Investigation published in Health Policy

December 22^nd, 2022

Strategic and standardised approaches to analysis and reporting of surveillance data are essential to inform antimicrobial resistance (AMR) mitigation measures, including antibiotic policies. Targeted guidance on linking full-scale AMR and antimicrobial consumption (AMC)/antimicrobial residues (AR) surveillance data from the human, animal, and environmental sectors is currently needed. This paper describes the initiative whereby a multidisciplinary panel of experts (56 from 20 countries—52 high income, 4 upper middle or lower income), representing all three sectors, elaborated proposals for structuring and reporting full-scale AMR and AMC/AR surveillance data across the three sectors. An evidence-supported, modified Delphi approach was adopted to reach consensus among the experts for dissemination frequency, language, and overall structure of reporting; core elements and metrics for AMC/AR data; core elements and metrics for AMR data. The recommendations can support multisectoral national and regional plans on antimicrobials policy to reduce resistance rates applying a One Health approach

Babu-Rajendran N., Arieti F., Mena-Benitez CA., Galia L., Tebon M., Alvarez J., Gladstone BP., Collineau L., de Angelis G., Duro R., Gaze W., Gopel S., Kanj SS., Kasbohrer A., Limmathurotsakul D., Lopez de Abechuco E., Mazzolini E., Mutters NT., Pezzani MD., Presterl E., Tacconelli E. and EPI-Net One Health.

EPI-Net One Health reporting guideline for antimicrobial consumption and resistance surveillance data: a Delphi approach

EPI-Net One Health reporting guideline for antimicrobial consumption and resistance surveillance data: a Delphi approach

	Infectious Diseases. Department of Internal Medicine. University of Tübingen.
	Infectious Diseases Section. Department of Diagnostic and Public Health. University of Verona.
	Centro de Vigilancia Sanitaria Veterinaria (VISAVET). Universidad Complutense (UCM).
	Departamento de Sanidad Animal. Facultad de Veterinaria. Universidad Complutense (UCM).
	German Centre for Infection Research (DZIF). Clinical Research Unit for Healthcare Associated and Antibiotic Resistant Bacterial Infections.
	Agence Nationale de Sécurité Sanitaire de l´alimentation, de l´environnement et du travail (ANSES).
	French Agency for Food. Environmental and Occupational Safety. National Agency for Veterinary Medicinal Products.
	Dipartimento di Scienze Biotecnologiche di base. Cliniche Intensivologiche e Perioperatorie. Universita Cattolica del Sacro Cuore.
	Unit for the Prevention and Control of Infection and Antimicrobial Resistance. Centro Hospitalar do Tamega e Sousa.
	University of Exeter.
	The European Centre for Environment and Human Health. University of Exeter Medical School.
	Infection Control and prevention program. Antimicrobial Stewardship program. American University of Beirut Medical Center (AUBMC).
	German Federal Institute for Risk Assessment.
	Mahidol Oxford Tropical Medicine Research Unit and Department of Tropical Hygiene. Faculty of Tropical Medicine. Mahidol University.
	Centre for Tropical Medicine and Global Health. Nuffield Department of Medicine. University of Oxford.
	Bonn University Hospital. Institute for Hygiene and Public Health.
	European Committee on Infection Control.
	Department of Infection Control and Hospital Epidemiology. University of Veterinary Medicine Vienna.
	ESCMID Study Group for Nosocomial Infections.
	Department of Paediatric Cardiology. Pulmology and Intensive Care Medicine. University Children´s Hospital Tübingen.
	Departamento de Microbiología. Facultad de Medicina. Universidad de Sevilla (US).
	Hospital Virgen Macarena. Servicio Andaluz de Salud. Consejería de Salud. Junta de Andalucía.
	Centro de Investigación de Enfermedades Infecciosas (CIBERINFEC). Instituto de Salud Carlos III (ISCIII).
	Department of Infectious Diseases I. Carol Davila University of Medicine and Pharmacy.
	National Institute for Infectious Diseases Prof. Dr. Matei Balș.
	Istituto Zooprofilattico Sperimentale della Lombardia e dell Emilia Romagna (IZSLER).
	Epidemiological Infectious Disease Preparedness. Statens Serum Institut (SSI).
	Institute of Tropical Medicine. University of Tübingen.
	Vietnamese – German Center for Medical Research.
	AiCuris Anti-infective Cures GmbH.
	Jansen Pharmaceuticals.
	Department of Epidemiology. Istituto Zooprofilattico Sperimentale delle Venezie.