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. 2024 Jan 8;13(1):3.
doi: 10.1186/s13756-023-01362-5.

On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso

Emmanuel Zongo  1   2   3   4 , Emilie Dama  5 , Dame Yenyetou  6   7   8 , Merci Muhigwa  6   7   8 , Abdoulaye Nikiema  9 , Georges Anicet Dahourou  5 , Abdoul-Salam Ouedraogo  6   7   8   10
Affiliations

On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso

Emmanuel Zongo et al. Antimicrob Resist Infect Control. .

Abstract

Background: The laboratory-based surveillance of antimicrobial resistance (AMR) is a priority component of the multisectoral national action plan to combat AMR in Burkina Faso. This study aimed to assess the QMS of microbiology laboratories involved in the Sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso.

Methods: A cross-sectional study was conducted from September 1st to November 30th, 2022. The external quality assessment (EQA) method used was on-site evaluation using a checklist that was developed and validated by a technical committee of experts. Teams of two, including an antimicrobial susceptibility test (AST) specialist and a QMS specialist, were trained on this checklist to conduct the assessment. Satisfactory performance was defined as any on-site evaluation score 80% and above with the aim of developing action plans to address gaps.

Results: All 18 laboratories were evaluated. The overall average performance score of the participating laboratories was 40%. The highest overall performance score was 58%, and the lowest overall performance score was 26%. The average overall scores were not significantly different between private and public laboratories (p value = 0.78). The only section of the checklist with the satisfactory performance concerned the "Analytical step of AST", with 76.5% (13/17) of the sentinel laboratories having a score ≥ 80%.

Conclusion: The performance of the QMS of the sentinel laboratories in Burkina Faso for AMR surveillance was unsatisfactory, and a corrective action plan was proposed to support these laboratories in improving their QMS over the next 3 years.

Keywords: AMR; Burkina Faso; External quality assessment; Sentinel laboratories.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Distribution of AMR sentinel surveillance sites, Burkina Faso
Fig. 2
Fig. 2
Overall performance of the 18 sentinel laboratories for AMR surveillance
Fig. 3
Fig. 3
Distribution of the eighteen participating sentinel laboratories by category of section score
Fig. 4
Fig. 4
Average performance scores for private, public and all laboratories by section
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References

    1. WHO. Antimicrobial resistance. 2021. Available on https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance. Accessed 29 Apr 2023.
    1. Ministry of Health. National multisectoral plan to combat antimicrobial resistance 2017–2020. Burkina Faso; 2017.
    1. Ministry of Health. National guide for laboratory surveillance of antimicrobial resistance. Burkina Faso; 2018.
    1. Ministry of Health. Manual of procedures for performing antibiotic susceptibility testing in Burkina Faso. Ed 01 (2018).
    1. Centers for Disease Control and Prevention. Laboratory Assessment of Antibiotic Resistance Testing Capacity. Atlanta.; 2020. GA: U.S. Department of Health and Human Services, CDC; 2020. Available on: https://www.cdc.gov/drugresistance/intl-activities/laarc.html. Accessed 29 Apr 2023.

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