The Netherlands is known for its bulb fields, windmills and innovative water management, but also for successfully curbing antibiotic resistance. However, the control of antibiotic resistance is becoming increasingly difficult, also in the Netherlands. For example, resistant bacteria are increasingly being found in people who do not belong to the known risk groups. As a result, resistant bacteria can enter a healthcare facility undetected and spread, because extra preventive measures are not taken. This dissertation shows through various cases that some microorganisms are better able than others to escape standard precautions, that the importance of good cleaning should not be underestimated, and that resistant bacteria do not maintain individual healthcare facilities. Although the dikes will hold for the time being, we will have to closely monitor developments around antibiotic resistance through surveillance, molecular typing, and objectively measuring the quality of infection prevention throughout the healthcare chain to keep our feet dry.
Veronica was born on October 27, 1978 in Raamsdonk, the Netherlands. After graduating the HU University of Applied Sciences Life Sciences in Utrecht in 2002, she was employed as a lab technician at the Amphia Hospital in Breda. In 2010, she had the opportunity to begin her training to be an Infection control practitioner at the department of infection control at the Amphia hospital. In 2012, she completed her training and received her Postgraduate Infection Control Expert Diploma from the Amphia Academy Infectious Disease Foudation. In 2015, she started her PhD with Prof. Dr. J. Kluytmans and Prof. Dr. A. Voss as her supervisors and Dr. J. Veenemans as her co-supervisor. After her PhD, she will continue to work in the infection prevention department of the Amphia hospital as a Consultant Infection control.