Building global surveillance with local data: a sustainable response to antimicrobial resistance
We're tracing the life-cycle of AMR data in Egypt through bio-social research.
The rise of drug-resistant infections is one of the biggest problems that modern medicine faces and, left unaddressed, antimicrobial resistance (AMR) will undermine sustainable development. The global AMR response is currently ill-equipped to deal with this challenge because it is based largely on data from high-income countries. For effective and sustainable solutions in low- and middle-income countries, we need to know more about the local burden of AMR, and we need to understand better how such knowledge is produced. To this end, the project tracks the 'life-cycle' of AMR data that is produced in routine clinical practice and follows its trajectory in local healthcare facilities, the health system and the policy level.
- Sustainable Development Goals
This project examined the following SDGs:
SDG 1 – No Poverty
SDG 3 – Good Health and Well-being
SDG 8 – Decent Work and Economic Growth
SDG 10 – Reduced Inequalities
SDG 12 – Responsible Consumption and Production
Find out more about the UN Sustainable Development Goals.
The research pursued two objectives:
- generate data on the molecular mechanisms of AMR in a lower-middle income country (Egypt)
- gather information on how this data is taken up in the hospital and wider health system to build surveillance systems.
This 'lifecycle' approach to studying AMR data piloted a bottom-up, local perspective on AMR surveillance that complements the top-down, global perspective from which surveillance systems are usually planned, implemented and studied. Furthermore, the project piloted a 'bio-social' approach, based on interdisciplinary collaboration spanning the social and biological sciences. At a local hospital in Cairo, we investigated what AMR-relevant data is generated as part of routine clinical practice and collect biological samples and associated patient data for further genomic analysis. Furthermore, we tracked how the clinical data is managed and shared within the hospital through interviews and participant observation, how it is managed in the national health system, and whether/how it feeds into the policy process.
Timeline and funding
April 2017-December 2020
- Principle Investigator (PI) and Co-Investigators
- Project team
- Dr James Price, Brighton and Sussex Medical School
- Professor Hadir El-Mahallawy, National Cancer Institute, Egypt
- Mostafa El Yamani, PhD candidate, School for Public Health and Primary Care, Maastricht University, The Netherlands
- Amira Hussein, Consultant and Lecturer in Clinical Microbiology, Cairo University, Department of Clinical Pathology and Kasr alainy hospitals
- Sheri Saleeb, Masters Student, Biotechnology, the American University in Cairo
Where we worked