Abstract

Electronic surveillance for antimicrobial resistance was established in 2013 for public sector laboratories and released annually. This article reports susceptibility data on ESKAPE pathogens for 2016.

Highlights

  • Colonisation and infection due to multidrug-resistant (MDR) bacteria has become a significant public health concern with both clinical and economic consequences.[1,2] Surveillance for antimicrobial resistance (AMR) is conducted to detect changes or variation in AMR either geographically or over time, but is a vital component of any antimicrobial stewardship programme.[3]

  • Integrated health data on bacterial AMR were obtained from an electronic database of antimicrobial susceptibility testing (AST) results generated by public health laboratories in South Africa

  • For the purpose of this report, ESKAPE pathogens were categorised as Enterobacteriaceae (Klebsiella pneumoniae, Enterobacter cloacae, and Escherichia coli), non-fermentative Gram-negative bacteria (Acinetobacter baumannii and Pseudomonas aeruginosa) and Gram-positive bacteria (Enterococcus faecalis, Enterococcus faecium and Staphylococcus aureus)

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Summary

Introduction

Colonisation and infection due to multidrug-resistant (MDR) bacteria has become a significant public health concern with both clinical and economic consequences.[1,2] Surveillance for antimicrobial resistance (AMR) is conducted to detect changes or variation in AMR either geographically or over time, but is a vital component of any antimicrobial stewardship programme.[3] Integrated health data on bacterial AMR were obtained from an electronic database of antimicrobial susceptibility testing (AST) results generated by public health laboratories in South Africa. This report was designed to provide information on AMR rates in bacterial pathogens causing both community-associated and healthcare-associated infections and was prepared by the Centre for HAIs, AMR and Mycoses (CHARM) and Surveillance Information Management Unit (SIMU) at the National Institute for Communicable Diseases (NICD) and Corporate Data Warehouse (CDW) at the National Health Laboratory Service (NHLS). To determine the number of cases for each of the following ESKAPE pathogens isolated from blood cultures in 2016: Enterococcus faecalis, Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter cloacae, and Escherichia coli

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