Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review
Abstract BackgroundThe World Health Organization (WHO) recently advocated an urgent need for implementing national surveillance systems for the timely detection and reporting of emerging antimicrobial resistance (AMR). However, public information on the existing national early...
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JMIR Publications
2025-01-01
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| Series: | JMIR Public Health and Surveillance |
| Online Access: | https://publichealth.jmir.org/2025/1/e57457 |
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| author | Jessica Iera Claudia Isonne Chiara Seghieri Lara Tavoschi Mariateresa Ceparano Antonio Sciurti Alessia D'Alisera Monica Sane Schepisi Giuseppe Migliara Carolina Marzuillo Paolo Villari Fortunato D'Ancona Valentina Baccolini |
| author_facet | Jessica Iera Claudia Isonne Chiara Seghieri Lara Tavoschi Mariateresa Ceparano Antonio Sciurti Alessia D'Alisera Monica Sane Schepisi Giuseppe Migliara Carolina Marzuillo Paolo Villari Fortunato D'Ancona Valentina Baccolini |
| author_sort | Jessica Iera |
| collection | DOAJ |
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Abstract
BackgroundThe World Health Organization (WHO) recently advocated an urgent need for implementing national surveillance systems for the timely detection and reporting of emerging antimicrobial resistance (AMR). However, public information on the existing national early warning systems (EWSs) is often incomplete, and a comprehensive overview on this topic is currently lacking.
ObjectiveThis review aimed to map the availability of EWSs for emerging AMR in high-income countries and describe their main characteristics.
MethodsA systematic review was performed on bibliographic databases, and a targeted search was conducted on national websites. Any article, report, or web page describing national EWSs in high-income countries was eligible for inclusion. EWSs were identified considering the emerging AMR-reporting WHO framework.
ResultsWe identified 7 national EWSs from 72 high-income countries: 2 in the East Asia and Pacific Region (Australia and Japan), 3 in Europe and Central Asia (France, Sweden, and the United Kingdom), and 2 in North America (the United States and Canada). The systems were established quite recently; in most cases, they covered both community and hospital settings, but their main characteristics varied widely across countries in terms of the organization and microorganisms under surveillance, with also different definitions of emerging AMR and alert functioning. A formal system assessment was available only in Australia.
ConclusionsA broader implementation and investment of national surveillance systems for the early detection of emerging AMR are still needed to establish EWSs in countries and regions lacking such capabilities. More standardized data collection and reporting are also advisable to improve cooperation on a global scale. Further research is required to provide an in-depth analysis of EWSs, as this study is limited to publicly available data in high-income countries. |
| format | Article |
| id | doaj-art-0dc800c17a8e4f29a8c951943986a1c8 |
| institution | Kabale University |
| issn | 2369-2960 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Public Health and Surveillance |
| spelling | doaj-art-0dc800c17a8e4f29a8c951943986a1c82025-01-22T20:02:08ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602025-01-0111e57457e5745710.2196/57457Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic ReviewJessica Ierahttp://orcid.org/0009-0003-9257-2136Claudia Isonnehttp://orcid.org/0000-0003-1002-9133Chiara Seghierihttp://orcid.org/0000-0002-3910-7775Lara Tavoschihttp://orcid.org/0000-0002-2217-4664Mariateresa Ceparanohttp://orcid.org/0000-0002-8304-365XAntonio Sciurtihttp://orcid.org/0009-0001-3140-7343Alessia D'Aliserahttp://orcid.org/0009-0003-4267-461XMonica Sane Schepisihttp://orcid.org/0009-0009-7375-1431Giuseppe Migliarahttp://orcid.org/0000-0002-4573-6025Carolina Marzuillohttp://orcid.org/0000-0002-7299-5727Paolo Villarihttp://orcid.org/0000-0002-3139-0668Fortunato D'Anconahttp://orcid.org/0000-0002-9855-2924Valentina Baccolinihttp://orcid.org/0000-0002-7873-7817 Abstract BackgroundThe World Health Organization (WHO) recently advocated an urgent need for implementing national surveillance systems for the timely detection and reporting of emerging antimicrobial resistance (AMR). However, public information on the existing national early warning systems (EWSs) is often incomplete, and a comprehensive overview on this topic is currently lacking. ObjectiveThis review aimed to map the availability of EWSs for emerging AMR in high-income countries and describe their main characteristics. MethodsA systematic review was performed on bibliographic databases, and a targeted search was conducted on national websites. Any article, report, or web page describing national EWSs in high-income countries was eligible for inclusion. EWSs were identified considering the emerging AMR-reporting WHO framework. ResultsWe identified 7 national EWSs from 72 high-income countries: 2 in the East Asia and Pacific Region (Australia and Japan), 3 in Europe and Central Asia (France, Sweden, and the United Kingdom), and 2 in North America (the United States and Canada). The systems were established quite recently; in most cases, they covered both community and hospital settings, but their main characteristics varied widely across countries in terms of the organization and microorganisms under surveillance, with also different definitions of emerging AMR and alert functioning. A formal system assessment was available only in Australia. ConclusionsA broader implementation and investment of national surveillance systems for the early detection of emerging AMR are still needed to establish EWSs in countries and regions lacking such capabilities. More standardized data collection and reporting are also advisable to improve cooperation on a global scale. Further research is required to provide an in-depth analysis of EWSs, as this study is limited to publicly available data in high-income countries.https://publichealth.jmir.org/2025/1/e57457 |
| spellingShingle | Jessica Iera Claudia Isonne Chiara Seghieri Lara Tavoschi Mariateresa Ceparano Antonio Sciurti Alessia D'Alisera Monica Sane Schepisi Giuseppe Migliara Carolina Marzuillo Paolo Villari Fortunato D'Ancona Valentina Baccolini Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review JMIR Public Health and Surveillance |
| title | Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review |
| title_full | Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review |
| title_fullStr | Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review |
| title_full_unstemmed | Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review |
| title_short | Availability and Key Characteristics of National Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in High-Income Countries: Systematic Review |
| title_sort | availability and key characteristics of national early warning systems for emerging profiles of antimicrobial resistance in high income countries systematic review |
| url | https://publichealth.jmir.org/2025/1/e57457 |
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