Abstract
Prevention and surveillance of healthcare associated infections caused by multidrug resistant organisms (MDROs) has been given increasing attention in recent years and is nowadays a major priority for health care systems. The creation of automated regional, national and international surveillance networks plays a key role in this respect. A surveillance system has been designed for the Abruzzo region in Italy, focusing on the monitoring of the MDROs prevalence in patients, on the appropriateness of antibiotic prescription in hospitalized patients and on foreseeable interactions with other networks at national and international level. The system has been designed according to the Service Oriented Architecture (SOA) principles, and Healthcare Service Specification (HSSP) standards and Clinical Document Architecture Release 2 (CDAR2) have been adopted. A description is given with special reference to implementation state, specific design and implementation choices and next foreseeable steps. The first release will be delivered at the Complex Operating Unit of Infectious Diseases of the Local Health Authority of Pescara (Italy).
Highlights
This paper is an extension of work originally presented in pHealth 2019 [1]
The results of this study showed that the burden of multidrug resistant organisms (MDROs) infections is greater in infants and elderly people and has increased since 2007
The overall solution is under evaluation by the regional ethics committee, to certify that this risk to trace the identity of the real owner of the data stored in the Central Repository is very low and can be hazarded, because protecting community health is more important than protecting the privacy of the individual
Summary
Multi drug resistant organisms (MDROs) infections are responsible for an increasing number of deaths each year. The correct estimation of the number of such infections is difficult because of the lack of a specific International. Classification of Disease (ICD) code for this type of infection: the ICD is the global standard for international comparability in the collection, processing, classifying and reporting of mortality statistics. With over-invasive use of antibiotics, the establishment of centres for reproduction and transmission of MDROs (hospitals for acute long-term and nursing facilities), and increased rates of iatrogenic immunosuppression, the population at risk of MDROs infections and the probability of drug resistance will continue to increase [2]. It has been estimated that 700,000 deaths worldwide are caused by antibiotic-resistant bacterial infections and that the number could increase to 10 million per year in. Public Health 2020, 17, 465; doi:10.3390/ijerph17020465 www.mdpi.com/journal/ijerph
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