Microbiology capacity building in the Asia-Pacific region

Abstract

Microbiology capacity is limited in low-middle income countries in the Asia Pacific with insufficient laboratories to meet the needs of the population. Diagnostic capacity is limited with shortages in skilled scientists, pathologists, functional equipment, weak procurement systems and substandard facility infrastructure. Laboratories are underutilised with low specimen numbers, often of low quality. High rates of antimicrobial resistance is in part related to diagnostic uncertainty and resultant inappropriate antimicrobial therapy. There is a need to strengthen microbiology capacity for improved patient care, surveillance and global health security. Capacity strengthening requires recognition of the importance of microbiology across all levels of health care. Development of skilled scientists is best served by standardised undergraduate training programs, with specialist postgraduate training in microbiology. Mentoring is a successful method for improving knowledge and allows for development of essential relationships that are necessary to effect change. Implementation of contextually appropriate standard operating procedures, international standards for susceptibility testing, quality control and external quality assurance are required. Mass clinician understanding is necessary for pre and postanalytical quality. Systematic collection of quality specimens is essential for development of national and regional surveillance systems. Increased donor support, including provision to purchase and maintain essential equipment and consumables, is required.