Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study
Antimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127701/full |
| _version_ | 1797560874518446080 |
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| author | Pedro Moura Birgitte Borck Høg Lis Alban Lis Alban Ute Wolff Sönksen Ana Sofia Ribeiro Duarte Marianne Sandberg |
| author_facet | Pedro Moura Birgitte Borck Høg Lis Alban Lis Alban Ute Wolff Sönksen Ana Sofia Ribeiro Duarte Marianne Sandberg |
| author_sort | Pedro Moura |
| collection | DOAJ |
| description | Antimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and humans. OH-EpiCap is an evaluation tool, developed to address essential elements in OH surveillance systems, such as the dimensions of the organization, operational activities and the impact of the surveillance activities. We aimed to evaluate DANMAP using OH-EpiCap and hereby assessed the suitability of OH-EpiCap to evaluate integrated AMR surveillance systems. During the evaluation, the strengths and weaknesses of DANMAP concerning the “OH-ness” of the program were discussed. Furthermore, possible adaptations of the standard operating procedures and governance structure were addressed. Attention was paid to the ability and easiness of DANMAP to cope with current and future challenges connected to integrated AMR surveillance. It was concluded that DANMAP has a strong OH approach covering relevant aspects for humans and animals, whereas environmental aspects are missing. OH-EpiCap proved to be straightforward to use and provided valuable insights. The authors recommend OH-EpiCap to be used by health authorities and stakeholders. It is not suitable for the technical evaluation of a surveillance program. |
| first_indexed | 2024-03-10T18:06:29Z |
| format | Article |
| id | doaj.art-b793214c2ce045d1858a8d6ce9b083ee |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-10T18:06:29Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b793214c2ce045d1858a8d6ce9b083ee2023-11-20T08:27:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.11277011127701Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case studyPedro Moura0Birgitte Borck Høg1Lis Alban2Lis Alban3Ute Wolff Sönksen4Ana Sofia Ribeiro Duarte5Marianne Sandberg6National Food Institute, Technical University of Denmark, Lyngby, DenmarkNational Food Institute, Technical University of Denmark, Lyngby, DenmarkDepartment for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, DenmarkDepartment of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, DenmarkStatens Serum Institut, Copenhagen, DenmarkNational Food Institute, Technical University of Denmark, Lyngby, DenmarkNational Food Institute, Technical University of Denmark, Lyngby, DenmarkAntimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and humans. OH-EpiCap is an evaluation tool, developed to address essential elements in OH surveillance systems, such as the dimensions of the organization, operational activities and the impact of the surveillance activities. We aimed to evaluate DANMAP using OH-EpiCap and hereby assessed the suitability of OH-EpiCap to evaluate integrated AMR surveillance systems. During the evaluation, the strengths and weaknesses of DANMAP concerning the “OH-ness” of the program were discussed. Furthermore, possible adaptations of the standard operating procedures and governance structure were addressed. Attention was paid to the ability and easiness of DANMAP to cope with current and future challenges connected to integrated AMR surveillance. It was concluded that DANMAP has a strong OH approach covering relevant aspects for humans and animals, whereas environmental aspects are missing. OH-EpiCap proved to be straightforward to use and provided valuable insights. The authors recommend OH-EpiCap to be used by health authorities and stakeholders. It is not suitable for the technical evaluation of a surveillance program.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127701/fullOne Healthsurveillanceantimicrobialresistanceconsumptionstewardship |
| spellingShingle | Pedro Moura Birgitte Borck Høg Lis Alban Lis Alban Ute Wolff Sönksen Ana Sofia Ribeiro Duarte Marianne Sandberg Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study Frontiers in Public Health One Health surveillance antimicrobial resistance consumption stewardship |
| title | Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study |
| title_full | Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study |
| title_fullStr | Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study |
| title_full_unstemmed | Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study |
| title_short | Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study |
| title_sort | evaluating the oh epicap tool using the danish integrated surveillance program for amu and amr as a case study |
| topic | One Health surveillance antimicrobial resistance consumption stewardship |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127701/full |
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