surveillance of antimicrobial-resistant bacteria causing community-acquired urinary tract infections in low-income countries v2

Abstract

The protocol intends to assist users in designing a sustainable surveillance program for AMR in the community involving children above two years of age and adults passively presenting to a lower health facility for healthcare. Implementation of the protocol requires initial preparation of thelaboratories to be involved, surveillance areas, selection of priority bacteria and antimicrobials to be used and the design of a coordinated sampling plan.Recruitment should occur continuously in selected health facilities for at least 12 months to observe seasonal trends. At least 10 mL of clean-catch mid-stream urine must be collected into 20 mL calibrated sterile screw-capped universal bottles lined with 0.2 mg boric acid and transported to the testing laboratory.Utilize the data system that generates standard reports for patient care and to be shared internally and externally in the regions and the world through global platforms such as theGlobal Antimicrobial Resistance Surveillance System.