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Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia
Clinical Microbiology and Infection, 27 (2021), 10; 1409-1413. https://doi.org/10.1016/j.cmi.2021.05.027
Malania, Lile; Wagenaar, Inge; Karatuna, Onur; Tambic Andrasevic, Arjana; Tsereteli, David; Baidauri, Marine; Imnadze, Paata; Nahrgang, Saskia; Ruesen, Carolien

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Malania, L., Wagenaar, I., Karatuna, O., Tambic Andrasevic, A., Tsereteli, D., Baidauri, M. ... Ruesen, C. (2021). Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia. Clinical Microbiology and Infection, 27. (10), 1409-1413. doi: 10.1016/j.cmi.2021.05.027

Malania, Lile, et al. "Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia." Clinical Microbiology and Infection, vol. 27, br. 10, 2021, str. 1409-1413. https://doi.org/10.1016/j.cmi.2021.05.027

Malania, Lile, Inge Wagenaar, Onur Karatuna, Arjana Tambic Andrasevic, David Tsereteli, Marine Baidauri, Paata Imnadze, Saskia Nahrgang i Carolien Ruesen. "Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia." Clinical Microbiology and Infection 27, br. 10 (2021): 1409-1413. https://doi.org/10.1016/j.cmi.2021.05.027

Malania, L., et al. (2021) 'Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia', Clinical Microbiology and Infection, 27(10), str. 1409-1413. doi: 10.1016/j.cmi.2021.05.027

Malania L, Wagenaar I, Karatuna O, Tambic Andrasevic A, Tsereteli D, Baidauri M, i sur.. Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia. Clinical Microbiology and Infection [Internet]. 10.2021. [pristupljeno 06.12.2024.];27(10):1409-1413. doi: 10.1016/j.cmi.2021.05.027

L. Malania, et al., "Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia", Clinical Microbiology and Infection, vol. 27, br. 10, str. 1409-1413, Listopad 2021. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:127:064112. [Citirano: 06.12.2024.]

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Naslov (engleski)Setting up laboratory-based antimicrobial resistance surveillance in low- and middle-income countries: lessons learned from Georgia
AutorLile Malania
AutorInge Wagenaar
AutorOnur Karatuna
AutorArjana Tambic Andrasevic
AutorDavid Tsereteli
AutorMarine Baidauri
AutorPaata Imnadze
AutorSaskia Nahrgang
AutorCarolien Ruesen
Autorova ustanova(Klinika za infektivne bolesti "Dr. Fran Mihaljević")
Autorova ustanovaSveučilište u Zagrebu
Stomatološki fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
Background: Antimicrobial resistance (AMR) is a growing problem worldwide, with an estimated high burden in low- and middle-income countries (LMICs). In these settings, tackling the problem of AMR is often constrained by a lack of reliable surveillance data due to limited use of microbiological diagnostics in clinical practice. Objectives: The aim of this article is to present an overview of essential elements for setting up an AMR surveillance system in LMICs, to summarize the steps taken to develop such a system in the country of Georgia, and to describe its impact on microbiology laboratories. Sources: A literature review of published papers using PubMed and experiences of experts involved in setting up AMR surveillance in Georgia. Content: Basic requirements for implementing a laboratory-based surveillance system in LMICs can be captured under four pillars: (a) governmental support, (b) laboratory capacity and quality management, (c) materials and supplies, and (d) sample collection, data management, analysis and reporting. In Georgia, the World Health Organization Proof-of-Principle project helped to start the collection of AMR surveillance data on a small scale by promoting the use of microbiological diagnostics in clinics, and by providing training and materials for laboratories. Thanks to governmental support and a strong lead by the national reference laboratory, the AMR surveillance network was sustained and expanded after the project ended. Implications: This review describes the Georgian approach in building and expanding a functional AMR surveillance system, considering the elements identified from the literature. The introduction of quality management systems, standardization of guidelines and training paired with targeted capacity building led to improved laboratory standards and management of patients with bloodstream infections. Reliable AMR surveillance data may inform and facilitate policy-making on AMR control. The Georgian experience can guide other countries in the process of building up their national AMR surveillance system.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Pregledni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaClinical Microbiology and Infection
Brojčani podacivol. 27, br. 10, str. 1409-1413
p-ISSN1198-743X
DOIhttps://doi.org/10.1016/j.cmi.2021.05.027
URN:NBNurn:nbn:hr:127:064112
Datum objave publikacije2021-10
URL dokumentahttps://linkinghub.elsevier.com/retrieve/pii/S1198743X21002676
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2024-10-22 08:48:40