Preface
Antimicrobial resistance (AMR) is increasing worldwide and has become a major threat to human and animal health, and is also a threat to modern human and animal medicine, and food safety. Antibiotics play an important role in the treatment of infectious diseases; However, if there is too much use of these drugs and they are used incorrectly, there will be the result of antibiotic resistance and the spread of antibiotic-resistant bacteria, causing ecological risks.
In the first meeting of the collaboration on the Global Antimicrobial Resistance Surveillance System (GLASS) which was held in Copenhagen, Denmark in October 2015. All participants agreed that there is an urgent need to develop a system for the detection and reporting of drug resistance, which will be a system that can indicate the mechanism of drug resistance and the extent of the spread of drug resistance worldwide.
The Lao PDR created a national antibiotic surveillance system in 2019 to monitor the trend of antibiotic resistance in the community and infections in medical facilities, which are the main causes of disease and outbreaks in people.This document is a standard guide for finding and reporting drug-resistant or new drug-resistant disease outbreaks quickly and organizing timely intervention measures to reduce illness and death from such incidents in the community and medical service facilities.This manual has been researched, edited and updated to be suitable for implementation from the central to the provincial level.
I, the Department of Communicable Disease Control, Ministry of Health, would like to express my appreciation and thanks to the Analytical and Epidemiological Center for creating this manual together with the Anti-Drug Surveillance Team from the central and provincial levels. Also, I would like to express my gratitude to the development partners, especially the World Health Organization, who provided technical and financial support in creating this manual.
I sincerely hope that this handbook will be used in the investigation and response to the outbreak of drug resistance or new drug resistance in Lao PDR to be successful. If there are additional comments, we are happy to accept the proposal as a lesson and will bring it to improve or modify it for the next time.
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