Strategy for antimicrobial resistance surveillance in Australia
DOI:
https://doi.org/10.33321/cdi.2003.27.72Keywords:
surveillance, antimicrobial resistance, antimicrobial resistance surveillance, Joint Expert Technical Advisory Committee on Antibiotic Resistance (JETACAR)Abstract
Disclaimer: The views expressed in this item are those of the individual authors, and do not necessarily represent the views of the Communicable Diseases Intelligence journal or the Australian Centre for Disease Control. While this Policy and Guidelines item was drafted with consideration to the then-available information on the condition(s) addressed within, it may not be complete and may not represent the currently understood best practice for the referenced condition(s). Readers are advised to refer to the most recent guidance on this matter, where such guidance exists and where its authoritativeness can be established. These guidelines do not replace the need for clinical judgment to be exercised for each individual circumstance, nor the necessity for expert advice to be obtained as appropriate.
The importance of surveillance* in combating and managing antimicrobial† resistance (AMR) is recognised as an important component of the World Health Organization (WHO) Global Strategy for Containment of Antimicrobial Resistance, 2001. There is good evidence that surveillance is a cost-effective infection control strategy.1,2 Appropriate surveillance provides vital information for the targeting of interventions, and measures success or failure of these interventions. Surveillance enables early detection and intervention, and can therefore reduce the extent and severity of outbreaks. This in turn should reduce infection-related costs, making funds available for other healthcare activities. Short-term investment, therefore, leads to longer-term gains and overall savings.
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Shlaes DM, Gerding DN, John JF, Craig WA, Bornstein DL, Duncan RA, et al. Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: Guidelines for the Prevention of Antimicrobial Resistance in Hospitals. Infect Control Hosp Epidemiol 1997;18:275-291.
Haley RW, Culver DH, White J, Morgan WE, Amber TG, Mann VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infection in US hospitals. Am J Epidemiol 1985;121:182-205.
Thacker SB. Surveillance. In Gregg MB, ed. Field Epidemiology, Oxford University Press, Oxford UK. 1996, pp. 16-32.
Commonwealth Department of Health and Aged Care, Commonwealth Department of Agriculture, Fisheries and Forestry - Australia. August 2000. Commonwealth Government Response to the Report of the JETACAR. Available from: http://www1.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-jetacar-index.htm
Australian Infection Control Association, draft 2001. National Surveillance of Healthcare Associated Infection in Australia. A report to the Commonwealth Department of Health and Ageing. Available from: http://www1.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-jetacar-reports.htm
Organisation International des Epizooties (OIE). World Wide Public Consultation on Antimicrobial Resistance. 2001. http://www.anmv.afssa.fr/oiecc/conference/guidelines.htm includes the OIE Ad Hoc Group on Antimicrobial Resistance Guideline No.5 Harmonisation of national antimicrobial resistance monitoring and surveillance programmes in animals and in animal derived food.
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