Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study

<b>Background/Objectives</b>: The global spread of carbapenem-resistant <i>Pseudomonas aeruginosa</i> (CRPA) warrants collaborative action. Guidance should come from integrated One Health surveillance; however, a surveillance strategy is currently unavailable due to insuffici...

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Main Authors: Anneloes van Veen, Selvi N. Shahab, Amber Rijfkogel, Anne F. Voor in ’t holt, Corné H. W. Klaassen, Margreet C. Vos, Yulia Rosa Saharman, Anis Karuniawati, Silvia Zelli, Desy De Lorenzis, Giulia Menchinelli, Giulia De Angelis, Maurizio Sanguinetti, Merel Kemper, Anniek E. E. de Jong, Sima Mohammadi, Valentine Renaud, Irena Kukavica-Ibrulj, Marianne Potvin, Guillaume Q. Nguyen, Jeff Gauthier, Roger C. Levesque, Heike Schmitt, Juliëtte A. Severin
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Language:English
Published: MDPI AG 2025-01-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/1/94
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author Anneloes van Veen
Selvi N. Shahab
Amber Rijfkogel
Anne F. Voor in ’t holt
Corné H. W. Klaassen
Margreet C. Vos
Yulia Rosa Saharman
Anis Karuniawati
Silvia Zelli
Desy De Lorenzis
Giulia Menchinelli
Giulia De Angelis
Maurizio Sanguinetti
Merel Kemper
Anniek E. E. de Jong
Sima Mohammadi
Valentine Renaud
Irena Kukavica-Ibrulj
Marianne Potvin
Guillaume Q. Nguyen
Jeff Gauthier
Roger C. Levesque
Heike Schmitt
Juliëtte A. Severin
author_facet Anneloes van Veen
Selvi N. Shahab
Amber Rijfkogel
Anne F. Voor in ’t holt
Corné H. W. Klaassen
Margreet C. Vos
Yulia Rosa Saharman
Anis Karuniawati
Silvia Zelli
Desy De Lorenzis
Giulia Menchinelli
Giulia De Angelis
Maurizio Sanguinetti
Merel Kemper
Anniek E. E. de Jong
Sima Mohammadi
Valentine Renaud
Irena Kukavica-Ibrulj
Marianne Potvin
Guillaume Q. Nguyen
Jeff Gauthier
Roger C. Levesque
Heike Schmitt
Juliëtte A. Severin
author_sort Anneloes van Veen
collection DOAJ
description <b>Background/Objectives</b>: The global spread of carbapenem-resistant <i>Pseudomonas aeruginosa</i> (CRPA) warrants collaborative action. Guidance should come from integrated One Health surveillance; however, a surveillance strategy is currently unavailable due to insufficient knowledge on the sources and transmission routes of CRPA. The aim of the SAMPAN study (“A Smart Surveillance Strategy for Carbapenem-resistant <i>Pseudomonas aeruginosa</i>”) is to develop a globally applicable surveillance strategy. <b>Methods</b>: First, an international cross-sectional study will be conducted to investigate CRPA in clinical and environmental settings in Rotterdam (The Netherlands), Rome (Italy), and Jakarta (Indonesia). Screening cultures and risk factor questionnaires will be taken from healthy individuals and patients upon hospital admission. Clinical CRPA isolates will also be included. Additionally, samples will be taken twice from wet hospital environments and monthly from the hospitals’ (drinking) water system, hospital and municipal wastewater treatment plants, and receiving rivers. Whole-genome sequencing will be performed to characterize CRPA isolates and determine the genetic relatedness among the isolates from different reservoirs. Findings from the cross-sectional study, combined with expert elicitation using a Delphi method, will serve as the input for the surveillance strategy. <b>Conclusions</b>: The SAMPAN study will provide a broader understanding of the sources and transmission routes of CRPA. Therewith, the development of a globally applicable smart surveillance strategy will be made possible, delivering information that is needed to guide actions against the spread of CRPA.
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spelling doaj-art-961b8291a46b4ebb8fa57ecaf206246c2025-01-24T13:18:58ZengMDPI AGAntibiotics2079-63822025-01-011419410.3390/antibiotics14010094Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN StudyAnneloes van Veen0Selvi N. Shahab1Amber Rijfkogel2Anne F. Voor in ’t holt3Corné H. W. Klaassen4Margreet C. Vos5Yulia Rosa Saharman6Anis Karuniawati7Silvia Zelli8Desy De Lorenzis9Giulia Menchinelli10Giulia De Angelis11Maurizio Sanguinetti12Merel Kemper13Anniek E. E. de Jong14Sima Mohammadi15Valentine Renaud16Irena Kukavica-Ibrulj17Marianne Potvin18Guillaume Q. Nguyen19Jeff Gauthier20Roger C. Levesque21Heike Schmitt22Juliëtte A. Severin23Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Clinical Microbiology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta 10430, IndonesiaDepartment of Clinical Microbiology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta 10430, IndonesiaDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyDipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), 3720 BA Bilthoven, The NetherlandsDeltares, 2629 HV Delft, The NetherlandsInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaInstitut de Biologie Intégrative et des Systèmes (IBIS), Université Laval, Quebec City, QC G1V 0A6, CanadaCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), 3720 BA Bilthoven, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, 3015 GD Rotterdam, The Netherlands<b>Background/Objectives</b>: The global spread of carbapenem-resistant <i>Pseudomonas aeruginosa</i> (CRPA) warrants collaborative action. Guidance should come from integrated One Health surveillance; however, a surveillance strategy is currently unavailable due to insufficient knowledge on the sources and transmission routes of CRPA. The aim of the SAMPAN study (“A Smart Surveillance Strategy for Carbapenem-resistant <i>Pseudomonas aeruginosa</i>”) is to develop a globally applicable surveillance strategy. <b>Methods</b>: First, an international cross-sectional study will be conducted to investigate CRPA in clinical and environmental settings in Rotterdam (The Netherlands), Rome (Italy), and Jakarta (Indonesia). Screening cultures and risk factor questionnaires will be taken from healthy individuals and patients upon hospital admission. Clinical CRPA isolates will also be included. Additionally, samples will be taken twice from wet hospital environments and monthly from the hospitals’ (drinking) water system, hospital and municipal wastewater treatment plants, and receiving rivers. Whole-genome sequencing will be performed to characterize CRPA isolates and determine the genetic relatedness among the isolates from different reservoirs. Findings from the cross-sectional study, combined with expert elicitation using a Delphi method, will serve as the input for the surveillance strategy. <b>Conclusions</b>: The SAMPAN study will provide a broader understanding of the sources and transmission routes of CRPA. Therewith, the development of a globally applicable smart surveillance strategy will be made possible, delivering information that is needed to guide actions against the spread of CRPA.https://www.mdpi.com/2079-6382/14/1/94antimicrobial drug resistancecarbapenemshospitalshumansOne Health<i>Pseudomonas aeruginosa</i>
spellingShingle Anneloes van Veen
Selvi N. Shahab
Amber Rijfkogel
Anne F. Voor in ’t holt
Corné H. W. Klaassen
Margreet C. Vos
Yulia Rosa Saharman
Anis Karuniawati
Silvia Zelli
Desy De Lorenzis
Giulia Menchinelli
Giulia De Angelis
Maurizio Sanguinetti
Merel Kemper
Anniek E. E. de Jong
Sima Mohammadi
Valentine Renaud
Irena Kukavica-Ibrulj
Marianne Potvin
Guillaume Q. Nguyen
Jeff Gauthier
Roger C. Levesque
Heike Schmitt
Juliëtte A. Severin
Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
Antibiotics
antimicrobial drug resistance
carbapenems
hospitals
humans
One Health
<i>Pseudomonas aeruginosa</i>
title Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
title_full Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
title_fullStr Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
title_full_unstemmed Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
title_short Sources and Transmission Routes of Carbapenem-Resistant <i>Pseudomonas aeruginosa</i>: Study Design and Methodology of the SAMPAN Study
title_sort sources and transmission routes of carbapenem resistant i pseudomonas aeruginosa i study design and methodology of the sampan study
topic antimicrobial drug resistance
carbapenems
hospitals
humans
One Health
<i>Pseudomonas aeruginosa</i>
url https://www.mdpi.com/2079-6382/14/1/94
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