Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study

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  • Pedro Moura
  • Birgitte Borck Høg
  • Lis Alban
  • Ute Wolff Sönksen
  • Ana Sofia Ribeiro Duarte
  • Marianne Sandberg

Antimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and humans. OH-EpiCap is an evaluation tool, developed to address essential elements in OH surveillance systems, such as the dimensions of the organization, operational activities and the impact of the surveillance activities. We aimed to evaluate DANMAP using OH-EpiCap and hereby assessed the suitability of OH-EpiCap to evaluate integrated AMR surveillance systems. During the evaluation, the strengths and weaknesses of DANMAP concerning the “OH-ness” of the program were discussed. Furthermore, possible adaptations of the standard operating procedures and governance structure were addressed. Attention was paid to the ability and easiness of DANMAP to cope with current and future challenges connected to integrated AMR surveillance. It was concluded that DANMAP has a strong OH approach covering relevant aspects for humans and animals, whereas environmental aspects are missing. OH-EpiCap proved to be straightforward to use and provided valuable insights. The authors recommend OH-EpiCap to be used by health authorities and stakeholders. It is not suitable for the technical evaluation of a surveillance program.

Original languageEnglish
Article number1127701
JournalFrontiers in Public Health
Volume11
Number of pages8
ISSN2296-2565
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 Moura, Borck Høg, Alban, Sönksen, Ribeiro Duarte and Sandberg.

    Research areas

  • antimicrobial, consumption, One Health, resistance, stewardship, surveillance

ID: 391496724