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The Antimicrobial Resistance Surveillance Programme of Vietnam: methods for AMR surveillance

The Antimicrobial Resistance Surveillance Programme of Vietnam: methods for AMR surveillance. Do Khang Chien, MD, PhD Nguyen Thi Phuong Cham,BSPh Ministry of Health, Vietnam. POP. : 79,727,400 HEALTH FACILITIES: 13 051. HOSPITALS : 857 CHS : 11 103 POLYCLINICS: 981. Objectives.

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The Antimicrobial Resistance Surveillance Programme of Vietnam: methods for AMR surveillance

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  1. The Antimicrobial Resistance Surveillance Programme of Vietnam: methods for AMR surveillance Do Khang Chien, MD, PhD Nguyen Thi Phuong Cham,BSPh Ministry of Health, Vietnam

  2. POP. : 79,727,400 HEALTH FACILITIES: 13 051 HOSPITALS : 857 CHS : 11 103 POLYCLINICS: 981

  3. Objectives • To determine antimicrobial resistance in selected health facilities annually • To disseminate AMR information to + Clinical units + Manager of health services

  4. Organization • Started 1986 • Decision from the Ministry of Health to establish AMR Programme • Programme coordinated by a committee headed by a chair • Members from north, middle and south Vietnam • Number of labs reduced by 9 from 20

  5. Methods for selecting participant labs • Ensure representative laboratories from 3 regions of Vietnam • Choose laboratories with facilities, equipment and experts to meet the standards • Designate 2 laboratories to check quality of results (Hanoi Medical School, Hue Medical School)

  6. Management for development • Training *Standard techniques for all laboratories • Sample taking • Determine antimicrobial sensitivity level *Reporting: use of WHONET *Keeping of microbial samples in archives

  7. Management for development • Logistic support • For training • Budget for surveillance: test supplies, culture media, etc • Budget for keeping microbial samples in archives With financial assistance from Sida

  8. Annual national meeting • To report on AMR situation • To make recommendations ontreatment With financial assistance from Sida

  9. Informationdissemination • Printing and distributing of AMR information to hospitals and community health facilities • Committee makes recommendations on treatment guidelines

  10. Monitoring • Of prescribing practices of physicians in selected provinces • Tp Ho Chi Minh • Dong Thap • Hai Phong • Binh Dinh • Hanoi • Quang Ninh

  11. Multisectoral workshop • With the Ministry of Agriculture and Rural Development and the Ministry of Fisheries • To share information on AMR situation • To discuss use of antibiotics in animals and fish farms Activities supported by WHO

  12. Pilot study AMR preventive intervention in some health services

  13. Limitations • Most of AMR determinations were from hospital samples • AMR in the communities was estimated but not so much

  14. Future plans • Expand AMR surveillance in the communities • Expand pilot study on AMR preventive surveillance in other health services • Monitor health services to have their interventions depending on the experiences of pilot study units • Establish national programme to contain AMR problem involving the other ministries and with emphasis on public education

  15. Thank you for your attention !

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