Supervision of infection prevention and regional cooperative networks antibiotic resistance

As part of the Dutch One Health Approach in the field of Antibiotic Resistance (ABR), ten Regional Cooperative Networks Antibiotic Resistance (ABR) were initiated in 2017. Especially the Highly Resistant Micro-Organisms (HRMO), that lost susceptibility toward multiple commonly used antibiotics, are cause for concern.

Resistant bacteria spread predominantly regional, mostly via patients, to other healthcare facilities and healthcare sectors. The regional cooperative networks aim to prevent the formation and spread of antibiotic resistance by improving the way antibiotics are prescribed and used, and by reducing transmission of HRMO.

The Health and Youth Care Inspectorate supervises these networks through the project: TIRZA (supervising infection prevention and regional cooperative networks ABR). The inspectorate focuses on one of the ten regional cooperative networks ABR in The Netherlands. The inspectorate randomly chose the network in Limburg (in the south). Within this network the following healthcare sectors are visited:

  • Hospitals 
  • Nursing homes 
  • Municipal health services 
  • General practitioners 
  • Dental care clinics 
  • Rehabilitation clinics 
  • Homecare facilities
  • Mental health institutions 
  • Healthcare facilities for mentally disabled people

Additionally, the patient journey of several patients that carry an HRMO will be mapped.
As a result, the inspectorate not only describes results on the level of the regional network. But also on the level of the individual healthcare facility.

Care network