Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned
Introduction: Antimicrobial resistance (AMR) poses a global threat. High levels of AMR to commonly used antibiotics have been reported in East Africa. A situation analysis of AMR in Ethiopia also indicated high resistance levels. To prevent and contain AMR, Ethiopia established a national surveillan...
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| Format: | Article |
| Language: | English |
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AOSIS
2018-12-01
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| Series: | African Journal of Laboratory Medicine |
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| Online Access: | https://ajlmonline.org/index.php/ajlm/article/view/770 |
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| author | Rajiha A. Ibrahim Amete M. Teshal Surafel F. Dinku Negga A. Abera Abebe A. Negeri Feven G. Desta Eyasu T. Seyum Adugna W. Gemeda Wubshet M. Keficho |
| author_facet | Rajiha A. Ibrahim Amete M. Teshal Surafel F. Dinku Negga A. Abera Abebe A. Negeri Feven G. Desta Eyasu T. Seyum Adugna W. Gemeda Wubshet M. Keficho |
| author_sort | Rajiha A. Ibrahim |
| collection | DOAJ |
| description | Introduction: Antimicrobial resistance (AMR) poses a global threat. High levels of AMR to commonly used antibiotics have been reported in East Africa. A situation analysis of AMR in Ethiopia also indicated high resistance levels. To prevent and contain AMR, Ethiopia established a national surveillance network.
Objectives: This article describes the steps taken to prioritise AMR and establish the National Antimicrobial Resistance Surveillance System in Ethiopia, as well as present the challenges and lessons learned through implementation.
Methods: In April 2017, Ethiopia had developed and approved the National AMR Surveillance Plan for laboratory-based AMR surveillance. The World Health Organization recommendations and Ethiopias’s current microbiology capacity were used to prioritise organisms for reporting. The surveillance system is comprised of a network linking the national reference laboratory with surveillance sentinel sites. Roll-out of the AMR surveillance network occurred in three phases in order to ensure successful implementation.
Results: Electronic capture and transmission of data, supply chain for the microbiology laboratory and communication problems were challenges observed after implementation started. Support from Ethiopian Public Health Institute focal persons for data entry, regular scheduled communication establishment and procurement of supplies by the American Society for Microbiology were some of the measures taken to address the challenges.
Conclusion: Ethiopia has demonstrated that setting up AMR surveillance in lower resource settings is possible with strong leadership and stakeholder engagement. |
| first_indexed | 2024-04-14T05:27:51Z |
| format | Article |
| id | doaj.art-0f5cf586e64145d9903d033a13f3207f |
| institution | Directory Open Access Journal |
| issn | 2225-2002 2225-2010 |
| language | English |
| last_indexed | 2024-04-14T05:27:51Z |
| publishDate | 2018-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Laboratory Medicine |
| spelling | doaj.art-0f5cf586e64145d9903d033a13f3207f2022-12-22T02:09:55ZengAOSISAfrican Journal of Laboratory Medicine2225-20022225-20102018-12-0172e1e410.4102/ajlm.v7i2.770212Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learnedRajiha A. Ibrahim0Amete M. Teshal1Surafel F. Dinku2Negga A. Abera3Abebe A. Negeri4Feven G. Desta5Eyasu T. Seyum6Adugna W. Gemeda7Wubshet M. Keficho8Ethiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaEthiopian Public Health Institute, Addis AbabaAmerican Society for Microbiology, Addis AbabaIntroduction: Antimicrobial resistance (AMR) poses a global threat. High levels of AMR to commonly used antibiotics have been reported in East Africa. A situation analysis of AMR in Ethiopia also indicated high resistance levels. To prevent and contain AMR, Ethiopia established a national surveillance network. Objectives: This article describes the steps taken to prioritise AMR and establish the National Antimicrobial Resistance Surveillance System in Ethiopia, as well as present the challenges and lessons learned through implementation. Methods: In April 2017, Ethiopia had developed and approved the National AMR Surveillance Plan for laboratory-based AMR surveillance. The World Health Organization recommendations and Ethiopias’s current microbiology capacity were used to prioritise organisms for reporting. The surveillance system is comprised of a network linking the national reference laboratory with surveillance sentinel sites. Roll-out of the AMR surveillance network occurred in three phases in order to ensure successful implementation. Results: Electronic capture and transmission of data, supply chain for the microbiology laboratory and communication problems were challenges observed after implementation started. Support from Ethiopian Public Health Institute focal persons for data entry, regular scheduled communication establishment and procurement of supplies by the American Society for Microbiology were some of the measures taken to address the challenges. Conclusion: Ethiopia has demonstrated that setting up AMR surveillance in lower resource settings is possible with strong leadership and stakeholder engagement.https://ajlmonline.org/index.php/ajlm/article/view/770AMRsurveillanceEthiopia |
| spellingShingle | Rajiha A. Ibrahim Amete M. Teshal Surafel F. Dinku Negga A. Abera Abebe A. Negeri Feven G. Desta Eyasu T. Seyum Adugna W. Gemeda Wubshet M. Keficho Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned African Journal of Laboratory Medicine AMR surveillance Ethiopia |
| title | Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned |
| title_full | Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned |
| title_fullStr | Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned |
| title_full_unstemmed | Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned |
| title_short | Antimicrobial resistance surveillance in Ethiopia: Implementation experiences and lessons learned |
| title_sort | antimicrobial resistance surveillance in ethiopia implementation experiences and lessons learned |
| topic | AMR surveillance Ethiopia |
| url | https://ajlmonline.org/index.php/ajlm/article/view/770 |
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