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. 2023 Jun 21;12(7):1080.
doi: 10.3390/antibiotics12071080.

Evaluation of the One Health-Ness of 20 Years of Antimicrobial Resistance Surveillance in Norway

Madelaine Norström  1 , Gunnar Skov Simonsen  2   3 , Jannice Schau Slettemeås  1 , Anne-Sofie Furberg  2   3 , Anne Margrete Urdahl  1
Affiliations

Evaluation of the One Health-Ness of 20 Years of Antimicrobial Resistance Surveillance in Norway

Madelaine Norström et al. Antibiotics (Basel). .

Abstract

We evaluated the One Health-ness (OH-ness) of the surveillance system for antimicrobial resistance (AMR) in Norway by using the recently developed "Evaluation tool for One Health epidemiological surveillance capacities and capabilities" (OH-EpiCap tool). First, we defined the Norwegian AMR surveillance system that we would evaluate. The tool was applied by a group of stakeholders (key persons in the Norwegian AMR surveillance programmes and authors of this paper). The evaluation was performed using a consensus approach. The evaluation resulted in an overall OH-ness score of 68% across all three dimensions included in the tool: Organisation, Operation, and Impact. Suggestions for improvement were only indicated within the areas of internal evaluation and operational costs, whereas most of the indicators included in the tool showed good adherence to the One Health principles. By performing this internal evaluation, we recognized that AMR surveillance in the environment needs to be included in a more systematic and standardized way to improve the OH-ness as defined by the quadripartite organisations. Last but not least, it was beneficial to bring key stakeholders together to conduct the evaluation. It increased a joint perception of the OH-ness of AMR surveillance in Norway and encouraged further collaboration in the future.

Keywords: OH-EpiCap; One Health; antimicrobial resistance; evaluation; surveillance.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The average scores of the target areas attributed to three dimensions, Organisation (in orange), Operation (in blue), and Impact (in grey), from the evaluation performed on the surveillance of antimicrobial resistance in Norway using the OH-EpiCap tool.
Figure 2
Figure 2
The scores (1–4) of the indicators within the four targets of the Impact dimension, from the evaluation performed on the surveillance of antimicrobial resistance in Norway using the OH-EpiCap tool.
Figure 3
Figure 3
The scores (1–4) of the indicators within the four targets of the Organisation dimension, from the evaluation performed on the surveillance of antimicrobial resistance in Norway using the OH-EpiCap tool.
Figure 4
Figure 4
The scores (1–4) of the indicators within the four targets of the Operation dimension, from the evaluation performed on the surveillance of antimicrobial resistance in Norway using the OH-EpiCap tool.
See this image and copyright information in PMC

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