• Appropriate antibiotic use reduces length of hospital stay.

      van den Bosch, Caroline M A; Hulscher, Marlies E J L; Akkermans, Reinier P; Wille, Jan; Geerlings, Suzanne E; Prins, Jan M (2017)
      To define appropriate antibiotic use in hospitalized adults treated for a bacterial infection, we previously developed and validated a set of six generic quality indicators (QIs) covering all steps in the process of antibiotic use. We assessed the association between appropriate antibiotic use, defined by these QIs, and length of hospital stay (LOS).
    • Assessing determinants of the intention to accept a pertussis cocooning vaccination: A survey among healthcare workers in maternity and paediatric care.

      Visser, Olga; Hulscher, Marlies E J L; Antonise-Kamp, Laura; Akkermans, Reinier; van der Velden, Koos; Ruiter, Robert A C; Hautvast, Jeannine L A (2017-12-18)
      To assess the intention to accept a pertussis cocooning vaccination and to examine the determinants that influence this intention among healthcare workers (HCWs) in maternity and paediatric care.
    • Current practice of infection control in Dutch primary care: Results of an online survey.

      Hilt, Nataliya; Hulscher, Marlies E J L; Antonise-Kamp, Laura; OldeLoohuis, Alfons; Voss, Andreas (2019-01-05)
      Good infection prevention is an important aspect of quality of medical care. The aim was to evaluate infection prevention and control (IPC) performance among Dutch general practitioners (GPs). Based on the current national IPC guidelines for GPs, a self-administered anonymous online questionnaire was developed and sent to GPs in the Nijmegen region of the Netherlands. Thirty-two questions were constructed to survey characteristics of GPs' offices and assess current performance of IPC measures. One hundred questionnaires were included in our analysis. The preferred method of hand hygiene was soap and water (56%) versus alcohol-based handrub (44%). The cleaning of nondisposable, noncritical, semicritical, and critical instruments was consistent with national guideline recommendations or superior to them in 100%, 49%, and 97% of cases, respectively. An average of 57% of GPs reported environmental cleaning frequencies that were compliant with the national guidelines or superior to them. Personal protective equipment was available in 62% of GPs' practices but used in only 25% of home visits to patients. Not all national IPC guidelines seem to be followed to the fullest extent. The current situation indicates there is room for potential improvement regarding implementation of IPC measures in GPs' offices. Area-specific guidelines and continuous medical education regarding IPC may help improve the situation.