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Table 3 Duration, ICU involvement and size of outbreaks reported to the SO-ZI/AMR (2012-2021a), by healthcare setting and microorganism group

From: Description of a nationwide structure for monitoring nosocomial outbreaks of (highly resistant) microorganisms in the Netherlands: characteristics of outbreaks in 2012–2021

 

Outbreak size

 
 

Number of outbreaks

Duration of outbreaks in months (median (range))b

Outbreaks on ICU wards (n (%))c

Number of outbreaks with information on patients involved

Number of patients involved per outbreak (median (range))d

 

Hospitals

 

Staphylococcus aureus

94

1.4 (0.2–18.5)

16/84 (19)

48

3 (1–18)

 

Enterococcus faecium

117

2.3 (0.0–22.8)

40/104 (38)

64

9 (2–483)

 

Enterobacterales species - ESBL

26

2.0 (0.2–13.8)

11/23 (48)

16

14 (4–27)

 

Enterobacterales species - CPE

14

1.6 (0.3–18.6)

3/13 (23)

3

2 (2–6)

 

Enterobacterales species - Other

12

1.4 (0.5–2.8)

4/11 (36)

8

6 (4–31)

 

Acinetobacter species

8

2.0 (0.6–5.7)

3/7 (43)

4

5 (0–12)

 

Pseudomonas aeruginosa

16

1.8 (0.9–3.5)

11/13 (85)

10

5 (2–50)

 

Clostridioides difficile

15

2.1 (0.2–9.1)

5/15 (33)

9

8 (5–151)

 

Norovirus

28

1.3 (0.5–2.0)

0/26 (0)

14

9 (2–74)

 

SARS-CoV-2

10

1.0 (0.4–1.4)

0/10 (0)

10

15 (0–34)

 

Other virusese

7

1.1 (0.2–1.4)

0/6 (0)

5

7 (1–15)

 

Otherf

6

1.5 (1.1–5.5)

1/5 (20)

4

7 (3–14)

 

Long-term care facilities

 

Staphylococcus aureus

80

1.5 (0.0–8.9)

NA

35

4 (1–42)

 

Enterococcus faecium

2

2.5 (2.3–2.7)

NA

0

NA

 

Enterobacterales species - ESBL

13

1.9 (0.7–5.0)

NA

1

4 (4–4)

 

Enterobacterales species - CPE

4

3.6 (2.4–8.9)

NA

2

4 (2–6)

 

Enterobacterales species - Other

4

1.4 (0.9–8.7)

NA

2

6 (4–8)

 

Pseudomonas aeruginosa

1

1.7 (1.7–1.7)

NA

0

NA

 

Norovirus

2

1.1 (0.4–1.9)

NA

0

NA

 

SARS-CoV-2

2

1.3 (1.2–1.3)

NA

2

16 (11–20)

 

Otherg

2

2.7 (0.0–5.5)

NA

1

16 (16–16)

 
  1. SO-ZI/AMR: Healthcare-associated Infection and AntiMicrobial Resistance Monitoring Group. NA: Not applicable
  2. a The SO-ZI/AMR was initiated in April 2012
  3. b Calculated as the time interval between either notification date or date of the monthly SO-ZI/AMR meeting in which the outbreak was first discussed (whichever came first), and the date of the SO-ZI/AMR meeting in which the outbreak was considered controlled (phase 0)
  4. c Information on the type(s) of department involved was not available for all outbreaks. The denominator presented reflects the number of outbreaks with available information
  5. d These numbers do not differentiate between infected and colonised patients. Staff members involved in the outbreak are not included
  6. e 1 astrovirus (2012), 2 measles virus (2013, 2014), 1 respiratory syncytial virus (2015), 1 enterovirus (2016), 1 rotavirus (2016), 1 influenza virus (2018)
  7. f 1 Bordetella pertussis (2015), 3 Sarcoptes scabiei (2015, 2018, 2021), 1 Streptococcus pneumoniae (2015), 1 Candida norvegensis (2017)
  8. g 2 Sarcoptes scabiei (2018, 2021)