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Article ; Online: Reducing Inappropriate Urinary Catheter Use by Involving Patients Through the Participatient App: Before-and-After Study.

Bentvelsen, Robbert G / Bruijning, Marguerite L / Chavannes, Niels H / Veldkamp, Karin Ellen

JMIR formative research

2022 Volume 6, Issue 4, Page(s) e28983

Abstract: Background: The risk of urinary tract infections is increased by the inappropriate placement and unnecessary prolongation of the use of indwelling urinary catheters. Sustained behavior change in infection prevention could be promoted by empowering ... ...

Abstract	Background: The risk of urinary tract infections is increased by the inappropriate placement and unnecessary prolongation of the use of indwelling urinary catheters. Sustained behavior change in infection prevention could be promoted by empowering patients through a smartphone app. Objective: The aim of this study is to assess the feasibility and efficacy of implementation actions on patients' use of the Participatient app on a clinical ward and to compare 3 survey methods for urinary catheter use. Methods: Participatient was introduced for all admitted patients at the surgical nursing ward in a university hospital in the Netherlands. Over a period of 3 months, the number of new app users, days of use, and sessions were recorded. In a comparison of urinary catheter use before and after the implementation of the app, 3 methods for point prevalence surveys of catheter use were tested. Surveys were conducted through manual parsing of the text in patients' electronic medical records, parsing a survey of checkbox items, and parsing nursing notes. Results: In all, 475 patients were admitted to the ward, 42 (8.8%) installed the app, with 1 to 5 new users per week. The actions with the most ensuing app use were the kick-off with the clinical lesson and recruiting of the intake nurse. Between the survey methods, there was considerable variation in catheter use prevalence. Therefore, we used the standard method of manual parsing in further analyses. Catheter use prevalence decreased from 38% (36/96) to 27% (23/86) after app introduction (OR 0.61, 95% CI 0.32-1.14). Conclusions: The clinical application of Participatient, the infection prevention app for patients, could be feasible when implementation actions are also used. For surveying indwelling urinary catheter use prevalence, manual parsing is the best approach.
Language	English
Publishing date	2022-04-04
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/28983
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Article ; Online: Reduced Seasonal Coronavirus Antibody Responses in Children Following COVID-19 Mitigation Measures, The Netherlands.

Sikkema, Reina S / Bruin, Erwin de / Ramakers, Christian / Bentvelsen, Robbert / Li, Wentao / Bosch, Berend-Jan / Westerhuis, Brenda / Haagmans, Bart / Koopmans, Marion P G / Fraaij, Pieter L A

Viruses

2023 Volume 15, Issue 1

Abstract: SARS-CoV-2 prevention and control measures did not only impact SARS-CoV-2 circulation, but also the timing and prevalence of other seasonal respiratory viruses. Especially in children, information on exposure and infections to seasonal coronaviruses as ... ...

Abstract	SARS-CoV-2 prevention and control measures did not only impact SARS-CoV-2 circulation, but also the timing and prevalence of other seasonal respiratory viruses. Especially in children, information on exposure and infections to seasonal coronaviruses as well as SARS-CoV-2 in the first year of the pandemic is largely lacking. Therefore, we set up a one-year serological survey in a large tertiary hospital in the Netherlands. We show that seasonal coronavirus seroprevalence significantly decreased in 2021 in children less than one year, most likely due to COVID-19 control measures. The SARS-CoV-2 seroprevalence in children and adolescents increased from 0.4% to 11.3%, the highest in adolescents. This implies higher exposure rates in adolescents as compared to the general population (>18 years old). It is clear that there have been significant changes in the circulation and subsequent immunity against most respiratory pathogens as a result of the mitigation measures. The implications on shorter as well as longer term are still largely unknown, but the impact of the SARS-CoV-2 pandemic and subsequent control measures will continue to affect the dynamics of other pathogens.
MeSH term(s)	Adolescent ; Humans ; Child ; COVID-19/epidemiology ; COVID-19/prevention & control ; Netherlands/epidemiology ; Antibody Formation ; Seasons ; Seroepidemiologic Studies ; SARS-CoV-2 ; Antibodies, Viral
Chemical Substances	Antibodies, Viral
Language	English
Publishing date	2023-01-12
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2516098-9
ISSN	1999-4915 ; 1999-4915
ISSN (online)	1999-4915
ISSN	1999-4915
DOI	10.3390/v15010212
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Article ; Online: Systematic development of an mHealth app to prevent healthcare-associated infections by involving patients

Robbert G. Bentvelsen / Rosalie van der Vaart / Karin Ellen Veldkamp / Niels H. Chavannes

Clinical eHealth, Vol 4, Iss , Pp 37-

‘Participatient’

2021 Volume 44

Abstract: Introduction: In hospital care, urinary catheters are frequently used, causing a substantial risk for catheter-associated urinary tract infections (CAUTI). Patient awareness and evaluation of appropriateness of their catheter through mHealth could ... ...

Abstract	Introduction: In hospital care, urinary catheters are frequently used, causing a substantial risk for catheter-associated urinary tract infections (CAUTI). Patient awareness and evaluation of appropriateness of their catheter through mHealth could decrease these healthcare-associated infections. However, patient engagement via mHealth in infection prevention is still limited. Therefore, we describe the systematic development and usability evaluation of the mHealth intervention Participatient, to prevent CAUTI, aiming for optimal adoption of the app in the clinical setting. Method: The CeHRes roadmap was used as development guideline, operationalizing phases for (1) contextual inquiry (observations and interviews), (2) value specification (interviews with probing) and (3) design in multiple steps and in co-creation with end-users. During phases 1 and 2, semi-structured interviews were conducted with fifteen patients and three nurses. The design phase was combined with the minimum viable product development strategy, with a focus on early cyclic steps of prototyping. Results: In phase 1, patients acknowledged the risks of catheter use. Patients in phase 2 valued endorsement of a mHealth application by healthcare workers and reported to own a smartphone. Both patients and nurses recognized the need for useful modules in the app besides catheter care. Based on the needs and values as found in phase 2, the Participation app was developed. Based on usability tests in phase 3, content, text size, plain language, and navigation structures were further amended, and images were added. Conclusion: This study provides real-world insight in the developmental strategy for mHealth interventions by involving both patients and care providers. Development of an app using thorough needs-assessment provided understanding for its content and design. By developing an app providing patients with reliable information and daily checklists, we aim to provide a tailored tool for communication and awareness on catheter use for the whole ...
Keywords	mHealth ; Development ; Patient engagement ; Infection prevention and control ; Catheter-associated urinary tract infections ; Medicine ; R
Subject code	360
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	KeAi Communications Co., Ltd.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reply to Fekkar

Bentvelsen, Robbert G / van Arkel, Andreas L E / Rijpstra, Tom A / Belderbos, Huub N A / van Wijngaarden, Peter / Verweij, Paul E

American journal of respiratory and critical care medicine

2020 Volume 202, Issue 6, Page(s) 903–904

MeSH term(s)	Aspergillosis ; Aspergillus ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-08-17
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202006-2241LE
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Article ; Online: COVID-19-associated Pulmonary Aspergillosis.

van Arkel, Andreas L E / Rijpstra, Tom A / Belderbos, Huub N A / van Wijngaarden, Peter / Verweij, Paul E / Bentvelsen, Robbert G

American journal of respiratory and critical care medicine

2020 Volume 202, Issue 1, Page(s) 132–135

MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Fatal Outcome ; Humans ; Male ; Middle Aged ; Netherlands ; Pandemics ; Pneumonia, Viral/complications ; Pulmonary Aspergillosis/complications ; Pulmonary Aspergillosis/virology ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-12
Publishing country	United States
Document type	Case Reports ; Letter
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202004-1038LE
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Article ; Online: Case report of a neonate with high viral SARSCoV-2 loads and long-term virus shedding.

Slaats, Monique A L J / Versteylen, Maud / Gast, Karin B / Oude Munnink, Bas B / Pas, Suzan D / Bentvelsen, Robbert G / van Beek, Ron

Journal of infection and public health

2020 Volume 13, Issue 12, Page(s) 1878–1884

Abstract: Background: SARS-CoV-2 has spread globally. Currently, literature of SARS-CoV-2 in neonates is scarce. We present a case of a neonate with a high viral load and prolonged virus shedding.: Methods: Epidemiology, clinical characteristics, treatment, ... ...

Abstract	Background: SARS-CoV-2 has spread globally. Currently, literature of SARS-CoV-2 in neonates is scarce. We present a case of a neonate with a high viral load and prolonged virus shedding. Methods: Epidemiology, clinical characteristics, treatment, laboratory data and follow-up information and the treatment of a neonate with COVID-19 were recorded. Results: A 7-day-old boy was admitted to the hospital with fever, lethargy and apnoea. He was found SARS-CoV-2 RNA positive with an exceptionally high viral load in nasopharyngeal swab and stool. The father and two maternity nurses at home had detectable SARS-CoV-2 RNA as well. Sequencing showed all strains belonged to the same cluster. The father was asymptomatic and the maternity nurses developed symptoms after visiting. In the mother, no SARS-CoV-2 RNA could be found. Six days after admission, the neonate was discharged after clinical improvement with oral antibiotics because of a possible pyelonephritis. Monitoring the course of this infection showed that SARS-CoV-2 RNA was detectable in the nasopharynx until day 19 and in stool until day 42 after symptom onset. Conclusions: This case shows that neonates can have a high viral load of SARS-CoV-2 and can shed the virus for over one month in stool. Despite the high viral load in the neonate, the mother and a sibling did not get infected.
MeSH term(s)	COVID-19/complications ; COVID-19/diagnosis ; COVID-19/virology ; Diagnosis, Differential ; Fever/etiology ; Humans ; Infant, Newborn ; Male ; SARS-CoV-2 ; Viral Load ; Virus Shedding
Keywords	covid19
Language	English
Publishing date	2020-10-27
Publishing country	England
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2467587-8
ISSN	1876-035X ; 1876-0341
ISSN (online)	1876-035X
ISSN	1876-0341
DOI	10.1016/j.jiph.2020.10.013
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Article: COVID-19-associated Pulmonary Aspergillosis

van Arkel, Andreas L E / Rijpstra, Tom A / Belderbos, Huub N A / van Wijngaarden, Peter / Verweij, Paul E / Bentvelsen, Robbert G

Am J Respir Crit Care Med

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #739087
Database	COVID19

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Article ; Online: CT findings of COVID-19-associated pulmonary aspergillosis: a systematic review and individual patient data analysis.

Hong, Wonju / White, P Lewis / Backx, Matthijs / Gangneux, Jean-Pierre / Reizine, Florian / Koehler, Philipp / Bentvelsen, Robbert G / Cuestas, María Luján / Fakhim, Hamed / Jung, Jung Im / Lee, Young Kyung / Dalsania, Nishil R / Patti, Ravi Karan / Yoon, Soon Ho

Clinical imaging

2022 Volume 90, Page(s) 11–18

Abstract: Purpose: Common CT abnormalities of pulmonary aspergillosis represent a cavity with air-meniscus sign, nodule, mass, and consolidation having an angio-invasive pattern. This study aims to conduct a systematic review and an individual patient-level image ...

Abstract	Purpose: Common CT abnormalities of pulmonary aspergillosis represent a cavity with air-meniscus sign, nodule, mass, and consolidation having an angio-invasive pattern. This study aims to conduct a systematic review and an individual patient-level image analysis of CT findings of COVID-19-associated pulmonary aspergillosis (CAPA). Methods: A systematic literature search was conducted to identify studies reporting CT findings of CAPA as of January 7, 2021. We summarized study-level clinical and CT findings of CAPA and collected individual patient CT images by inviting corresponding authors. The CT findings were categorized into four groups: group 1, typical appearance of COVID-19; group 2, indeterminate appearance of COVID-19; group 3, atypical for COVID-19 without cavities; and group 4, atypical for COVID-19 with cavities. In group 2, cases had only minor discrepant findings including solid nodules, isolated airspace consolidation with negligible ground-glass opacities, centrilobular micronodules, bronchial abnormalities, and cavities. Results: The literature search identified 89 patients from 25 studies, and we collected CT images from 35 CAPA patients (mean age 62.4 ± 14.6 years; 21 men): group 1, thirteen patients (37.1%); group 2, eight patients (22.9%); group 3, six patients (17.1%); and group 4, eight patients (22.9%). Eight of the 14 patients (57.1%) with an atypical appearance had bronchial abnormalities, whereas only one (7.1%) had an angio-invasive fungal pattern. In the study-level analysis, cavities were reported in 12 of 54 patients (22.2%). Conclusion: CAPA can frequently manifest as COVID-19 pneumonia without common CT abnormalities of pulmonary aspergillosis. If abnormalities exist on CT images, CAPA may frequently accompany bronchial abnormalities.
MeSH term(s)	Aged ; COVID-19/complications ; Data Analysis ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Pulmonary Aspergillosis/complications ; Pulmonary Aspergillosis/diagnostic imaging ; Tomography, X-Ray Computed/methods
Language	English
Publishing date	2022-07-23
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2022.07.003
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Article ; Online: Terugkerende koorts na een reis in de tropen.

Lambregts, Merel M C / Bentvelsen, Robbert G / Makiello, Phoebe E / de Wever, Bob / Kuijper, Ed J / Visser, Leo G

Nederlands tijdschrift voor geneeskunde

2019 Volume 163

Abstract: Background: Relapsing fever is an infectious disease caused by Spirochaetes. The presentation is characterised by recurrent episodes of fever.: Case description: At the end of her trip through South Africa and Botswana, a 54-year-old woman had ... ...

Title translation	Relapsing fever after travelling in the tropics; a story with a twist.
Abstract	Background: Relapsing fever is an infectious disease caused by Spirochaetes. The presentation is characterised by recurrent episodes of fever. Case description: At the end of her trip through South Africa and Botswana, a 54-year-old woman had symptoms of fever and dry cough. Back in the Netherlands, physical examination at the emergency department did not reveal any abnormalities besides fever. Laboratory investigation found thrombocytopenia and elevated infection markers. Thick blood smear revealed the presence of Spirochaetes. Following a working diagnosis of 'relapsing fever', the patient was treated with doxycycline. There was no Jarisch-Herxheimer reaction. At a follow-up outpatient appointment two weeks later, the patient had fully recovered. Conclusion: Relapsing fever is a rare disease without specific symptoms. The diagnosis is therefore easily overlooked. Untreated, mortality is high. During episodes of fever, the diagnosis can be established with a thick blood smear.
MeSH term(s)	Anti-Infective Agents/therapeutic use ; Borrelia/isolation & purification ; Cough/etiology ; Doxycycline/therapeutic use ; Female ; Fever/etiology ; Humans ; Middle Aged ; Netherlands ; Rare Diseases ; Relapsing Fever/complications ; Relapsing Fever/diagnosis ; Relapsing Fever/drug therapy ; Travel
Chemical Substances	Anti-Infective Agents ; Doxycycline (N12000U13O)
Language	Dutch
Publishing date	2019-05-31
Publishing country	Netherlands
Document type	Case Reports ; Journal Article
ZDB-ID	82073-8
ISSN	1876-8784 ; 0028-2162
ISSN (online)	1876-8784
ISSN	0028-2162
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Article ; Online: Regional Impact of COVID-19-Associated Pulmonary Aspergillosis (CAPA) during the First Wave.

Bentvelsen, Robbert G / Arkel, Andreas L E Van / Rijpstra, Tom A / Kant, Merijn K M / Brugge, Simone Van Der Sar-Van Der / Loth, Daan W / Van Wijngaarden, Peter / Mée, Arthur W F Du / Yick, David C Y / Diederen, Bram M W / Wever, Peter C / Leenders, Alexander C A P / Van Dommelen, Laura / Groot, Klaas H De / Van den Bijllaardt, Wouter / Verweij, Paul E

Journal of fungi (Basel, Switzerland)

2022 Volume 8, Issue 2

Abstract: Background: Critically ill COVID-19 patients have proven to be at risk for developing invasive fungal infections. However, the incidence and impact of possible/probable COVID-19-associated pulmonary aspergillosis (CAPA) in severe COVID-19 patients ... ...

Abstract	Background: Critically ill COVID-19 patients have proven to be at risk for developing invasive fungal infections. However, the incidence and impact of possible/probable COVID-19-associated pulmonary aspergillosis (CAPA) in severe COVID-19 patients varies between cohorts. We aimed to assess the incidence, risk factors, and clinical outcome of invasive pulmonary aspergillosis in a regional cohort of COVID-19 intensive care patients. Methods: We performed a regional, multicentre, retrospective cohort study in the intensive care units (ICUs) in North Brabant, The Netherlands. We included adult patients with rt-PCR-confirmed SARS-CoV-2 infection (COVID-19), requiring mechanical ventilation for acute respiratory distress syndrome. Demographics, clinical course, biomarker value, and treatment outcomes were compared between the groups with possible/probable CAPA from the main study centre and the regional centres, and without signs of CAPA from the main study centre as controls. The primary aim was to assess the regional impact of possible/probable CAPA in COVID-19 ICU patients, measured as all-cause mortality at 30 days after ICU admission. Secondary outcomes were risk factors for developing CAPA, based on underlying host factors and to identify the value of the mycological arguments for the diagnosing of CAPA. Results: Between 1 March and 30 April 2020, we included 123 patients with severe COVID-19: 29 patients (30.9%) in the main ICU with possible/probable CAPA, and 65 (69.1%) with no signs of CAPA; 29 patients in the regional ICUs with signs of CAPA. Patients' characteristics and risk factors did not differ for CAPA and non-CAPA patients. Patients with COPD and/or chronic steroid medication developed CAPA more frequently, although this was not statistically significant. CAPA patients were admitted to the ICU earlier, had lower PF-ratios, and more often required renal replacement therapy. All-cause 30-day mortality was significantly higher in mechanically ventilated COVID-19 patients with possible/probable CAPA 39.7% (23/58) compared to patients without evidence for CAPA 16.9% (11/65) (OR 3.2 [95% CI 1.4-7.4] Conclusion: The high incidence of possible and probable CAPA in critically ill COVID-19 patients is alarming. The increase in 30-day mortality in CAPA highlights the need for active surveillance and management strategies in critically ill COVID-19 patients.
Language	English
Publishing date	2022-01-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2784229-0
ISSN	2309-608X ; 2309-608X
ISSN (online)	2309-608X
ISSN	2309-608X
DOI	10.3390/jof8020096
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