Evaluation of the French surveillance system for epidemiological surveillance of antimicrobial resistance in the community and nursing homes

Abstract

Background Antimicrobial resistance (AMR) has been widely recognized as a major public health issue, which can be addressed through effective AMR surveillance systems. In 2018, a national surveillance programme for AMR in the community and nursing homes called Mission PRIMO was established in France. It builds on an existing network called MedQual-Ville that had been monitoring AMR mainly in the west of France community since 2003. Objectives and Methods To evaluate the MedQual-Ville surveillance activities and to formulate practical recommendations for improvement, using a semi-quantitative evaluation framework called OASIS. Results The evaluation showed that MedQual-Ville is overall a well-performing surveillance system. Its major strengths rely on excellent coordination and internal communication with clinical laboratories that participate on a voluntary basis. Surveillance objectives and procedures are clear to all participants. Hence, the quality and reliability of the data being produced is very high. At this stage, the major area for improvement is representativeness, with poor coverage achieved in several densely populated areas. Besides, the utility and impact of surveillance data could be improved by strengthening communication towards end-users, especially local prescribers. Conclusions There is currently no European programme or guidance for AMR surveillance in the community and nursing homes. Our results partly fill this gap, by evaluating how surveillance is being performed in France and providing recommendations that could be applicable to other countries with similar health systems. This work also highlighted the relevance of OASIS for evaluation of surveillance systems in the human sector.

An in-depth review of the UNICEF NutriDash platform, lessons learnt and future perspectives: a mixed-methods study

“… 23 One evaluation suggestion was to create a two-page summary sheet for dissemination to all partners. 24 …”

“…Multiple evaluations22 23 of similar systems have also shown that broader data dissemination is an important way to improve the usefulness of information systems and that more frequent reporting can also enhance the utility of systems 23. One evaluation suggestion was to create a two-page summary sheet for dissemination to all partners 24…”

Innovative Techniques for Infection Control and Surveillance in Hospital Settings and Long-Term Care Facilities: A Scoping Review

“…It facilitates the identification of infection trends, informs prevention strategies, and assesses the effectiveness of interventions. However, traditional surveillance, mainly in its active form, is more timeconsuming and costly in terms of resources, leading to potential delays and inaccuracies [2]. In fact, traditional surveillance requires dedicated teams of professionals to manually review patient's medical records, applying standardized case definitions [3].…”