Impact of enhanced infection control and antimicrobial stewardship on infections by Clostridioides difficile, vancomycin-resistant enterococci, and third-generation cephalosporin-resistant Enterobacterales: a stepped-wedge cluster intervention study.
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| Title: | Impact of enhanced infection control and antimicrobial stewardship on infections by Clostridioides difficile, vancomycin-resistant enterococci, and third-generation cephalosporin-resistant Enterobacterales: a stepped-wedge cluster intervention study. |
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| Authors: | Classen AY; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany. Electronic address: annika.classen@uk-koeln.de., Dietz T; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany., Graeff LD; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany., Eisenbeis S; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany., Gastmeier P; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany., Göpel S; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany., Hoffmann A; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Hölzl F; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany., Käding N; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany., Kern WV; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Medicine II, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany., Kramme E; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany., Belmar Campos C; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Maurer FP; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Seifert H; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany; Institute of Translational Research, Cologne Excellence Cluster for Aging and Aging-Associated Diseases, University of Cologne, Cologne, Germany., Meißner A; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany., Rohde AM; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany., Rohde H; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Rupp J; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany., Tacconelli E; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany., Walker SV; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Zweigner J; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany; Department of Hospital Hygiene and Infection Control, University Hospital of Cologne, Cologne, Germany., Vehreschild JJ; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Digital Medicine and Clinical Data Sciences, Faculty of Medicine and University Hospital of Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany. |
| Corporate Authors: | ABSOLUTE (Antibiotic Stewardship and Infection Control in Patients at High Risk of Developing Infection by Clostridium Difficile, Vancomycin-Resistant Enterococci or Multi-Resistant Gram-Negatives) Study Group |
| Source: | Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases [Clin Microbiol Infect] 2025 Dec; Vol. 31 (12), pp. 2025-2032. Date of Electronic Publication: 2025 Aug 23. |
| Publication Type: | Journal Article |
| Journal Info: | Publisher: Elsevier Country of Publication: England NLM ID: 9516420 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-0691 (Electronic) Linking ISSN: 1198743X NLM ISO Abbreviation: Clin Microbiol Infect Subsets: MEDLINE |
| Database: | MEDLINE Ultimate |
| FullText | Text: Availability: 0 |
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| Header | DbId: mdl DbLabel: MEDLINE Ultimate An: 40854464 AccessLevel: 2 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Impact of enhanced infection control and antimicrobial stewardship on infections by Clostridioides difficile, vancomycin-resistant enterococci, and third-generation cephalosporin-resistant Enterobacterales: a stepped-wedge cluster intervention study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Classen+AY%22">Classen AY</searchLink>; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany. Electronic address: annika.classen@uk-koeln.de.<br /><searchLink fieldCode="AU" term="%22Dietz+T%22">Dietz T</searchLink>; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Graeff+LD%22">Graeff LD</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany.<br /><searchLink fieldCode="AU" term="%22Eisenbeis+S%22">Eisenbeis S</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.<br /><searchLink fieldCode="AU" term="%22Gastmeier+P%22">Gastmeier P</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Göpel+S%22">Göpel S</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.<br /><searchLink fieldCode="AU" term="%22Hoffmann+A%22">Hoffmann A</searchLink>; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Hölzl+F%22">Hölzl F</searchLink>; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.<br /><searchLink fieldCode="AU" term="%22Käding+N%22">Käding N</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany.<br /><searchLink fieldCode="AU" term="%22Kern+WV%22">Kern WV</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Medicine II, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany.<br /><searchLink fieldCode="AU" term="%22Kramme+E%22">Kramme E</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany.<br /><searchLink fieldCode="AU" term="%22Belmar+Campos+C%22">Belmar Campos C</searchLink>; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Maurer+FP%22">Maurer FP</searchLink>; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Seifert+H%22">Seifert H</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany; Institute of Translational Research, Cologne Excellence Cluster for Aging and Aging-Associated Diseases, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Meißner+A%22">Meißner A</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Rohde+AM%22">Rohde AM</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute of Hygiene and Environmental Medicine, Charité-Universitétsmedizin corporate member of Freie Universität Berlin, and Humboldt-Universität zu Berlin and Berlin Institute of health, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Rohde+H%22">Rohde H</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Rupp+J%22">Rupp J</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany.<br /><searchLink fieldCode="AU" term="%22Tacconelli+E%22">Tacconelli E</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Division of Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.<br /><searchLink fieldCode="AU" term="%22Walker+SV%22">Walker SV</searchLink>; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Zweigner+J%22">Zweigner J</searchLink>; Infectious Disease Clinic and Institute of Medical Microbiology, University of Lübeck, Lübeck, Germany; Department of Hospital Hygiene and Infection Control, University Hospital of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Vehreschild+JJ%22">Vehreschild JJ</searchLink>; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany; German Centre for Infection Research (Deutsches Zentrum für Infektionsforschung e.V., DZIF e.V.), Braunschweig, Germany; Institute for Digital Medicine and Clinical Data Sciences, Faculty of Medicine and University Hospital of Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany. – Name: AuthorCorporate Label: Corporate Authors Group: Au Data: <searchLink fieldCode="CA" term="%22ABSOLUTE+%28Antibiotic+Stewardship+and+Infection+Control+in+Patients+at+High+Risk+of+Developing+Infection+by+Clostridium+Difficile%2C+Vancomycin-Resistant+Enterococci+or+Multi-Resistant+Gram-Negatives%29+Study+Group%22">ABSOLUTE (Antibiotic Stewardship and Infection Control in Patients at High Risk of Developing Infection by Clostridium Difficile, Vancomycin-Resistant Enterococci or Multi-Resistant Gram-Negatives) Study Group</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%229516420%22">Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases</searchLink> [Clin Microbiol Infect] 2025 Dec; Vol. 31 (12), pp. 2025-2032. <i>Date of Electronic Publication: </i>2025 Aug 23. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Elsevier%22">Elsevier </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>9516420 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1469-0691 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%221198743X%22">1198743X </searchLink><i>NLM ISO Abbreviation: </i>Clin Microbiol Infect <i>Subsets: </i>MEDLINE |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdl&AN=40854464 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.cmi.2025.08.013 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: 2025 Titles: – TitleFull: Impact of enhanced infection control and antimicrobial stewardship on infections by Clostridioides difficile, vancomycin-resistant enterococci, and third-generation cephalosporin-resistant Enterobacterales: a stepped-wedge cluster intervention study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Classen AY – PersonEntity: Name: NameFull: Dietz T – PersonEntity: Name: NameFull: Graeff LD – PersonEntity: Name: NameFull: Eisenbeis S – PersonEntity: Name: NameFull: Gastmeier P – PersonEntity: Name: NameFull: Göpel S – PersonEntity: Name: NameFull: Hoffmann A – PersonEntity: Name: NameFull: Hölzl F – PersonEntity: Name: NameFull: Käding N – PersonEntity: Name: NameFull: Kern WV – PersonEntity: Name: NameFull: Kramme E – PersonEntity: Name: NameFull: Belmar Campos C – PersonEntity: Name: NameFull: Maurer FP – PersonEntity: Name: NameFull: Seifert H – PersonEntity: Name: NameFull: Meißner A – PersonEntity: Name: NameFull: Rohde AM – PersonEntity: Name: NameFull: Rohde H – PersonEntity: Name: NameFull: Rupp J – PersonEntity: Name: NameFull: Tacconelli E – PersonEntity: Name: NameFull: Walker SV – PersonEntity: Name: NameFull: Zweigner J – PersonEntity: Name: NameFull: Vehreschild JJ IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: 2025 Dec Type: published Y: 2025 Identifiers: – Type: issn-electronic Value: 1469-0691 Numbering: – Type: volume Value: 31 – Type: issue Value: 12 Titles: – TitleFull: Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases Type: main |
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