Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022?
An operational research study was conducted in 2019 to assess the quality of data submitted by antimicrobial resistance (AMR) surveillance sites in the Bagmati Province of Nepal to the National Public Health Laboratory for Global Antimicrobial Resistance and Use Surveillance System (GLASS). Measures...
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MDPI AG
2023-08-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/8/8/399 |
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| author | Sweety Upadhaya Jyoti Acharya Maria Zolfo Divya Nair Mahesh Kharel Anjana Shrestha Basudha Shrestha Surendra Kumar Madhup Bijendra Raj Raghubanshi Hari Prasad Kattel Piyush Rajbhandari Parmananda Bhandari Subhash Thakur Gyani Singh Lilee Shrestha Runa Jha |
| author_facet | Sweety Upadhaya Jyoti Acharya Maria Zolfo Divya Nair Mahesh Kharel Anjana Shrestha Basudha Shrestha Surendra Kumar Madhup Bijendra Raj Raghubanshi Hari Prasad Kattel Piyush Rajbhandari Parmananda Bhandari Subhash Thakur Gyani Singh Lilee Shrestha Runa Jha |
| author_sort | Sweety Upadhaya |
| collection | DOAJ |
| description | An operational research study was conducted in 2019 to assess the quality of data submitted by antimicrobial resistance (AMR) surveillance sites in the Bagmati Province of Nepal to the National Public Health Laboratory for Global Antimicrobial Resistance and Use Surveillance System (GLASS). Measures were implemented to enhance the quality of AMR surveillance by strengthening capacity, improving infrastructure, implementing data sharing guidelines, and supervision. The current study examined reports submitted by surveillance sites in the same province in 2022 to assess whether the data quality had improved since 2019. The availability of infrastructure at the sites was assessed. Of the nine surveillance sites in the province, seven submitted reports in 2022 versus five in 2019. Completeness in reporting improved significantly from 19% in 2019 to 100% in 2022 (<i>p</i> < 0.001). Timely reports were received from two sites in 2019 and only one site in 2022. Specimen–pathogen consistency in accordance with the GLASS guidelines for urine, feces, and genital swab specimens improved, with ≥90% consistency at all sites. Overall, the pathogen–antibacterial consistency improved significantly for each GLASS priority pathogen. The study highlights the importance of dedicated infrastructure and institutional arrangements for AMR surveillance. Similar assessments covering all provinces of the country can provide a more complete country-wide picture. |
| first_indexed | 2024-03-10T23:31:16Z |
| format | Article |
| id | doaj.art-03b722bf5ded44a3bae09d530127e6b2 |
| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-03-10T23:31:16Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-03b722bf5ded44a3bae09d530127e6b22023-11-19T03:15:59ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-08-018839910.3390/tropicalmed8080399Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022?Sweety Upadhaya0Jyoti Acharya1Maria Zolfo2Divya Nair3Mahesh Kharel4Anjana Shrestha5Basudha Shrestha6Surendra Kumar Madhup7Bijendra Raj Raghubanshi8Hari Prasad Kattel9Piyush Rajbhandari10Parmananda Bhandari11Subhash Thakur12Gyani Singh13Lilee Shrestha14Runa Jha15National Public Health Laboratory, Kathmandu 44600, NepalNational Public Health Laboratory, Kathmandu 44600, NepalInstitute of Tropical Medicine, 2000 Antwerp, BelgiumInternational Union against Tuberculosis and Lung Diseases, 75001 Paris, FranceNational Public Health Laboratory, Kathmandu 44600, NepalNational Public Health Laboratory, Kathmandu 44600, NepalKathmandu Model Hospital, Kathmandu 44600, NepalDhulikhel Hospital, Dhulikhel 45200, NepalKIST Medical College Teaching Hospital, Lalitpur 44700, NepalTribhuwan University Teaching Hospital, Kathmandu 44600, NepalPatan Hospital, Patan Academy of Health Sciences, Lalitpur 44700, NepalSukraraj Tropical and Infectious Disease Hospital, Kathmandu 44600, NepalParopakar Maternity and Women’s Hospital, Kathmandu 44600, NepalKanti Children’s Hospital, Kathmandu 44600, NepalNational Public Health Laboratory, Kathmandu 44600, NepalNational Public Health Laboratory, Kathmandu 44600, NepalAn operational research study was conducted in 2019 to assess the quality of data submitted by antimicrobial resistance (AMR) surveillance sites in the Bagmati Province of Nepal to the National Public Health Laboratory for Global Antimicrobial Resistance and Use Surveillance System (GLASS). Measures were implemented to enhance the quality of AMR surveillance by strengthening capacity, improving infrastructure, implementing data sharing guidelines, and supervision. The current study examined reports submitted by surveillance sites in the same province in 2022 to assess whether the data quality had improved since 2019. The availability of infrastructure at the sites was assessed. Of the nine surveillance sites in the province, seven submitted reports in 2022 versus five in 2019. Completeness in reporting improved significantly from 19% in 2019 to 100% in 2022 (<i>p</i> < 0.001). Timely reports were received from two sites in 2019 and only one site in 2022. Specimen–pathogen consistency in accordance with the GLASS guidelines for urine, feces, and genital swab specimens improved, with ≥90% consistency at all sites. Overall, the pathogen–antibacterial consistency improved significantly for each GLASS priority pathogen. The study highlights the importance of dedicated infrastructure and institutional arrangements for AMR surveillance. Similar assessments covering all provinces of the country can provide a more complete country-wide picture.https://www.mdpi.com/2414-6366/8/8/399Global Antimicrobial Resistance and Use Surveillance System (GLASS)antimicrobial resistancedata qualityNational Public Health LaboratorySORT IToperational research |
| spellingShingle | Sweety Upadhaya Jyoti Acharya Maria Zolfo Divya Nair Mahesh Kharel Anjana Shrestha Basudha Shrestha Surendra Kumar Madhup Bijendra Raj Raghubanshi Hari Prasad Kattel Piyush Rajbhandari Parmananda Bhandari Subhash Thakur Gyani Singh Lilee Shrestha Runa Jha Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? Tropical Medicine and Infectious Disease Global Antimicrobial Resistance and Use Surveillance System (GLASS) antimicrobial resistance data quality National Public Health Laboratory SORT IT operational research |
| title | Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? |
| title_full | Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? |
| title_fullStr | Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? |
| title_full_unstemmed | Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? |
| title_short | Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022? |
| title_sort | has data quality of an antimicrobial resistance surveillance system in a province of nepal improved between 2019 and 2022 |
| topic | Global Antimicrobial Resistance and Use Surveillance System (GLASS) antimicrobial resistance data quality National Public Health Laboratory SORT IT operational research |
| url | https://www.mdpi.com/2414-6366/8/8/399 |
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