ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved]
Background: Antimicrobial resistance surveillance is essential for empiric antibiotic prescribing, infection prevention and control policies and to drive novel antibiotic discovery. However, most existing surveillance systems are isolate-based without supporting patient-based clinical data, and not...
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| Format: | Article |
| Language: | English |
| Published: |
Wellcome
2023-08-01
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| Series: | Wellcome Open Research |
| Subjects: | |
| Online Access: | https://wellcomeopenresearch.org/articles/8-179/v2 |
| _version_ | 1797659079310573568 |
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| author | Andrea Lay-Hoon Kwa Jeanette Teo Oon Tek Ng Kalisvar Marimuthu Suwatthiya Kitsaran Shawn Vasoo Pope Kosalaraksa Siriluck Anunnatsiri Pitak Santanirand Elizabeth A. Ashley Darunee Chotiprasitsakul Hock Hin Chua Rongpong Plongla Ke Juin Wong Xun Ting Tiong Naomi Waithira Helmi Bin Sulaiman Sasheela Sri La Sri Ponnampalavanar Zeti Norfidiyati Salmuna Prapass Wannapinij Mohd Zulfakar Mazlan Mohd Zaki Bin Mohd Zaili Giri Shan Rajahram Nevio Sarmento Joshua R. Francis Tessa Oakley Helio Guterres Ari Tilman Jennifer Yan Madiha Hashmi Muhammad Osama Rehman Khalid Azizullah Khan Dhiloo Syed Faisal Mahmood Inke Nadia D. Lubis Ambreen Fatima Cybele L. Abad Hendri Wijaya Cecilia C. Maramba Lazarte Arthur Dessi Roman Rosmonaliza Asli Gazi Md. Salahuddin Mamun Khurelbaatar Nyamdavaa Muhd Haziq Fikry bin Haji Abdul Momin Sotharith Bory Yin Mo Ulziijargal Gurjav Lalit Gupta George M. Varghese Robert Sinto Pratik Tantia Basudha Khanal Yohei Doi Jezreel Lazaro Greco Malijan Sumudu Withanage Samanmalee Gunasekara Yonghong Xiao Po Yu Liu Minggui Wang Yang Cao Ying Ding David L. Paterson Jill Hopkins Sue J. Lee H. Rogier van Doorn Paul Turner Raph L. Hamers Claire L. Ling Yoel Lubell Tamalee Roberts Samuel Akech Abhilasha Karkey Japheth Opintan Samantha Lissauer Sergey Eremin Iruka Okeke Li Yang Hsu Barbara Tornimbene Minh Yen Lam Louise Thwaites Tieu Kieu Pham Ngoc Thach Pham |
| author_facet | Andrea Lay-Hoon Kwa Jeanette Teo Oon Tek Ng Kalisvar Marimuthu Suwatthiya Kitsaran Shawn Vasoo Pope Kosalaraksa Siriluck Anunnatsiri Pitak Santanirand Elizabeth A. Ashley Darunee Chotiprasitsakul Hock Hin Chua Rongpong Plongla Ke Juin Wong Xun Ting Tiong Naomi Waithira Helmi Bin Sulaiman Sasheela Sri La Sri Ponnampalavanar Zeti Norfidiyati Salmuna Prapass Wannapinij Mohd Zulfakar Mazlan Mohd Zaki Bin Mohd Zaili Giri Shan Rajahram Nevio Sarmento Joshua R. Francis Tessa Oakley Helio Guterres Ari Tilman Jennifer Yan Madiha Hashmi Muhammad Osama Rehman Khalid Azizullah Khan Dhiloo Syed Faisal Mahmood Inke Nadia D. Lubis Ambreen Fatima Cybele L. Abad Hendri Wijaya Cecilia C. Maramba Lazarte Arthur Dessi Roman Rosmonaliza Asli Gazi Md. Salahuddin Mamun Khurelbaatar Nyamdavaa Muhd Haziq Fikry bin Haji Abdul Momin Sotharith Bory Yin Mo Ulziijargal Gurjav Lalit Gupta George M. Varghese Robert Sinto Pratik Tantia Basudha Khanal Yohei Doi Jezreel Lazaro Greco Malijan Sumudu Withanage Samanmalee Gunasekara Yonghong Xiao Po Yu Liu Minggui Wang Yang Cao Ying Ding David L. Paterson Jill Hopkins Sue J. Lee H. Rogier van Doorn Paul Turner Raph L. Hamers Claire L. Ling Yoel Lubell Tamalee Roberts Samuel Akech Abhilasha Karkey Japheth Opintan Samantha Lissauer Sergey Eremin Iruka Okeke Li Yang Hsu Barbara Tornimbene Minh Yen Lam Louise Thwaites Tieu Kieu Pham Ngoc Thach Pham |
| author_sort | Andrea Lay-Hoon Kwa |
| collection | DOAJ |
| description | Background: Antimicrobial resistance surveillance is essential for empiric antibiotic prescribing, infection prevention and control policies and to drive novel antibiotic discovery. However, most existing surveillance systems are isolate-based without supporting patient-based clinical data, and not widely implemented especially in low- and middle-income countries (LMICs). Methods: A Clinically-Oriented Antimicrobial Resistance Surveillance Network (ACORN) II is a large-scale multicentre protocol which builds on the WHO Global Antimicrobial Resistance and Use Surveillance System to estimate syndromic and pathogen outcomes along with associated health economic costs. ACORN-healthcare associated infection (ACORN-HAI) is an extension study which focuses on healthcare-associated bloodstream infections and ventilator-associated pneumonia. Our main aim is to implement an efficient clinically-oriented antimicrobial resistance surveillance system, which can be incorporated as part of routine workflow in hospitals in LMICs. These surveillance systems include hospitalised patients of any age with clinically compatible acute community-acquired or healthcare-associated bacterial infection syndromes, and who were prescribed parenteral antibiotics. Diagnostic stewardship activities will be implemented to optimise microbiology culture specimen collection practices. Basic patient characteristics, clinician diagnosis, empiric treatment, infection severity and risk factors for HAI are recorded on enrolment and during 28-day follow-up. An R Shiny application can be used offline and online for merging clinical and microbiology data, and generating collated reports to inform local antibiotic stewardship and infection control policies. Discussion: ACORN II is a comprehensive antimicrobial resistance surveillance activity which advocates pragmatic implementation and prioritises improving local diagnostic and antibiotic prescribing practices through patient-centred data collection. These data can be rapidly communicated to local physicians and infection prevention and control teams. Relative ease of data collection promotes sustainability and maximises participation and scalability. With ACORN-HAI as an example, ACORN II has the capacity to accommodate extensions to investigate further specific questions of interest. |
| first_indexed | 2024-03-11T18:08:45Z |
| format | Article |
| id | doaj.art-ee81be6b74f041b29e1d73b622a46c57 |
| institution | Directory Open Access Journal |
| issn | 2398-502X |
| language | English |
| last_indexed | 2024-03-11T18:08:45Z |
| publishDate | 2023-08-01 |
| publisher | Wellcome |
| record_format | Article |
| series | Wellcome Open Research |
| spelling | doaj.art-ee81be6b74f041b29e1d73b622a46c572023-10-17T01:00:03ZengWellcomeWellcome Open Research2398-502X2023-08-01821733ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved]Andrea Lay-Hoon Kwa0Jeanette Teo1Oon Tek Ng2Kalisvar Marimuthu3Suwatthiya Kitsaran4Shawn Vasoo5Pope Kosalaraksa6Siriluck Anunnatsiri7Pitak Santanirand8Elizabeth A. Ashley9https://orcid.org/0000-0002-7620-4822Darunee Chotiprasitsakul10Hock Hin Chua11Rongpong Plongla12Ke Juin Wong13Xun Ting Tiong14Naomi Waithira15https://orcid.org/0000-0002-2267-9347Helmi Bin Sulaiman16Sasheela Sri La Sri Ponnampalavanar17Zeti Norfidiyati Salmuna18Prapass Wannapinij19Mohd Zulfakar Mazlan20Mohd Zaki Bin Mohd Zaili21Giri Shan Rajahram22Nevio Sarmento23Joshua R. Francis24Tessa Oakley25Helio Guterres26Ari Tilman27Jennifer Yan28Madiha Hashmi29https://orcid.org/0000-0002-7332-0692Muhammad Osama Rehman Khalid30Azizullah Khan Dhiloo31Syed Faisal Mahmood32Inke Nadia D. Lubis33Ambreen Fatima34Cybele L. Abad35Hendri Wijaya36Cecilia C. Maramba Lazarte37Arthur Dessi Roman38Rosmonaliza Asli39Gazi Md. Salahuddin Mamun40Khurelbaatar Nyamdavaa41Muhd Haziq Fikry bin Haji Abdul Momin42Sotharith Bory43Yin Mo44https://orcid.org/0000-0002-0216-9550Ulziijargal Gurjav45Lalit Gupta46George M. Varghese47Robert Sinto48Pratik Tantia49Basudha Khanal50Yohei Doi51Jezreel Lazaro52Greco Malijan53Sumudu Withanage54Samanmalee Gunasekara55Yonghong Xiao56Po Yu Liu57Minggui Wang58Yang Cao59Ying Ding60David L. Paterson61https://orcid.org/0000-0003-2079-4437Jill Hopkins62https://orcid.org/0000-0003-1989-8618Sue J. Lee63https://orcid.org/0000-0002-8409-4248H. Rogier van Doorn64https://orcid.org/0000-0002-9807-1821Paul Turner65https://orcid.org/0000-0002-1013-7815Raph L. Hamers66https://orcid.org/0000-0002-5007-7896Claire L. Ling67Yoel Lubell68https://orcid.org/0000-0002-0237-1070Tamalee Roberts69https://orcid.org/0000-0001-8599-737XSamuel Akech70https://orcid.org/0000-0001-5126-1225Abhilasha Karkey71https://orcid.org/0000-0002-5179-650XJapheth Opintan72Samantha Lissauer73Sergey Eremin74Iruka Okeke75https://orcid.org/0000-0002-1694-7587Li Yang Hsu76Barbara Tornimbene77Minh Yen Lam78Louise Thwaites79https://orcid.org/0000-0002-4666-9813Tieu Kieu Pham80Ngoc Thach Pham81Pharmacy (Research), Singapore General Hospital, Singapore, SingaporeDepartment of laboratory Medicine, University Medicine Cluster, National University Hospital, Singapore, SingaporeNational Centre for Infectious Diseases, Singapore, SingaporeNational Centre for Infectious Diseases, Singapore, SingaporeSunpasitthiprasong Hospital, Ubon Ratchathani, ThailandNational Centre for Infectious Diseases, Singapore, SingaporeDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Nai Mueang, Khon Kaen, ThailandDepartment of Medicine, Faculty of Medicine, Khon Kaen University, Nai Mueang, Khon Kaen, ThailandRamathibodi Hospital, Bangkok, ThailandCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKRamathibodi Hospital, Bangkok, ThailandSarawak General Hospital, Sarawak, MalaysiaKing Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, ThailandSabah Women and Children's Hospital, Kota Kinabalu, MalaysiaSarawak General Hospital, Sarawak, MalaysiaCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKUniversity of Malaya Medical Centre, Kuala Lumpur, MalaysiaUniversity of Malaya Medical Centre, Kuala Lumpur, MalaysiaDepartment of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, MalaysiaMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Salaya, Nakhon Pathom, 10400, ThailandDepartment of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, MalaysiaHospital Queen Elizabeth, Kota Kinabalu, Sabah, MalaysiaQueen Elizabeth II Hospital, Kota Kinabalu, Sabah, MalaysiaMenzies school of health research, Charles Darwin University, Dili, Timor-LesteMenzies school of health research, Charles Darwin University, Dili, Timor-LesteMenzies school of health research, Charles Darwin University, Dili, Timor-LesteGuido Valadares National Hospital, Dili, Timor-LesteLaboratorio Nacional da Saude, Ministerio da Saude, Dili, Timor-LesteMenzies school of health research, Charles Darwin University, Dili, Timor-LesteDr. Ziauddin Hospital Clifton Campus, Karachi, PakistanDr. Ziauddin Hospital Clifton Campus, Karachi, PakistanDow University of Health Sciences, Karachi, PakistanThe Aga Khan University Hospital, Karachi, PakistanFaculty of Medicine, Universitas Sumatera Utara, Medan, North Sumatra, IndonesiaDow University of Health Sciences, Karachi, PakistanThe Medical City, Pasig, Metro Manila, PhilippinesFaculty of Medicine, Universitas Sumatera Utara, Medan, North Sumatra, IndonesiaPhilippine General Hospital, Manila, PhilippinesPhilippine General Hospital, Manila, PhilippinesRaja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei-Muara District, BruneiInternational Centre for Diarrhoeal Disease Research, Dhaka, BangladeshMongolian National University of Medical Sciences, Ulaanbaatar, MongoliaRaja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei-Muara District, BruneiCalmette Hospital, Phnom Penh, CambodiaADVANCE-ID, Saw Swee Hock School Of Public Health, National University of Singapore, Singapore, 117549, SingaporeMongolian National University of Medical Sciences, Ulaanbaatar, MongoliaMaulana Azad Medical College and Lok Nayak Hospital, New Delhi, IndiaChristian Medical College Vellore Association, Vellore, IndiaCipto Mangunkusumo National Hospital, Faculty of Medicine, Universitas Indonesia, Depok, West Java, IndonesiaAnanta Institute of Medical Sciences and Research Center, Siyol, IndiaB.P. Koirala Institute of Health Sciences, Dharan, NepalFujita Health University Hospital, Toyoake, JapanHospital Infection Control Unit, San Lazaro Hospital, Manila, PhilippinesSan Lazaro Hospital, Nagasaki University Collaborative Research Office, Manila, PhilippinesNational Cancer Institute, Maharagama, Sri LankaNational Cancer Institute, Maharagama, Sri LankaThe First Affiliated Hospital Of Zhejiang University School Of Medicine, Hangzhou, ChinaTaichung Veteran General Hospital, Taichung City, VietnamHuashan Hospital, Fudan University, Shanghai, ChinaSingapore Clinical Research Institute, Singapore, 139234, SingaporeADVANCE-ID, Saw Swee Hock School Of Public Health, National University of Singapore, Singapore, 117549, SingaporeADVANCE-ID, Saw Swee Hock School Of Public Health, National University of Singapore, Singapore, 117549, SingaporeCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKKenya Medical Research Institute, Nairobi, KenyaCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKUniversity of Ghana, Accra, GhanaLiverpool School of Tropical Medicine (LSTM), University of Liverpool, Liverpool, England, UKWorld Health Organization, Geneva, SwitzerlandUniversity of Ibadan, Ibadan, NigeriaADVANCE-ID, Saw Swee Hock School Of Public Health, National University of Singapore, Singapore, 117549, SingaporeWorld Health Organization, Geneva, SwitzerlandOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, VietnamCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UKOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, VietnamNational Hospital of Tropical Diseases, Ha Noi, VietnamBackground: Antimicrobial resistance surveillance is essential for empiric antibiotic prescribing, infection prevention and control policies and to drive novel antibiotic discovery. However, most existing surveillance systems are isolate-based without supporting patient-based clinical data, and not widely implemented especially in low- and middle-income countries (LMICs). Methods: A Clinically-Oriented Antimicrobial Resistance Surveillance Network (ACORN) II is a large-scale multicentre protocol which builds on the WHO Global Antimicrobial Resistance and Use Surveillance System to estimate syndromic and pathogen outcomes along with associated health economic costs. ACORN-healthcare associated infection (ACORN-HAI) is an extension study which focuses on healthcare-associated bloodstream infections and ventilator-associated pneumonia. Our main aim is to implement an efficient clinically-oriented antimicrobial resistance surveillance system, which can be incorporated as part of routine workflow in hospitals in LMICs. These surveillance systems include hospitalised patients of any age with clinically compatible acute community-acquired or healthcare-associated bacterial infection syndromes, and who were prescribed parenteral antibiotics. Diagnostic stewardship activities will be implemented to optimise microbiology culture specimen collection practices. Basic patient characteristics, clinician diagnosis, empiric treatment, infection severity and risk factors for HAI are recorded on enrolment and during 28-day follow-up. An R Shiny application can be used offline and online for merging clinical and microbiology data, and generating collated reports to inform local antibiotic stewardship and infection control policies. Discussion: ACORN II is a comprehensive antimicrobial resistance surveillance activity which advocates pragmatic implementation and prioritises improving local diagnostic and antibiotic prescribing practices through patient-centred data collection. These data can be rapidly communicated to local physicians and infection prevention and control teams. Relative ease of data collection promotes sustainability and maximises participation and scalability. With ACORN-HAI as an example, ACORN II has the capacity to accommodate extensions to investigate further specific questions of interest.https://wellcomeopenresearch.org/articles/8-179/v2Antimicrobial resistance surveillance antibiotic stewardshipeng |
| spellingShingle | Andrea Lay-Hoon Kwa Jeanette Teo Oon Tek Ng Kalisvar Marimuthu Suwatthiya Kitsaran Shawn Vasoo Pope Kosalaraksa Siriluck Anunnatsiri Pitak Santanirand Elizabeth A. Ashley Darunee Chotiprasitsakul Hock Hin Chua Rongpong Plongla Ke Juin Wong Xun Ting Tiong Naomi Waithira Helmi Bin Sulaiman Sasheela Sri La Sri Ponnampalavanar Zeti Norfidiyati Salmuna Prapass Wannapinij Mohd Zulfakar Mazlan Mohd Zaki Bin Mohd Zaili Giri Shan Rajahram Nevio Sarmento Joshua R. Francis Tessa Oakley Helio Guterres Ari Tilman Jennifer Yan Madiha Hashmi Muhammad Osama Rehman Khalid Azizullah Khan Dhiloo Syed Faisal Mahmood Inke Nadia D. Lubis Ambreen Fatima Cybele L. Abad Hendri Wijaya Cecilia C. Maramba Lazarte Arthur Dessi Roman Rosmonaliza Asli Gazi Md. Salahuddin Mamun Khurelbaatar Nyamdavaa Muhd Haziq Fikry bin Haji Abdul Momin Sotharith Bory Yin Mo Ulziijargal Gurjav Lalit Gupta George M. Varghese Robert Sinto Pratik Tantia Basudha Khanal Yohei Doi Jezreel Lazaro Greco Malijan Sumudu Withanage Samanmalee Gunasekara Yonghong Xiao Po Yu Liu Minggui Wang Yang Cao Ying Ding David L. Paterson Jill Hopkins Sue J. Lee H. Rogier van Doorn Paul Turner Raph L. Hamers Claire L. Ling Yoel Lubell Tamalee Roberts Samuel Akech Abhilasha Karkey Japheth Opintan Samantha Lissauer Sergey Eremin Iruka Okeke Li Yang Hsu Barbara Tornimbene Minh Yen Lam Louise Thwaites Tieu Kieu Pham Ngoc Thach Pham ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] Wellcome Open Research Antimicrobial resistance surveillance antibiotic stewardship eng |
| title | ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] |
| title_full | ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] |
| title_fullStr | ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] |
| title_full_unstemmed | ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] |
| title_short | ACORN (A Clinically-Oriented Antimicrobial Resistance Surveillance Network) II: protocol for case based antimicrobial resistance surveillance [version 2; peer review: 2 approved] |
| title_sort | acorn a clinically oriented antimicrobial resistance surveillance network ii protocol for case based antimicrobial resistance surveillance version 2 peer review 2 approved |
| topic | Antimicrobial resistance surveillance antibiotic stewardship eng |
| url | https://wellcomeopenresearch.org/articles/8-179/v2 |
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