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Antibiotics are considered as strength of the Modern Medicine, and helped the humans to progress to the present stage, along with several other advances in Medicine. At present, the Antibiotics are used for needy patients and misused too when there is no need for an antibiotic prescription. 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.
The software has been developed since 1989 by the WHO Collaborating Centre 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-centre surveillance networks and to strengthen our Drug policy. Such surveillance programs are now in place in many countries and part of Accreditation standards in our country.
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 its 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 analyse stored data. From a single screen, a WHONET user selects the type of analysis to run, the species of bacteria to analyse, the subsets of isolates to include (e.g., all, isolates from urine, blood , and isolates resistant to Cephalosporins, Carbapenems or any other drug individually and from certain locations in outpatients and any wards like ICCUs Medicine, Surgery or any other speciality) Every patient in our Hospital or its community carries a complex bacterial ecosystem and each patient care unit within the centre and ultimately the centre itself may be seen as 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 dayto-day management of those practices and of 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 our Hospital 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.
*Email; doctortvrao@gmail.com