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WHONET Documentation at Travancore Medical College, kollam Kerala India
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WHONET DOCUMENTATION AT
TRAVANCORE MEDICAL COLLEGE,
KOLLAM KERALA, INDIA
DR.T.V.RAO MD 1
WHO GLOBAL STRATEGY ON REDUCING
THE ANTIBIOTIC RESISTANCE
• The WHO Global Strategy for Containment of
Antimicrobial Resistance identifies the
establishment and support of microbiology
laboratories as a fundamental priority in guiding
and assessing intervention efforts. This requires
trained and motivated laboratory professionals,
materials and equipment, mechanisms for
assuring the quality of test performance, and
communication with clinicians and public health
authorities. DR.T.V.RAO MD 2
WE NEED A SYSTEM AND OPTIMAL
DOCUMENTATION OF DRUG RESISTANCE
• Surveillance of antimicrobial resistance tracks
changes in microbial populations, permits the
early detection of resistant strains of public
health importance, and supports the prompt
notification and investigation of outbreaks.
Surveillance findings are needed to inform
clinical therapy decisions, to guide policy
recommendations, and to assess the impact of
resistance containment interventions.
DR.T.V.RAO MD 3
WHAT IS WHONET
• WHONET is a free software developed by the WHO
Collaborating Centre for Surveillance of Antimicrobial
Resistance for laboratory-based surveillance of infectious
diseases and antimicrobial resistance.
• The principal goals of the software are:
• 1 to enhance local use of laboratory data; and
• 2 to promote national and international collaboration
through the exchange of data.
DR.T.V.RAO MD 4
HOW THE WHONET HELPS US
• The WHONET tools enable any microbiology
laboratory to put its test results into a database and
conduct analyses to support local infection control and
antibiotic use. Laboratories can also upload files
created by WHONET, to feed into national or other
multi-center surveillance networks and to inform drug
policy. Such surveillance programs are now in place in
many countries. In supporting these countries we have
learned many lessons. Specifically, we have identified
some major obstacles to the achievement of global
health goals; and in many cases, devised innovations
to surmount them. DR.T.V.RAO MD 5
GROWING IMPORTANCE OF WHONET
• World over antimicrobial
resistance is a major public
health problem. The
WHONET software program
puts each laboratory data
into a common code and file
format, which can be
merged for national or
global collaboration of
antimicrobial resistance
surveillance
DR.T.V.RAO MD 6
• WHONET can be used by
individual laboratories or as
part of a national and
international surveillance
network. At present, the
software, available in 17
languages, is used in over
90 countries around the
world managing data from
over 1000 clinical, public
health, veterinary, and food
laboratories.
WHO USES THE WHONET
DR.T.V.RAO MD 7
WHONET SUPPORTS SURVEILLANCE IN OVER 90
COUNTRIES INDICATED BELOW IN RED.
DR.T.V.RAO MD 8
• The understanding of the local epidemiology of microbial populations; the selection of antimicrobial agents; the identification of hospital and community outbreaks; and the recognition of quality assurance problems in laboratory testing.
WHONET HELPS US IN ……
DR.T.V.RAO MD 9
WHONET A GLOBAL NETWORKING PROGRAMME
• WHONET is currently used in over 90 countries, managing data from over 1300 laboratories.
• Hospital and public health laboratories
• Food and veterinary laboratories
• Reference and research laboratories
• Data collections • Routine laboratory data
• Special surveys and research protocols
DR.T.V.RAO MD 10
INSTITUTIONAL ADVANTAGE OF
WHONET
The program facilitates sharing of data
amongst different hospitals by putting
each laboratory data into a common code
and file format, which can be merged for
national or global collaboration of
antimicrobial resistance surveillance
DR.T.V.RAO MD 11
CLINICIANS AND MICROBIOLOGIST CAN DO
ANALYSIS OF THE DATA THEMSELVES
• WHONET has a user-friendly interface permitting many
types of analysis. Options include isolate line-listings and
summaries, such as organism frequencies over time,
antimicrobial susceptibility test statistics, zone diameter
antibiotic scatterplots and regression curves, and
antibiotic resistance and MIC histograms, profile line
listings and summaries. WHONET also has a number of
alert features which permit the detection of unlikely or
important results as well as possible community
outbreaks of bacterial or non-bacterial species.
DR.T.V.RAO MD 12
• World over antimicrobial
resistance is a major public
health problem. The
WHONET software
program puts each
laboratory data into a
common code and file
format, which can be
merged for national or
global collaboration of
antimicrobial resistance
surveillance
WHY WE SHOULD BE PART OF
WHONET PROGRAMME
DR.T.V.RAO MD 13
ALL THE DOCUMENTED RESULTS ARE
ANALYZED IN WHONET
• The heart of WHONET is
a software package
designed to collect the
results of antibiotic
resistance tests.
Researchers /
Microbiologists feed the
results into a computer
and look for trends
DR.T.V.RAO MD 14
WHONET CONTAINS COMPLETE LABORATORY
INFORMATION SYSTEM
Clinical reporting – return results to clinicians
– permanent record
Laboratory management system – preliminary and final results
– guide technologists through needed laboratory tests
– billing and financial accounting
Data analysis
DR.T.V.RAO MD 15
CLINICIANS CAN ACCESS DATA OF THEIR PATIENTS
ANYTIME IN THE COMPUTER JUST WITH CLICK OF THE
MOUSE
DR.T.V.RAO MD 16
• The WHONET experience
suggests that solid drug
resistance data can be collected
and analysed in resource-
constrained settings, using core
microbiology, if local laboratories
are given appropriate support.
Strengthening these laboratories
is therefore a potentially cost-
effective contribution to both
treating drug resistant disease
and preventing its further spread.
BENEFIT TO CLINICIANS FOR EFFECTIVE ANTIBIOTIC
USAGE AND IMPLEMENTING ANTIBIOTIC POLICY
DR.T.V.RAO MD 17
THE WHONET DOCUMENTATION AT
TRAVANCORE MEDICAL COLLEGE, KOLLAM IS
SUPPORTED BY …
• Faculty • Dr Changdeo. S.Aher
• Deepa Babin
• Deepthy Sooryadas
• Technical Assistance
• Aneesh K.S
• Sheena
• Thanooja
• Nusaifa
• Majitha
• Faseela
DR.T.V.RAO MD 18
ANTIBIOTICS SAVE LIVES
SAVE ANTIBIOTICS FROM MISUSE
DR.T.V.RAO MD 19
WHONET WORKING TEAM AT TRAVANCORE
MEDICAL COLLEGE. KOLLAM, KERALA. INDIA
DR.T.V.RAO MD 20
WHONET WORKING TEAM AT TRAVANCORE
MEDICAL COLLEGE. KOLLAM, KERALA. INDIA
DR.T.V.RAO MD 21
• The Programme is supported at our Institute by our
Teaching and Technical staff. I wish many
laboratories to initiate the system and even
smaller laboratories as we have a control on
antibiotic policy, documentation and know what is
happening on the matters of Antibiotic resistance
doctortvrao@gmail.com
DR.T.V.RAO MD 22
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