MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUSTHE REPUBLICAN RESEARCH PRACTICAL CENTER FOR

EPIDEMIOLOGY AND MICROBIOLOGY

AMR SURVEILLANCE IN THE REPUBLIC OF BELARUS

Leonid TitovHanna VerashchakLiudmila Slaikovskaya

Surveillance of the antimicrobial resistance

• Antimicrobial resistance is a very important

problem for public health in Belarus.

• Our aim - improve of the national AMR surveil-lance system that links regional networks and provide comparable and validated data on the prevalence and trends of antimicrobial resistan-ce to Ministry of Health and European CAESAR database.

• International cooperation

THE REPUBLIC OF BELARUS

• • The Republic of Belarus is situated in the Eastern Europe.

• Territory of Belarus is 207.6 km2 (13th country in Europe). Belarus consists of 6 regions (Brest, Vitebsk, Gomel, Grod-no, Mogilev, Minsk) and city of Minsk (capital).

• Population - 9 643 566. • Life expendancy at birth 72.2

year (66 – 78). • Physicians density- 5.2 / 1000

population;• Hospital beds density – 11.23

beds/ 1000 population.

AMR SURVEILLANCE EFFORTS IN BELARUS

CARRENT AMR SYSTEM IN THE REPUBLIC OF BELARUS

• From 1997г. - 10 conferen-cies and 12 seminars;

• Journal of Health - round tables on AMR, hospital infections;

• Annually 15-20 reports and articles on the AMR;

• National report on AMR;• Awareness AMR day;• Cooperation Plan – Belarus

– WHO 2012-13 years;• Cooperation Plan – Belarus-

WHO 2014-2015 years;

• Department of Epidemiologyand Hygiene at the Ministry ofHealth of Belarus (Dr. E. Fedorov, I. Karaban) • Republican Research Prac-tical Center for Epidemiologyand Microbiology (Director

V.A.Gorbunov)• Laboratory of Clinical andExperimental Microbiology (Head

Prof. Leonid P Titov)• Bacteriology laboratoriesCenters for Hygiene and Epide-miology City of Minsk and in re-gions (Brest, Vitebsk, Gomel,

Grodno, Mogilev, Minsk).• Bacteriology laboratories in

hospitals.

WHO MISSION FOR BELARUS AMR

SYSTEM EVALUATION (4-8 June, 2012) WHO EURO country

assessment on АMR

Date of the Mission: 4-8 June 2012

Dr. Lo Fo Wong (WHO)Dr. van Nienke (WHO)Мr. Jos Monen (RIVM,NL)Dr. Oscar Ekelund

(ESCMID, Sweden)

Country: Belarus

1. Promoting national coordination: a. National coordinating groups;

b. AMR focal point (country representative for AMR);

c. National AMR strategy and action plan,d. Multidisciplinary and intersectoral

collaboration (veterinary medicine). 2.Strengthening surveillance of antibiotic

resistance: a. Laboratory methods susceptibility testing;

b. Existing surveillance on AMR; c. IT support;

d. Laboratory capacity; e. Data quality and laboratory standards;

f. Quality assurance system; g. Strengthening surveillance networks.

26-27 of March, 2013. WHO-Belarus Seminar on WHONET using

PERSPECTIVES: THE NATIONAL STRATEGIC AMR ACTION PLAN

IMPLEMENTATIONNational strategic plan – intersectoral document based on 7-th aims of

the European Strategic Plan. It is mechanisms for actions coordination.

National coordinator – Deputy minister of Health – Igor V GaevskySpecial committees:а) Antibiotics policy; b) AMR surveillance; c) Methods of the Resistance/Sensitivity testing; d) Quality control and professionals education;e) MIC (breakpoints)/zone diameters evaluation and EUCAST

contacts; f) AMR surveillance in veterinary medicine; g) Infection control in hospitals; h) Antibiotics consumption at hospital and population level; i) Awareness on antibiotics using and risk of resistance increasing

PARTICIPATION IN BARN PROGRAM

1. BEEp – Baltic ESBL Epidemiology project

2. Hand hygiene project implementation of the WHO Guidelines

3. Happy Audit2 (prescribing antibiotics)

4. Preoperative Antibiotic Prophylaxis

5. Quality Assurance Survey in the Baltic Sea Region