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ORIGINAL RESEARCH article

Front. Cell. Infect. Microbiol.
Sec. Antibiotic Resistance and New Antimicrobial drugs
Volume 14 - 2024 | doi: 10.3389/fcimb.2024.1411145
This article is part of the Research Topic Evolution, Molecular Mechanisms and the Strategies to Combat Antimicrobial Resistance (AMR): A One Health Approach View all 19 articles

Standardization of an Antimicrobial Resistance Surveillance Network Through Data Management

Provisionally accepted
Hyunji Kim Hyunji Kim 1Jeong Su Park Jeong Su Park 1Dokyun Kim Dokyun Kim 2HeeJung Kim HeeJung Kim 2Jeong Hwan Shin Jeong Hwan Shin 3Young Ah Kim Young Ah Kim 4Young Uh Young Uh 5Soo Hyun Kim Soo Hyun Kim 6,7Jong Hee Shin Jong Hee Shin 7Seok Hoon Jeong Seok Hoon Jeong 2Kyoung Un PARK Kyoung Un PARK 1,8*
  • 1 Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
  • 2 College of Medicine, Yonsei University, Seoul, Seoul, Republic of Korea
  • 3 College of Medicine, Inje University, Seoul, Seoul, Republic of Korea
  • 4 National Health Insurance Service Ilsan Hospital, Goyang, Gyeonggi, Republic of Korea
  • 5 Wonju College of Medicine, Yonsei University, Wonju, Gangwon, Republic of Korea
  • 6 Department of Internal Medicine, Medical School, Chonnam National University, Gwangju, Gwangju, Republic of Korea
  • 7 Chonnam National University Medical School, Gwangju, Gwangju, Republic of Korea
  • 8 College of Medicine, Seoul National University, Seoul, Seoul, Republic of Korea

The final, formatted version of the article will be published soon.

    The rapid spread of COVID-19 worldwide within 2 months demonstrated the vulnerability of the world's population to infectious diseases. In 2015, the Global Antimicrobial Resistance and Use Surveillance System (GLASS) was launched to combat antimicrobial resistance (AMR). However, there has been no comprehensive assessment of the decade-long global battle against AMR based on GLASS data.Methods: South Korea established Kor-GLASS (Korean-GLASS) to proactively monitor data quality and enable international collaborations. A unique feature of Kor-GLASS is the quality control center (QCC), which uses network hubs and ensures standardized, high-quality data through interlaboratory proficiency testing (IPT) and external quality assessment (EQA). In addition, the QCC multifaceted endeavors for integrated data quality management.Results: Since 2020, high-quality AMR data have indicated fluctuating antibiotic resistance rates in South Korea. This trend does not align with the decrease in antibiotic usage seen in humans but coincides with non-human antibiotic sales, indicating a need for greater monitoring of non-human antibiotic resistance. Comprehensive and robust management taking account of the intricate interplay among humans, animals, and the environment is essential. Kor-GLASS has been expanded into a "One Health" multiagency collaborative initiative.Discussion: Although a standardized solution is not suitable for all countries, it must align with the local context and international standards. A centralized top-down management structure such as that of the QCC is essential to ensure continuous data quality coordination.

    Keywords: antimicrobial resistance, Kor-GLASS, Quality control center, IPT, EQA

    Received: 02 Apr 2024; Accepted: 02 Jul 2024.

    Copyright: © 2024 Kim, Park, Kim, Kim, Shin, Kim, Uh, Kim, Shin, Jeong and PARK. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Kyoung Un PARK, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea

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