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    <subfield code="a">10.1016/j.lanepe.2025.101220</subfield>
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    <subfield code="2">sideral</subfield>
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    <subfield code="a">Peñalva, Germán</subfield>
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  <datafield tag="245" ind1=" " ind2=" ">
    <subfield code="a">Burden of bacterial antimicrobial resistance among hospitalised patients in Spain: findings from three nationwide prospective studies</subfield>
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  <datafield tag="260" ind1=" " ind2=" ">
    <subfield code="c">2025</subfield>
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    <subfield code="a">Access copy available to the general public</subfield>
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    <subfield code="a">Background: Assessing the burden of antimicrobial resistance is essential to determine the magnitude of this problem and to set its priority. We aimed to estimate the burden of disease caused by multidrug-resistant microorganisms (MDRO) in hospitalised patients in Spain.
Methods: Three prospective nationwide studies were conducted in 2018, 2019 and 2023. All patients with a new diagnosis of infection with any of 10 selected MDROs plus Clostridioides difficile during the study period (one week in 2018 and 2019 and two weeks in 2023) were included. Patient demographic, and clinical outcomes were analysed, including incidence, crude all-cause 30-day mortality and years of life lost (YLL). These results were used to calculate weighted and seasonally adjusted annual estimates for the whole country.</subfield>
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    <subfield code="u">https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es</subfield>
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    <subfield code="a">Cantón, Rafael</subfield>
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    <subfield code="a">Pérez-Rodríguez, María Teresa</subfield>
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    <subfield code="a">González-López, Juan José</subfield>
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    <subfield code="a">Rodríguez-Baño, Jesús</subfield>
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    <subfield code="a">Barrio-Tofiño, Ester del</subfield>
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    <subfield code="a">Kirkegaard-Biosca, Cristina</subfield>
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    <subfield code="a">Sánchez-Romero, Isabel</subfield>
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    <subfield code="a">Gutiérrez-Villanueva, Andrea</subfield>
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    <subfield code="a">Marrodán-Ciordia, Teresa</subfield>
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    <subfield code="a">Guerra-Laso, José Manuel</subfield>
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    <subfield code="a">Rosario-Quintana, Cristóbal del</subfield>
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    <subfield code="a">Suárez-Hormiga, Laura</subfield>
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    <subfield code="a">Cámara, Jordi</subfield>
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    <subfield code="a">Puig-Asensio, Mireia</subfield>
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    <subfield code="a">Heredero, Eva</subfield>
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    <subfield code="a">Sepúlveda, María Antonia</subfield>
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    <subfield code="a">Rodríguez-Díaz, Juan Carlos</subfield>
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    <subfield code="a">Merino, Esperanza</subfield>
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    <subfield code="a">Cercenado, Emilia</subfield>
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    <subfield code="a">Villa, Sofia de la</subfield>
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    <subfield code="a">Siller, María</subfield>
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    <subfield code="a">Arnaiz, Francisco</subfield>
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    <subfield code="a">Seral, Cristina</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-9742-1463</subfield>
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    <subfield code="a">Lepe, José Antonio</subfield>
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    <subfield code="a">Paño-Pardo, José Ramón</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-9600-8116</subfield>
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    <subfield code="a">Castiillo García, Francisco</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-2519-701X</subfield>
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    <subfield code="1">1011</subfield>
    <subfield code="2">630</subfield>
    <subfield code="a">Universidad de Zaragoza</subfield>
    <subfield code="b">Dpto. Microb.Ped.Radio.Sal.Pú.</subfield>
    <subfield code="c">Área Microbiología</subfield>
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    <subfield code="1">1007</subfield>
    <subfield code="2">610</subfield>
    <subfield code="a">Universidad de Zaragoza</subfield>
    <subfield code="b">Dpto. Medicina, Psiqu. y Derm.</subfield>
    <subfield code="c">Area Medicina</subfield>
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  <datafield tag="773" ind1=" " ind2=" ">
    <subfield code="g">51 (2025), 101220 [13 pp.]</subfield>
    <subfield code="t">The Lancet Regional Health - Europe</subfield>
    <subfield code="x">2666-7762</subfield>
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