On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso

Abstract Background The laboratory-based surveillance of antimicrobial resistance (AMR) is a priority component of the multisectoral national action plan to combat AMR in Burkina Faso. This study aimed to assess the QMS of microbiology laboratories involved in the Sentinel laboratory-based antimicro...

Full description

Bibliographic Details
Main Authors: Emmanuel Zongo, Emilie Dama, Dame Yenyetou, Merci Muhigwa, Abdoulaye Nikiema, Georges Anicet Dahourou, Abdoul-Salam Ouedraogo
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Antimicrobial Resistance and Infection Control
Subjects:
Online Access:https://doi.org/10.1186/s13756-023-01362-5
_version_ 1797355510459006976
author Emmanuel Zongo
Emilie Dama
Dame Yenyetou
Merci Muhigwa
Abdoulaye Nikiema
Georges Anicet Dahourou
Abdoul-Salam Ouedraogo
author_facet Emmanuel Zongo
Emilie Dama
Dame Yenyetou
Merci Muhigwa
Abdoulaye Nikiema
Georges Anicet Dahourou
Abdoul-Salam Ouedraogo
author_sort Emmanuel Zongo
collection DOAJ
description Abstract Background The laboratory-based surveillance of antimicrobial resistance (AMR) is a priority component of the multisectoral national action plan to combat AMR in Burkina Faso. This study aimed to assess the QMS of microbiology laboratories involved in the Sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso. Methods A cross-sectional study was conducted from September 1st to November 30th, 2022. The external quality assessment (EQA) method used was on-site evaluation using a checklist that was developed and validated by a technical committee of experts. Teams of two, including an antimicrobial susceptibility test (AST) specialist and a QMS specialist, were trained on this checklist to conduct the assessment. Satisfactory performance was defined as any on-site evaluation score 80% and above with the aim of developing action plans to address gaps. Results All 18 laboratories were evaluated. The overall average performance score of the participating laboratories was 40%. The highest overall performance score was 58%, and the lowest overall performance score was 26%. The average overall scores were not significantly different between private and public laboratories (p value = 0.78). The only section of the checklist with the satisfactory performance concerned the “Analytical step of AST”, with 76.5% (13/17) of the sentinel laboratories having a score ≥ 80%. Conclusion The performance of the QMS of the sentinel laboratories in Burkina Faso for AMR surveillance was unsatisfactory, and a corrective action plan was proposed to support these laboratories in improving their QMS over the next 3 years.
first_indexed 2024-03-08T14:12:13Z
format Article
id doaj.art-752a4ca7a64e43ad902b84acdd2dbba7
institution Directory Open Access Journal
issn 2047-2994
language English
last_indexed 2024-03-08T14:12:13Z
publishDate 2024-01-01
publisher BMC
record_format Article
series Antimicrobial Resistance and Infection Control
spelling doaj.art-752a4ca7a64e43ad902b84acdd2dbba72024-01-14T12:36:58ZengBMCAntimicrobial Resistance and Infection Control2047-29942024-01-0113111010.1186/s13756-023-01362-5On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina FasoEmmanuel Zongo0Emilie Dama1Dame Yenyetou2Merci Muhigwa3Abdoulaye Nikiema4Georges Anicet Dahourou5Abdoul-Salam Ouedraogo6Higher Institute of Health Sciences, Nazi BONI UniversityUS Centers for Disease Control and PreventionHigher Institute of Health Sciences, Nazi BONI UniversityHigher Institute of Health Sciences, Nazi BONI UniversityIntegrated Quality Laboratory ServicesUS Centers for Disease Control and PreventionHigher Institute of Health Sciences, Nazi BONI UniversityAbstract Background The laboratory-based surveillance of antimicrobial resistance (AMR) is a priority component of the multisectoral national action plan to combat AMR in Burkina Faso. This study aimed to assess the QMS of microbiology laboratories involved in the Sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso. Methods A cross-sectional study was conducted from September 1st to November 30th, 2022. The external quality assessment (EQA) method used was on-site evaluation using a checklist that was developed and validated by a technical committee of experts. Teams of two, including an antimicrobial susceptibility test (AST) specialist and a QMS specialist, were trained on this checklist to conduct the assessment. Satisfactory performance was defined as any on-site evaluation score 80% and above with the aim of developing action plans to address gaps. Results All 18 laboratories were evaluated. The overall average performance score of the participating laboratories was 40%. The highest overall performance score was 58%, and the lowest overall performance score was 26%. The average overall scores were not significantly different between private and public laboratories (p value = 0.78). The only section of the checklist with the satisfactory performance concerned the “Analytical step of AST”, with 76.5% (13/17) of the sentinel laboratories having a score ≥ 80%. Conclusion The performance of the QMS of the sentinel laboratories in Burkina Faso for AMR surveillance was unsatisfactory, and a corrective action plan was proposed to support these laboratories in improving their QMS over the next 3 years.https://doi.org/10.1186/s13756-023-01362-5AMRSentinel laboratoriesExternal quality assessmentBurkina Faso
spellingShingle Emmanuel Zongo
Emilie Dama
Dame Yenyetou
Merci Muhigwa
Abdoulaye Nikiema
Georges Anicet Dahourou
Abdoul-Salam Ouedraogo
On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
Antimicrobial Resistance and Infection Control
AMR
Sentinel laboratories
External quality assessment
Burkina Faso
title On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
title_full On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
title_fullStr On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
title_full_unstemmed On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
title_short On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
title_sort on site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory based antimicrobial resistance surveillance network in burkina faso
topic AMR
Sentinel laboratories
External quality assessment
Burkina Faso
url https://doi.org/10.1186/s13756-023-01362-5
work_keys_str_mv AT emmanuelzongo onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT emiliedama onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT dameyenyetou onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT mercimuhigwa onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT abdoulayenikiema onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT georgesanicetdahourou onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso
AT abdoulsalamouedraogo onsiteevaluationasexternalqualityassessmentofmicrobiologylaboratoriesinvolvedinsentinellaboratorybasedantimicrobialresistancesurveillancenetworkinburkinafaso