Objective 2: Surveillance and research

Objective 2 of the NZ Antimicrobial Resistance Action Plan is to strengthen the knowledge and evidence base about antimicrobial resistance through surveillance and research.

Priority action areas 3 and 4

Establish a coordinated national surveillance programme of antimicrobial resistance and antimicrobial use in humans, animals and agriculture.

Develop lists of priority organisms, key resistance genes and antimicrobials for national reporting.

Activity
Ongoing activities
1. Finalise and maintain the list of priority organisms for surveillance and reporting for human health, taking into account international guidance and the New Zealand context.
2. Finalise and maintain the list of priority antimicrobials for surveillance and reporting in human health care facilities in New Zealand, and a national methodology for measuring and reporting on antimicrobial consumption in hospitals and the community.
Activity Status
Year 1 activities
3. Analyse antimicrobial dispensing data to identify prescriber types. Report this data back to prescribers and use it to develop and target interventions to influence appropriate antimicrobial prescribing (see also Priority action area 12, activity 2). Ongoing
4. Determine additional requirements for a standardised antimicrobial resistance surveillance system in human health, including an appropriate data repository or management system. Ongoing
5. Determine additional requirements for a standardised surveillance system to monitor antimicrobial prescribing in the community and hospitals in New Zealand, including an appropriate data repository or management system. Ongoing
6. Determine the requirements for a critical resistance alert system to detect and confirm pathogens with critical resistance determinants in humans in real time (including specific resistance genes). Ongoing
7. Develop and implement an enhanced surveillance programme for multi-resistant gram negative micro-organisms in humans, such as carbapenemase producing enterobacteriaceae (CPE). This programme should include information on screening, laboratory identification, surveillance and alerts (see also Priority action area 7, activity 3). Ongoing
8. Review the requirements and capacity for genomic analysis of outbreaks that are of public health significance, including antimicrobial resistance. Ongoing
9. Review the current system of collecting data on yearly sales of antimicrobials used in animal and plants, to be consistent with the practice that the World Organization for Animal Health (OIE) recently introduced. Ongoing
10. Consider extending the New Zealand Veterinary Association surveillance programme on antimicrobial use to include companion animals, and to inform the development of an ongoing national surveillance programme, helping to identify the drivers of good and poor antimicrobial stewardship in animal health. Ongoing

Priority action area 5

Implement a national minimum standard for laboratory testing and reporting of antimicrobial susceptibility.

Activity
Ongoing activities
1. Human health diagnostic microbiology laboratories develop, publish and widely disseminate antibiograms annually (see also Priority action area 5, activity 3).
Activity Status
Year 1 activities
2. Establish a national antimicrobial susceptibility testing committee to provide expert guidance to laboratories and other stakeholders on all aspects of human antimicrobial susceptibility testing and reporting. Completed
3. Standardise the methodology and reporting of antimicrobial resistance data (antibiograms, including microbes and antimicrobials) from human health laboratories (in line with Priority action area 5, activity 1). Ongoing
4. Implement appropriate international standards for laboratory testing methods for antimicrobial susceptibility of pathogens isolated from animals and plants. Ongoing
5. Establish a national system for veterinary laboratories to report on the antimicrobial susceptibility of common animal pathogens. Ongoing

Priority action area 6

Support national priorities for research on antimicrobial resistance, antimicrobial consumption and stewardship in human health, animal health and agriculture.

Activity
Ongoing activities
1. Promote research funding for antimicrobial resistance, consumption and stewardship activities across human health, animal health and agriculture.
2. Encourage research collaborations on antimicrobial resistance, consumption and stewardship across human health, animal health and agriculture, as well as on drivers of behaviour.
Activity Status
Year 1 activities
3. Identify current gaps and agree on national research and development priorities for antimicrobial resistance, consumption and stewardship in humans, animals and agriculture, including how antimicrobial consumption and resistance in these sectors impact each other. Ongoing
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