke Altorf-van der KuilWieke.Altorf rivm.nl
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Citation style for this article: Altorf-van der Kuil Wieke, Schoffelen Annelot F, de Greeff Sabine C, Thijsen Steven FT, Alblas H Jeroen, Notermans Daan W, Vlek Anne LM, van der Sande Marianne AB, Leenstra Tjalling, the National AMR Surveillance Study Group. National laboratory-based surveillance system for antimicrobial resistance: a successful tool to support the control of antimicrobial resistance in the Netherlands. Euro Surveill. 2017;22(46):pii=17-00062. https://doi.org/10.2807/1560-7917.ES.2017.22.46.17-00062 Received: 26 Jan 2017; Accepted: 07 Jul 2017
National laboratory-based surveillance system for antimicrobial resistance: a successful tool to support the control of antimicrobial resistance in the Netherlands
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.

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