Case-based surveillance of antimicrobial resistance with full susceptibility profiles.

Surveillance of antimicrobial resistance (AMR) is essential for clinical decision-making and for public health authorities to monitor patterns in resistance and evaluate the effectiveness of interventions and control measures. Existing AMR surveillance is typically based on reports from hospital lab...

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Үндсэн зохиолчид: Ryu, S, Cowling, BJ, Wu, P, Olesen, S, Fraser, C, Sun, DS, Lipsitch, M, Grad, YH
Формат: Journal article
Хэл сонгох:English
Хэвлэсэн: Oxford University Press 2019
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author Ryu, S
Cowling, BJ
Wu, P
Olesen, S
Fraser, C
Sun, DS
Lipsitch, M
Grad, YH
author_facet Ryu, S
Cowling, BJ
Wu, P
Olesen, S
Fraser, C
Sun, DS
Lipsitch, M
Grad, YH
author_sort Ryu, S
collection OXFORD
description Surveillance of antimicrobial resistance (AMR) is essential for clinical decision-making and for public health authorities to monitor patterns in resistance and evaluate the effectiveness of interventions and control measures. Existing AMR surveillance is typically based on reports from hospital laboratories and public health laboratories, comprising reports of pathogen frequencies and resistance frequencies among each species detected. Here we propose an improved framework for AMR surveillance, in which the unit of surveillance is patients with specific conditions, rather than biological samples of a particular type. In this 'case-based' surveillance, denominators as well as numerators will be clearly defined with clinical relevance and more comparable at the local, national and international level. In locations with sufficient resources, individual-based data on patient characteristics and full antibiotic susceptibility profiles would provide high-quality evidence for monitoring resistant pathogens of clinical importance, clinical treatment of infections and public health responses to outbreaks of infections with resistant bacteria.
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spelling oxford-uuid:98a3513c-4f9b-4252-aed8-71cb9f12e8ba2023-09-01T14:49:26ZCase-based surveillance of antimicrobial resistance with full susceptibility profiles.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:98a3513c-4f9b-4252-aed8-71cb9f12e8baEnglishSymplectic ElementsOxford University Press2019Ryu, SCowling, BJWu, POlesen, SFraser, CSun, DSLipsitch, MGrad, YHSurveillance of antimicrobial resistance (AMR) is essential for clinical decision-making and for public health authorities to monitor patterns in resistance and evaluate the effectiveness of interventions and control measures. Existing AMR surveillance is typically based on reports from hospital laboratories and public health laboratories, comprising reports of pathogen frequencies and resistance frequencies among each species detected. Here we propose an improved framework for AMR surveillance, in which the unit of surveillance is patients with specific conditions, rather than biological samples of a particular type. In this 'case-based' surveillance, denominators as well as numerators will be clearly defined with clinical relevance and more comparable at the local, national and international level. In locations with sufficient resources, individual-based data on patient characteristics and full antibiotic susceptibility profiles would provide high-quality evidence for monitoring resistant pathogens of clinical importance, clinical treatment of infections and public health responses to outbreaks of infections with resistant bacteria.
spellingShingle Ryu, S
Cowling, BJ
Wu, P
Olesen, S
Fraser, C
Sun, DS
Lipsitch, M
Grad, YH
Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title_full Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title_fullStr Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title_full_unstemmed Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title_short Case-based surveillance of antimicrobial resistance with full susceptibility profiles.
title_sort case based surveillance of antimicrobial resistance with full susceptibility profiles
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