Abstract
Surveillance plays a pivotal role in overcoming antimicrobial resistance (AMR) in bacterial pathogens, and a variety of surveillance systems have been set up and employed in many countries. In 2015, the World Health Organization launched the Global Antimicrobial Resistance Surveillance System (GLASS) as a part of the global action plan to enhance national and global surveillance and research. The aims of GLASS are to foster development of national surveillance systems and to enable collection, analysis and sharing of standardised, comparable and validated data on AMR between different countries. The South Korean AMR surveillance system, Kor-GLASS, is compatible with the GLASS platform and was established in 2016 and based on the principles of representativeness, specialisation, harmonisation and localisation. In this report, we summarise principles and processes in order to share our experiences with other countries planning to establish a national AMR surveillance system. The pilot operation of Kor-GLASS allowed us to understand the national burden of specific infectious diseases and the status of bacterial AMR. Issues pertaining to high costs and labour-intensive operation were raised during the pilot, and improvements are being made.
Highlights
Antimicrobial resistance (AMR) in bacterial pathogens has become one of the most important threats to public health around the world, resulting in high morbidity and mortality, prolonged hospitalisation and increased medical expenses [1]
The World Health Organization (WHO) presented the global action plan on antimicrobial resistance (AMR) in 2015 [3], consisting of five strategic objectives: (i) to improve awareness and understanding of AMR; (ii) to strengthen knowledge through surveillance and research; (iii) to reduce the incidence of infection; (iv) to optimise the use of antimicrobial agents; and (v) to develop an economic case for sustainable investment that takes into account the needs of all countries and increases investment in new medicines, diagnostic tools, vaccines and other interventions
We summarise principles and processes established for Kor-Global Antimicrobial Resistance Surveillance System (GLASS) in order to share our experiences with other countries planning to establish a national AMR surveillance system
Summary
Antimicrobial resistance (AMR) in bacterial pathogens has become one of the most important threats to public health around the world, resulting in high morbidity and mortality, prolonged hospitalisation and increased medical expenses [1]. There are many differences among surveillance systems in terms of target microorganisms, target antimicrobial agents, monitoring methods, reporting methods, monitoring periods and so on [1]. These differences make it difficult to compare and interpret AMR results from each surveillance system and to establish appropriate policies and plans to control AMR. In 2015, WHO launched the Global Antimicrobial Resistance Surveillance System (GLASS) [5] which allows ascertainment of the most frequent type of AMR bacterial
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