Implementation of the World Health Organization Global Antimicrobial Resistance Surveillance System in Uganda, 2015-2020: Mixed-Methods Study Using National Surveillance Data.
Susan NabaddaFrancis KakoozaReuben KiggunduRichard WalwemaJoel BaziiraJonathan MayitoIbrahimm MugerwaMusa SekamatteAndrew KambuguMohammed LamordeHenry KajumbulaHenry MwebasaPublished in: JMIR public health and surveillance (2021)
Uganda is the first African country to implement a structured national AMR surveillance program in alignment with the WHO GLASS. The reported AST data indicate very high resistance to the recommended and prescribed antibiotics for treatment of infections. More effort is required regarding quality assurance of laboratory testing methodologies to ensure optimal adherence to WHO GLASS-recommended pathogen-antimicrobial combinations. The current AMR data will inform the development of treatment algorithms and clinical guidelines.
Keyphrases
- antimicrobial resistance
- quality improvement
- public health
- electronic health record
- big data
- machine learning
- staphylococcus aureus
- healthcare
- randomized controlled trial
- primary care
- clinical trial
- candida albicans
- combination therapy
- insulin resistance
- metabolic syndrome
- skeletal muscle
- glycemic control
- clinical practice