Quality Assessment of an Antimicrobial Resistance Surveillance System in a Province of Nepal

Author:

Acharya JyotiORCID,Zolfo MariaORCID,Enbiale Wendemagegn,Kyaw Khine Wut YeeORCID,Bhattachan Meika,Rijal Nisha,Shrestha Anjana,Shrestha Basudha,Madhup Surendra Kumar,Raghubanshi Bijendra RajORCID,Kattel Hari Prasad,Rajbhandari PiyushORCID,Bhandari Parmananda,Thakur Subhash,Sharma Saroj,Singh Dipendra Raman,Jha Runa

Abstract

Antimicrobial resistance (AMR) is a global problem, and Nepal is no exception. Countries are expected to report annually to the World Health Organization on their AMR surveillance progress through a Global Antimicrobial Resistance Surveillance System, in which Nepal enrolled in 2017. We assessed the quality of AMR surveillance data during 2019–2020 at nine surveillance sites in Province 3 of Nepal for completeness, consistency, and timeliness and examined barriers for non-reporting sites. Here, we present the results of this cross-sectional descriptive study of secondary AMR data from five reporting sites and barriers identified through a structured questionnaire completed by representatives at the five reporting and four non-reporting sites. Among the 1584 records from the reporting sites assessed for consistency and completeness, 77–92% were consistent and 88–100% were complete, with inter-site variation. Data from two sites were received by the 15th day of the following month, whereas receipt was delayed by a mean of 175 days at three other sites. All four non-reporting sites lacked dedicated data personnel, and two lacked computers. The AMR surveillance data collection process needs improvement in completeness, consistency, and timeliness. Non-reporting sites need support to meet the specific requirements for data compilation and sharing.

Publisher

MDPI AG

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,General Immunology and Microbiology

Reference21 articles.

1. Sixty-Eighth World Health Assembly,2015

2. WHO Library Cataloguing-in-Publication Data Global Action Plan on Antimicrobial Resistance,2015

3. Global Antimicrobial Resistance Surveillance System (GLASS) Report 2016-17,2017

4. Antimicrobial Resistance in the Asia Pacific region: a meeting report

5. Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report,2020

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