Kaur Jasmine, Dhama Ajay Singh, Buttolia Harish, Kaur Jasleen, Walia Kamini, Ohri Vinod, Kumar Vinit, Lynn Andrew M, Srivastava Alok, Singh Harpreet
Division of Biomedical Informatics, Indian Council of Medical Research, New Delhi, India.
School of Computational and Integrative Sciences, Jawaharlal Nehru University, New Delhi, Delhi, India.
JAC Antimicrob Resist. 2021 Mar 27;3(1):dlab023. doi: 10.1093/jacamr/dlab023. eCollection 2021 Mar.
Growing resistance to antimicrobials has become an important health issue of the 21st century. Many international, national and local approaches are being employed for the control and prevention of antimicrobial resistance (AMR). Among them, surveillance is reported to be the best method to reduce the spread of infection and thereby AMR. An integral component of AMR surveillance is the informatics suite for collection, storage and analysis of surveillance data.
Considering the traits of an optimal surveillance tool and constraints with existing tools, Indian Council of Medical Research (ICMR) initiated the design and development of ICMR's Antimicrobial Resistance Surveillance system (-AMRSS). -AMRSS is a web-based tool built using modular architecture. It is capable of collecting standardized data from small laboratories to generate local and nationwide reports.
-AMRSS is a robust, comprehensive, modular, extensible and intelligent open-source tool piloted in ICMR's AMR Network (31 hospitals and laboratories across India) since 2016. The developed tool has collected more than 280 000 patient records to date.
The standardized data collected through -AMRSS would be valuable for various collaborators to monitor outbreaks and infection control practices, evaluate transmission dynamics and formulate antibiotic use and selling policies. The tool is presently being used to capture human testing and consumption data, however, it can be extended for AMR surveillance using a 'One Health' approach.
对抗菌药物的耐药性不断增加已成为21世纪一个重要的健康问题。许多国际、国家和地方层面的方法正被用于控制和预防抗菌药物耐药性（AMR）。其中，监测据报道是减少感染传播从而降低AMR的最佳方法。AMR监测的一个重要组成部分是用于收集、存储和分析监测数据的信息学套件。
考虑到最佳监测工具的特点以及现有工具的局限性，印度医学研究理事会（ICMR）启动了ICMR抗菌药物耐药性监测系统（-AMRSS）的设计与开发。-AMRSS是一个基于网络的工具，采用模块化架构构建。它能够从小型实验室收集标准化数据，以生成本地和全国性报告。
-AMRSS是一个强大、全面、模块化、可扩展且智能的开源工具，自2016年起在ICMR的AMR网络（印度各地的31家医院和实验室）中进行试点。到目前为止，该开发工具已收集了超过280000份患者记录。
通过-AMRSS收集的标准化数据对于各合作方监测疫情和感染控制措施、评估传播动态以及制定抗生素使用和销售政策将具有重要价值。该工具目前用于获取人体检测和消费数据，然而，它可以通过“同一健康”方法扩展用于AMR监测。
