title: Surveillance Systems from Public Health Institutions and Scientific Societies for Antimicrobial Resistance and Healthcare-Associated Infections in Europe (SUSPIRE): protocol for a systematic review.
abstract: The worldwide spread of antimicrobial resistance is now recognised as a global public health threat. Owing to the geographical heterogeneity, complexity and continuously evolving dynamics of resistant organisms and genes, surveillance is a key tool for understanding, measuring and informing actions in the fight against this problem. To date there is no harmonisation of key indicators or of methodologies used to obtain them.
  
  
  
  The main objective of this project is to systematically review and analyse the current publicly available surveillance activities on antimicrobial resistance and healthcare-associated infections in Europe. Eligible activities are those endorsed by regional, national or transnational health organisations and scientific societies providing data on a periodic basis. Grey and peer-reviewed literature will be searched with no language restrictions. Three independent reviewers will perform a two-step selection process using a previously piloted, tailored electronic data extraction form. Descriptive summaries and tables of all relevant findings will be performed and reported according to PRISMA guidelines.
  
  
  
  We did not seek ethical approval for this study because the data to be collected are not linked to individuals. Data will be presented at international conferences and published in peer-reviewed journals.
  
  
  
  CRD42016033867.
authors.affiliation: Unit of Infectious Disease, Microbiology, and Preventive Medicine, Institute of Biomedicine of Seville (IBIS)/University Hospital Virgen Macarena-Virgen del Rocío/Spanish National Research Council (CSIC), Seville, Spain.|Departamento de Medicina, Universidad de Sevilla, Seville, Spain.|Department of Pharmacy, University Hospital Virgen Macarena, Seville, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Núñez-Núñez
authors.affiliation: Unit of Infectious Disease, Microbiology, and Preventive Medicine, Institute of Biomedicine of Seville (IBIS)/University Hospital Virgen Macarena-Virgen del Rocío/Spanish National Research Council (CSIC), Seville, Spain.|Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Navarro
authors.affiliation: Infectious Diseases, Internal Medicine 1, DZIF Center, Tuebingen University Hospital, Tuebingen, Germany.
authors.forename: Panagiota
authors.initials: P
authors.lastname: Gkolia
authors.affiliation: Infectious Diseases, Internal Medicine 1, DZIF Center, Tuebingen University Hospital, Tuebingen, Germany.
authors.forename: Nithya
authors.initials: N
authors.lastname: Babu Rajendran
authors.affiliation: Unit of Infectious Disease, Microbiology, and Preventive Medicine, Institute of Biomedicine of Seville (IBIS)/University Hospital Virgen Macarena-Virgen del Rocío/Spanish National Research Council (CSIC), Seville, Spain.|Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Del Toro
authors.affiliation: Department of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
authors.forename: Andreas
authors.initials: A
authors.lastname: Voss
authors.affiliation: Paediatric Infectious Diseases Research Group, St George's University London, London, UK.
authors.forename: Mike
authors.initials: M
authors.lastname: Sharland
authors.affiliation: AstraZeneca LP, Gaithersburg, Maryland, USA.
authors.forename: Frangiscos
authors.initials: F
authors.lastname: Sifakis
authors.affiliation: Infectious Diseases, Internal Medicine 1, DZIF Center, Tuebingen University Hospital, Tuebingen, Germany.
authors.forename: Evelina
authors.initials: E
authors.lastname: Tacconelli
authors.affiliation: Unit of Infectious Disease, Microbiology, and Preventive Medicine, Institute of Biomedicine of Seville (IBIS)/University Hospital Virgen Macarena-Virgen del Rocío/Spanish National Research Council (CSIC), Seville, Spain.|Departamento de Medicina, Universidad de Sevilla, Seville, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Rodríguez-Baño
mesh_terms: D035843:Biomedical Research; D003428:Cross Infection / Q000517:prevention & control; D024881:Drug Resistance, Bacterial / Q000187:drug effects; D005060:Europe; D006801:Humans; D011634:Public Health; D012109:Research Support as Topic; D018571:Sentinel Surveillance; D012958:Societies, Scientific; D000078202:Systematic Reviews as Topic
keywords: Antimicrobial resistance; healthcare-associated infections; surveillance