Tracking Antimicrobial Resistance in Kenya and Senegal

Posted On: August 2019

Story Highlights
  • Antimicrobial resistance (AR or AMR) has been found in all regions of the world. CDC is working around the world, such as on surveillance projects in Kenya and Senegal, to combat this threat.
  • Because of local partnerships with CDC, the Kenya and Senegal ministries of health are strengthening their surveillance to better track and respond to antimicrobial resistance.

Antimicrobial Resistance is Everywhere

Antimicrobial resistance (AR or AMR) has been found in all regions of the world. Modern travel and movement of people, animals, and goods means AR can easily spread across borders and continents. Tracking data and surveillance of resistance are both an important part of the fight to combat AR. Knowing where and how changes in resistance are occurring can inform solutions—like containment and prevention, outbreak response, and drug and diagnostic development—to prevent spread and slow resistance.

CDC and Kenyan National Public Health Laboratory staff are discussing work plans for piloting AR surveillance system, Nairobi, Kenya.
CDC and Kenyan National Public Health Laboratory staff are discussing work plans for piloting AR surveillance system, Nairobi, Kenya.

Tracking and Data: CDC is strengthening surveillance in Kenya and Senegal

Given the pervasiveness of AR around the world, tracking and sharing data about resistant infections and emerging threats are critical to limit its spread.

Kenya

CDC and the Kenya Ministry of Health (MoH), through their National Public Health Laboratory Services (NPHLS), are working together to build capacity to establish a new, laboratory-based national AR surveillance network. The MoH and the National Microbiology Reference Laboratory (NMRL) have published a national AR surveillance strategy and the MoH is piloting surveillance at four sites: Thika, Kitale, Malindi, and Machakos. This is the first comprehensive, AR surveillance system led by Kenya’s government and will be used to better understand the prevalence and effects of eight antimicrobial-resistant organisms in Kenya. This knowledge will be used to update appropriate treatment guidelines and promote additional research on AR.

Kenya’s NMRL will lead the AR surveillance for priority pathogens and eventually contribute Kenya’s data to global AR databases, like the World Health Organization’s Global Antimicrobial Resistance Surveillance System (GLASS). Having global antimicrobial resistance data provides a standardized approach to the collection, analysis, and sharing of data on AR at a global level. By knowing where and how changes in resistance are occurring, CDC and others can inform solutions—like containment, prevention, and outbreak response—to prevent spread and slow resistance.

Kenya and CDC also partnered with the American Society for Microbiology (ASM) to adapt the Extension of Community Healthcare Outcomes (ECHO) tele-mentoring model for laboratory trainings. ECHO uses video-conferencing technology and case-based learning to train laboratory technicians and technologists from the AR surveillance sites on identification and testing of the priority pathogens. Through global collaboration, CDC and local partners can work together to stop spread the spread of resistant infections before it starts.

Senegal

CDC is also working with the Senegalese Department of Laboratories (DL) within the Ministry of Health to strengthen surveillance for antimicrobial resistance by developing a protocol and transitioning AR reporting to an upgraded system. This will improve data quality and allow labs to compare data against other participating labs and national trends to help check for potential outbreaks in the area.

CDC is working with partners in Senegal to revitalize the National Antibiotics Committee (NAC) and is supporting the NAC to update national guidelines on the appropriate use of antibiotics and train health care workers on the use of these guides.

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