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<p>Antimicrobial resistance (AMR) is a major public health threat with the highest burden being estimated to be in low- and middle-income countries. Fiji is an upper-middle-income country in Oceania. Recent studies from Fiji highlighted the increasing burden of carbapenem resistant organisms (CRO) such as <i>Acinetobacter baumannii</i>, <i>Pseudomonas aeruginosa</i> and <i>Escherichia coli</i>. A project titled Preparing Fiji for Pathogens with Critical Antimicrobial Resistance was undertaken at the Colonial War Memorial Hospital, Fiji’s main referral hospital, in 2022 and 2023. The overarching goal was to support the hospital’s readiness for prompt detection, management and prevention of infections caused by pathogens with critical AMR including CRO. This paper describes the steps taken to establish CRO surveillance, prevention, and control interventions, outbreak response and healthcare workers’ capacity building initiatives tailored to the hospital’s need and capacity. It also shares the results, lessons learned and challenges in setting up the systems that may inform actions in other low- and middle-income countries in the Pacific Region and globally.</p>

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Establishing carbapenem resistant organism surveillance, prevention, and control in a middle-income country: implementation of a hospital-based program in Fiji

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月5日

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  • Aneley Getahun Strobel,
  • Savneel Shivam Kumar,
  • Shammi Prasad,
  • Tracey Young-Sharma,
  • Matthew Richards,
  • Ashlyn Datt,
  • Alvina Lata,
  • Sisilia Assisi Genaro,
  • Timaima Ratusela,
  • Ilisapeci Nabose,
  • Alipate Vakamocea,
  • Sanjeshni Autar,
  • Farheen Hussein,
  • Ravi Naidu,
  • Ana Suka,
  • Donna Cameron,
  • Chantel Lin,
  • Courtney R. Lane,
  • Alison Macintyre,
  • Kylie Hui,
  • Rodney James,
  • Bernadette Kennedy,
  • Benjamin P. Howden,
  • Kirsty Buising

摘要

Antimicrobial resistance (AMR) is a major public health threat with the highest burden being estimated to be in low- and middle-income countries. Fiji is an upper-middle-income country in Oceania. Recent studies from Fiji highlighted the increasing burden of carbapenem resistant organisms (CRO) such as Acinetobacter baumannii, Pseudomonas aeruginosa and Escherichia coli. A project titled Preparing Fiji for Pathogens with Critical Antimicrobial Resistance was undertaken at the Colonial War Memorial Hospital, Fiji’s main referral hospital, in 2022 and 2023. The overarching goal was to support the hospital’s readiness for prompt detection, management and prevention of infections caused by pathogens with critical AMR including CRO. This paper describes the steps taken to establish CRO surveillance, prevention, and control interventions, outbreak response and healthcare workers’ capacity building initiatives tailored to the hospital’s need and capacity. It also shares the results, lessons learned and challenges in setting up the systems that may inform actions in other low- and middle-income countries in the Pacific Region and globally.