000			03291nam a22003977a 4500
001			20240610154204.0
003			20240610154204.0
005			20240610155412.0
008			240610b |||||||| |||| 00| 0 eng d
040			_cddc
041			_aEnglish
100			_qMecky Matee
245			_aMapping and gap analysis on antimicrobial resistance surveillance systems in Kenya, Tanzania, Uganda and Zambia
260			_aMwanza, Tanzania : _bCatholic University of Health and Allied Sciences [CUHAS-Bugando] : _c2023
300			_aPages 01-08
300			_aIncludes References
490			_vBulletin of the National Research Centre 47, 12 (2023).
520			_aAbstract : Background : Antimicrobial resistance is a global problem and involve pathogens which have the potential to move between food producing animals and humans by direct exposure or through the food chain or the environment. The objective of this study was to determine the performance in addressing antimicrobial resistance in Kenya, Tanzania, Uganda and Zambia. Desk review and in-depth interviews were employed for data collection. Interviews were conducted with national antimicrobial resistance focal officials. Results : The findings indicate that in the four countries there was minimal capacity to conduct AMR surveillance. There were few well-established laboratories in tertiary hospitals, both private and public hospitals. The animal, environment and agricultural sectors in all countries had limited capacity in conducting antimicrobial resistance surveillance. There is limited data on antimicrobial resistance in all the four countries, and regional data sharing was limited. In all the four countries, data from research institutions were not linked using standardized system making difficult to compile the national database. The capacity for microbiological culture, identification and antimicrobial sensitivity testing using standardized protocols was available in the four countries. The interventions adopted by the countries included development of National Action Plans on antimicrobial resistance and setting up of multi-sectoral national coordinating structures. Conclusions : Based on this findings, the countries need improved National Integrated Antimicrobial Resistance Surveillance systems to include community settings, involving antimicrobial use and resistance in human, animal, food, and environment sectors. In addition, the region requires clear antimicrobial resistance data sharing protocol for quick comparability of the data across the region. This is important in driving antimicrobial resistance agendas at regional level, which will eventually trigger collective actions.
600			_x Antimicrobial resistance
600			_xSurveillance data
600			_xCapacities
600			_x Kenya
600			_x Tanzania
600			_x Uganda
600			_x Zambia
700			_q Stephen E. Mshana
700			_qMajigo Mtebe
700			_qErick Vitus Komba
700			_qNyambura Moremi
700			_q Julius Lutamwa
700			_qOtrida Kapona
700			_qMusa Sekamatte
700			_q Leonard E. G. Mboera
856			_u https://doi.org/10.1186/s42269-023-00986-2 _y https://doi.org/10.1186/s42269-023-00986-2
942			_2ddc _cVM _n0
999			_c28031 _d28031