DOCUMENTATION OF ANTIBIOGRAMS WITH WHONET
Dr.T.V.Rao MD Antibiotics are considered as one of the strengths of modern Medicine, and have helped the humans to progress to the present stage, along with several other advances in Medicine. Continuous surveillance of local antimicrobial susceptibility patterns is a must for combating emerging antimicrobial resistance. WHONET is an effective computerized microbiology laboratory data management and analysis program that can provide guidance for empiric therapy of infections, alert clinicians of trends of antimicrobial resistance, guide drug-policy decisions and preventive measures. Drug resistance develops naturally, but careless practices in drug supply and use are hastening it unnecessarily, we certainly need a system to document the results of antibiotic sensitivity and resistance patterns arising in our Institution, which can be documented with WHONET. It is unfortunate few laboratories in India use WHONET and opt for commercial systems of software and none proved better than WHONET.
WHONET is free Windows-based database software developed for the management and analysis of microbiology laboratory data with a special focus on the analysis of antimicrobial susceptibility test results. These tools enable microbiology laboratory to put its test results into a database and conduct analysis to support local infection control and antibiotic usage at our hospital.
The software has been developed since 1989 by the WHO Collaborating Center for Surveillance of Antimicrobial Resistance based at the Brigham and Women's Hospital in Boston, and is used by clinical, public health, veterinary, and food laboratories in over 90 countries to support local and national surveillance programs. Laboratories can also upload files created by WHONET, to feed into national or other multi-center surveillance networks and to strengthen our Drug policy. Such surveillance programs are now in place in many countries and part of accreditation standards in India.
How we can Progress with WHONET?
We can enhance the local data for local needs: clinical decision support, antimicrobial use policy, infection control and outbreak detection, identifying laboratory test performance, and characterization of local microbial and resistance epidemiology and to promote local, national, regional, and global collaborations through the exchange of data and sharing of experiences.
The WHONET experience suggests that pattern of drug resistance data can be collected and analyzed 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. Microbiologists, clinicians and infection control workers may use this software to enhance monitoring of drug resistance in their hospitals and communities and to merge their files into national, regional, and global networks for surveillance of drug resistance. WHONET can also analyze stored data. From a single screen, a WHONET user selects the type of analysis to run, the species of bacteria to analyze, the subsets of isolates Every patient in our hospital or its community carries a complex bacterial ecosystem and each patient care unit within the center and ultimately the center itself may be an aggregated ecosystem. Resistance genes and the strains they make resistant move through these systems, selectively accelerated by specific antimicrobial agents given to specific patients and retarded by infection control practices. Both strategic and day-to-day management of those practices and the selection of those agents need optimal, current information about the linkages of the resistance genes and the deployment of the strains. The Microbiology laboratory at the hospitals also needs continuing analysis of its susceptibility test and quality control results. Each laboratory tests hundreds of different combinations of bacterial species and antimicrobial agents. Variations in the usual distributions of measurements for any of the combinations, and particularly of those that impinge upon breakpoints may signal either problems in test performance or new types of resistance.
Thus, WHONET helps our hospitals
Creates profile of the Bacterial Infections at our Hospital.
Helps to know the Antibiograms pattern of the different isolates.
Observe trends in MRSA, and patterns of drug resistance in several GNB strains.
Alert the physicians on uncommon, clinically important bacterial pathogens.
Helps faculty to present data at academic associations and in publishing papers as per editorial guidelines
WHONET is a useful and productive tool which help not only in routine microbiology laboratory data management but also generate valuable information about antimicrobial susceptibility patterns over a place or time to provide the basis for and assess the effectiveness of prevention programs and policy decisions on Antibiotic
Other Uses
In addition to making and updating the antibiogram, you can use WHONET to answer more specific infection control questions. For example, you could analyze a specific organism. Or you can click on “Isolates” when setting up data analysis to set more specific criteria for your results (for example, to look at only one floor or one ward). See the WHONET and Backlink Tutorials for more detailed information.
ALWAYS UPDATE SOFT WARE - One other thing to check is that you are using the most current form of your database. This is particularly important if you have ever renamed the database or saved it in multiple locations. NEVER FORGET WITH A CLICK OF A MOUSE YOU HAVE THE DATA OF ANTIBIOTIC RESISTANCE OF YOUR HOSPITAL ON THE SCREEN, AND ELIMINATES ALL THE TIME CONSUMING CALCULATION AND SAVE THE PAPER
I WISH THIS TOPIC TO BE INCORPORATED IN THE MD (Microbiology Syllabus )
Revised and Edited
Ref! 1 Web Resources on WHONET
2 Concise Antibiogram Toolkit Using WHONET to Create Your Antibiogram Agency for Healthcare AHRQ Research and Quality
Dr.T.V.Rao MD
Photo 3 is Archives from Department of Microbiology TMC Kollam
Dr.T.V.Rao MD Antibiotics are considered as one of the strengths of modern Medicine, and have helped the humans to progress to the present stage, along with several other advances in Medicine. Continuous surveillance of local antimicrobial susceptibility patterns is a must for combating emerging antimicrobial resistance. WHONET is an effective computerized microbiology laboratory data management and analysis program that can provide guidance for empiric therapy of infections, alert clinicians of trends of antimicrobial resistance, guide drug-policy decisions and preventive measures. Drug resistance develops naturally, but careless practices in drug supply and use are hastening it unnecessarily, we certainly need a system to document the results of antibiotic sensitivity and resistance patterns arising in our Institution, which can be documented with WHONET. It is unfortunate few laboratories in India use WHONET and opt for commercial systems of software and none proved better than WHONET.
WHONET is free Windows-based database software developed for the management and analysis of microbiology laboratory data with a special focus on the analysis of antimicrobial susceptibility test results. These tools enable microbiology laboratory to put its test results into a database and conduct analysis to support local infection control and antibiotic usage at our hospital.
The software has been developed since 1989 by the WHO Collaborating Center for Surveillance of Antimicrobial Resistance based at the Brigham and Women's Hospital in Boston, and is used by clinical, public health, veterinary, and food laboratories in over 90 countries to support local and national surveillance programs. Laboratories can also upload files created by WHONET, to feed into national or other multi-center surveillance networks and to strengthen our Drug policy. Such surveillance programs are now in place in many countries and part of accreditation standards in India.
How we can Progress with WHONET?
We can enhance the local data for local needs: clinical decision support, antimicrobial use policy, infection control and outbreak detection, identifying laboratory test performance, and characterization of local microbial and resistance epidemiology and to promote local, national, regional, and global collaborations through the exchange of data and sharing of experiences.
The WHONET experience suggests that pattern of drug resistance data can be collected and analyzed 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. Microbiologists, clinicians and infection control workers may use this software to enhance monitoring of drug resistance in their hospitals and communities and to merge their files into national, regional, and global networks for surveillance of drug resistance. WHONET can also analyze stored data. From a single screen, a WHONET user selects the type of analysis to run, the species of bacteria to analyze, the subsets of isolates Every patient in our hospital or its community carries a complex bacterial ecosystem and each patient care unit within the center and ultimately the center itself may be an aggregated ecosystem. Resistance genes and the strains they make resistant move through these systems, selectively accelerated by specific antimicrobial agents given to specific patients and retarded by infection control practices. Both strategic and day-to-day management of those practices and the selection of those agents need optimal, current information about the linkages of the resistance genes and the deployment of the strains. The Microbiology laboratory at the hospitals also needs continuing analysis of its susceptibility test and quality control results. Each laboratory tests hundreds of different combinations of bacterial species and antimicrobial agents. Variations in the usual distributions of measurements for any of the combinations, and particularly of those that impinge upon breakpoints may signal either problems in test performance or new types of resistance.
Thus, WHONET helps our hospitals
Creates profile of the Bacterial Infections at our Hospital.
Helps to know the Antibiograms pattern of the different isolates.
Observe trends in MRSA, and patterns of drug resistance in several GNB strains.
Alert the physicians on uncommon, clinically important bacterial pathogens.
Helps faculty to present data at academic associations and in publishing papers as per editorial guidelines
WHONET is a useful and productive tool which help not only in routine microbiology laboratory data management but also generate valuable information about antimicrobial susceptibility patterns over a place or time to provide the basis for and assess the effectiveness of prevention programs and policy decisions on Antibiotic
Other Uses
In addition to making and updating the antibiogram, you can use WHONET to answer more specific infection control questions. For example, you could analyze a specific organism. Or you can click on “Isolates” when setting up data analysis to set more specific criteria for your results (for example, to look at only one floor or one ward). See the WHONET and Backlink Tutorials for more detailed information.
ALWAYS UPDATE SOFT WARE - One other thing to check is that you are using the most current form of your database. This is particularly important if you have ever renamed the database or saved it in multiple locations. NEVER FORGET WITH A CLICK OF A MOUSE YOU HAVE THE DATA OF ANTIBIOTIC RESISTANCE OF YOUR HOSPITAL ON THE SCREEN, AND ELIMINATES ALL THE TIME CONSUMING CALCULATION AND SAVE THE PAPER
I WISH THIS TOPIC TO BE INCORPORATED IN THE MD (Microbiology Syllabus )
Revised and Edited
Ref! 1 Web Resources on WHONET
2 Concise Antibiogram Toolkit Using WHONET to Create Your Antibiogram Agency for Healthcare AHRQ Research and Quality
Dr.T.V.Rao MD
Photo 3 is Archives from Department of Microbiology TMC Kollam
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