National network set-up for monitoring micro-organisms resistance to anti-infectives in a developing country: case of the Ivory Coast
Abstract number: P633
Guessennd N., Gbonon V., Ouattara D., Tiecoura B., Achy-Brou A., Dosso M.
Created in June 2000 under ONERBA (France) sponsorship, the Observatory of the Resistance of the Micro-organisms in Ivory Coast (ORMICI) set up a national network of sentinels laboratories for the monitoring of bacterial resistances to antibiotics. Since June 2006, ORMICI had become the National Reference Center for the monitoring of bacterial resistances in Ivory Coast.
Standardising the methods of susceptibility tests and improving quality of information and the conditions of their collecting.
Collecting information concerning micro-organisms resistances to anti-infectious evolution in Ivory Coast in order to analyze and diffuse them to the medicals authorities, scientist societies and professionals of health.
Training the prescribers and sensitising the population.
Comparing the national data with those obtained in the other countries of the sub region.
Methods: The epidemiologic strategy of bacterial resistance monitoring is based on the choice of sentinel laboratories which can provide information in the Community and in Hospital. The activities were based on:
network organisation and working,
capacities reinforcement of the CNR and its network laboratories,
network animation and management,
strains stocks constitution.
CNR collects laboratories strains with epidemiologic information. Quality control is insured by the reference laboratory of antibiotics resistance study group of the International Network of the Pasteur Institutes.
Results: The network includes height public laboratories of various levels in the medical pyramid and nine private laboratories.
A national campaign of sensitising to the right prescription of antibiotics was organised in collaboration with the General Mutual Insurance Company of Ivory Coast.
Several scientific workshops bringing together the professionals of the environment and those of human and animal health were organised.
A regional course in susceptibility tests standardisation, financed by Pasteur Institute of Paris, has taken place in April 2008 in Abidjan.
Information reports on the resistance levels were published.
ARV resistance training intended for the prescribers has taken place in December 2008.
Conclusion: ORMICI was restructured in 2008 with the working out of a schedule and a charter for a better national establishment. The setting in of this network is a real experiment to be shared with the other countries of our sub-region in order to federate a West African network.
|Session name:||19th European Congress of Clinical Microbiology and Infectious Diseases|
|Location:||Helsinki, Finland, 16 - 19 May 2009|
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