Reports

Twenty years of continuous antibiotic resistance surveillance!
It is a long path that only a few European countries can boast with. Continuous antibiotic resistance surveillance was initiated in Croatia in 1996 with the foundation of the Committee for Antibiotic Resistance Surveillance with the Public Health Collegium of the Academy of Medical Sciences of Croatia (AMSC). The problem of resistance was recognized by Croatian experts long time ago and when the europewide surveillance through the European Antimicrobial Resistance Surveillance System (EARSS) and the European Surveillance of Antimicrobial Consumption (ESAC) projects started in the late 1990s, Croatia readily joined in with a well structured network. Establishment of the Reference Center for Antibiotic Resistance Surveillance of the Croatian Ministry of Health at the University Hospital for Infectious Diseases "Dr. Fran Mihaljevic" in 2003, further strengthened the antibiotic resistance surveillance network in Croatia by providing ever more challenging laboratory support essential for maintaining quality of published data. The AMSC Committee and the Reference Center organize regular network meetings where surveillance results and resistance problems that require focused studies are discussed, updates on sensitivity testing methodology are adopted and external quality control results are analysed. Due to ever increasing development of new resistance mechanisms sensitivity testing is becoming ever more challenging and harmonization with the European standards an obligation for every European Union Member State. Therefore, as recommended by the European Committee for Antimicrobial Sensitivity Testing (EUCAST), in 2011 the National Antibiotic Subcommittee (NAC) was formed within the Committee for Antibiotic Resistance Surveillance. In 2003 international collaboration of the Croatian network was enlarged through establishing the Croatian Chapter of The Alliance for the Prudent Use of Antibiotics (APUA). EARSS and ESAC projects have grown into continuous EARS-Net and ESAC-Net programs of the European Center for Disease Prevention and Control (ECDC) and participation in these programs became mandatory for all EU Member States. Continuous participation in these programs is the basic platform for resistance data exchange with other countries and fruitful international collaboration. Establishment of the Croatian Intersectoral Coorination Mechanism (ICM), the ISKRA, at the Ministry of Health in 2006 had the major impact on strenghtening the structure of resistance control in Croatia. ISKRA coordinates all activities related to resistance control in human medicine, veterinary sector and agriculture. Antibiotic resistance and consumption data have thus become an essential part of the national program for antibiotic resistance control and the basis for other activities such as development of national guidelines on antibiotic use and promoting rational use of antibiotics through public campaigns. During the many years of antibiotic resistance surveillance several generations of microbiologists contributed with their hard work and valuable data to our understanding of the multidrug resistant organisms evolution and spread. Continuous collaboration of the Committee and the Reference Center with international experts and institutions enabled timely implementation of all the important changes in sensitivity testing methodology and early detection of novel resistance mechanisms in our settings. Many thanks, therefore, to all those who helped setting up the antibiotic resistance surveillance network in Croatia and to those who are dedicated to providing resistance data and / or using these data in their everyday clinical practice.

Arjana Tambić Andrašević
President of the Committee for Antibiotic Resistance Surveillance in Croatia 

Report on Antibiotic Resistance in Croatia in 2015.pdf

Report on Antibiotic Resistance in Croatia in 2014.pdf

Report on Antibiotic Resistance in Croatia in 2013.pdf

Report on Antibiotic Resistance in Croatia in 2012.pdf 

Report on Antibiotic Resistance in Croatia in 2011.pdf 

Report on Antibiotic Resistance in Croatia in 2010.pdf

Report on Antibiotic Resistance in Croatia in 2009.pdf

Report on Antibiotic Resistance in Croatia in 2008.pdf

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