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Table 4 Actions in order to harmonize Dutch and German GN-MDRO guidelines according to the expert workshops

From: Cross-border comparison of the Dutch and German guidelines on multidrug-resistant Gram-negative microorganisms

Workshop

Workshop

Workshop

Epidemiology

Diagnostics & Treatment

Infection Prevention

1. Need for sharing and analyzing available data at the regional level.

1. Standardization and harmonization of diagnostics and sensitivity testing.

1. Further research on the spread of GN-MDRO is needed.

2. Agreements on data ownership are necessary.

2. Information regarding direct and indirect costs of transmission and control.

2. Research on spread of ESBL-producing strains in settings with and without selective digestive decontamination (SDD) is needed.

3. Standardize typing methods for GN-MDRO and perform ring trials for typing (e.g. next generation sequencing).

3. Further research on the impact of different GN-MDRO is needed.

3. Better training for healthcare workers with regard to basic hygiene.

4. Typing of all Carbapenem-resistant enterobacteria is necessary.

5. A prevalence study on ESBL-producing enterobacteria is necessary.

6. Cohort studies for GN-MDRO carriage over time.