ABSTRACTS

SESSION4.3:FIJIANTIMICROBIALRESISTANCESURVEILLANCEDASHBOARD

Morgan Lewis, Lauren Stevens , Keith R Hayes , Adrien Ickowicz , David Peel , Walter Okelo , 5 andNumaVera

1CSIRO IMT, Kensington, Western Australia, 6151

2CSIRO IMT, Clayton, Victoria, 3168

3CSIRO Data 61, Hobart, Tasmania, 7001

4CSIRO Environment, Canberra, ACT, 2601

5Department of Pharmacy and Pharmacology, Fiji National University

Introductionandobjectives

'Enhancing the Management of Antimicrobial Resistance' is a project in which the Commonwealth Scientific and Industrial Research Organization (CSIRO) partnered with the Fiji Government to enhance the management of antimicrobial resistance (AMR). For the project, the Scientific Computing team at CSIRO developed a prototype dashboard for AMR surveillance. The dashboard visualised eight years of AMR data collected from the Colonial War Memorial hospital, Fiji's largest hospital. The aim was to provide visualisations that would aid in monitoring AMR.

Methods

The dashboard tracks the resistance of pathogen-antibiotic pairs, shown at different levels of detail. The focus of the design process was to allow for easy identification of pathogens with high AMR, whilst providing enough information for each pair to show trends across time and patient demographics. The dashboard was developed using the Shiny web framework.

Results

The dashboard consists of three key elements: (1) A main table showing antimicrobial resistance for every pathogen-antibiotic pair; (2) a series of filters for the sample dataset to filter by year and sample type; and (3) a sideboard that showed the resistance for a specific pair in more detail, over time and by patient demographic. The dashboard is in use by the National AMR Committee with plans for periodic updates as patient data continues to be collected.

SPEAKERPROFILE: MrMorganLewis

Morgan Lewis (BSc (Hons), MPE) is a Scientific Computing Specialist in the Data Analytics and Visualisation Team in CSIRO's Scientific Computing Group The Group designs and creates novel analytics and visualisationtoolstobringdatainsightstoscientistsinadiverserangeof fields. Since joining CSIRO in 2021, Morgan has collaborated with research groups across topics including AMR, climate science, and AI surrogatemodelling.

SESSION 5.1: DEVELOPMENT OF ANTIMICROBIAL USE GUIDELINES FOR ANIMAL HEALTHINFIJI

1,4

Antimicrobial resistance is best combatted by development and implementation of good antimicrobialstewardship.Amajorcomponentofanyantimicrobialstewardshipprogrammeis the availability and use of guidelines for prescription and dispensing of antimicrobial drugs. Unfortunately, appropriate animal health guidelines are not available for in many countries, severely limiting implementation of good antimicrobial stewardship The COMBAT-AMR AnimalHealthteam,incloseconsultationwiththeMinistryofAgriculture,hasdevelopeddraft Fijian Antimicrobial Prescribing Guidelines. These guidelines provide advice on when to use antimicrobials to treat animals, which antimicrobials are most appropriate to use for bacterial diseases commonly seen in Fiji in cattle, sheep, goats, poultry, pigs and horses, as well as guidanceonbestpracticedoserates.Theyalsoprovideguidanceaboutthedoseratesfordrugs used for chemical restraint and pain relief in each species, the method to use to estimate the body weight of each species to assist in calculating doses, and symptomatic treatments for each disease, where appropriate. In addition, the guidelines include information about vaccination schedules, anthelminthic dose rates and normal clinical parameters for each species.Onceapproved,theguidelineswillbeprintedonwaterresistantcard,toensuretheyare suitable for use by veterinarians and para-veterinarians in the field, to support Fiji's efforts to combatthegrowinginternationalproblemofantimicrobialresistance

ThisworkwasfundedbytheAustralianGovernmentDepartmentofForeignAffairsandTrade's Indo-PacificCentreforHealthSecurityfundedCOMBAT-AMRProgram.

James is a Professor of Veterinary Microbiology at the Melbourne Veterinary School. He is a veterinarygraduatefromtheUniversityofSydneywithaPhDinVirology. James’researchinterestsareprimarilyintheepidemiologyandcontrolof infectious diseases in animal populations, and this is how he became involvedinresearchintoantimicrobialstewardshipandantimicrobialuse in animals. James is committed to improving veterinary diagnostic microbiology capacity and using the data generated as a basis for responsible antimicrobial use in animals James is a Fellow of the Australian Veterinary Association and currently serves as a Director of AVA