Profe

WHONET DOCUMENTATION AT

TRAVANCORE MEDICAL COLLEGE,

KOLLAM KERALA, INDIA

DR.T.V.RAO MD 1

WHO GLOBAL STRATEGY ON REDUCING

THE ANTIBIOTIC RESISTANCE

• The WHO Global Strategy for Containment of

Antimicrobial Resistance identifies the

establishment and support of microbiology

laboratories as a fundamental priority in guiding

and assessing intervention efforts. This requires

trained and motivated laboratory professionals,

materials and equipment, mechanisms for

assuring the quality of test performance, and

communication with clinicians and public health

authorities. DR.T.V.RAO MD 2

WE NEED A SYSTEM AND OPTIMAL

DOCUMENTATION OF DRUG RESISTANCE

• Surveillance of antimicrobial resistance tracks

changes in microbial populations, permits the

early detection of resistant strains of public

health importance, and supports the prompt

notification and investigation of outbreaks.

Surveillance findings are needed to inform

clinical therapy decisions, to guide policy

recommendations, and to assess the impact of

resistance containment interventions.

DR.T.V.RAO MD 3

WHAT IS WHONET

• WHONET is a free software developed by the WHO

Collaborating Centre for Surveillance of Antimicrobial

Resistance for laboratory-based surveillance of infectious

diseases and antimicrobial resistance.

• The principal goals of the software are:

• 1 to enhance local use of laboratory data; and

• 2 to promote national and international collaboration

through the exchange of data.

DR.T.V.RAO MD 4

HOW THE WHONET HELPS US

• The WHONET tools enable any microbiology

laboratory to put its test results into a database and

conduct analyses to support local infection control and

antibiotic use. Laboratories can also upload files

created by WHONET, to feed into national or other

multi-center surveillance networks and to inform drug

policy. Such surveillance programs are now in place in

many countries. In supporting these countries we have

learned many lessons. Specifically, we have identified

some major obstacles to the achievement of global

health goals; and in many cases, devised innovations

to surmount them. DR.T.V.RAO MD 5

GROWING IMPORTANCE OF WHONET

• World over antimicrobial

resistance is a major public

health problem. The

WHONET software program

puts each laboratory data

into a common code and file

format, which can be

merged for national or

global collaboration of

antimicrobial resistance

surveillance

DR.T.V.RAO MD 6

• WHONET can be used by

individual laboratories or as

part of a national and

international surveillance

network. At present, the

software, available in 17

languages, is used in over

90 countries around the

world managing data from

over 1000 clinical, public

health, veterinary, and food

laboratories.

WHO USES THE WHONET

DR.T.V.RAO MD 7

WHONET SUPPORTS SURVEILLANCE IN OVER 90

COUNTRIES INDICATED BELOW IN RED.

DR.T.V.RAO MD 8

• The understanding of the local epidemiology of microbial populations; the selection of antimicrobial agents; the identification of hospital and community outbreaks; and the recognition of quality assurance problems in laboratory testing.

WHONET HELPS US IN ……

DR.T.V.RAO MD 9

WHONET A GLOBAL NETWORKING PROGRAMME

• WHONET is currently used in over 90 countries, managing data from over 1300 laboratories.

• Hospital and public health laboratories

• Food and veterinary laboratories

• Reference and research laboratories

• Data collections • Routine laboratory data

• Special surveys and research protocols

DR.T.V.RAO MD 10

INSTITUTIONAL ADVANTAGE OF

WHONET

The program facilitates sharing of data

amongst different hospitals by putting

each laboratory data into a common code

and file format, which can be merged for

national or global collaboration of

antimicrobial resistance surveillance

DR.T.V.RAO MD 11

CLINICIANS AND MICROBIOLOGIST CAN DO

ANALYSIS OF THE DATA THEMSELVES

• WHONET has a user-friendly interface permitting many

types of analysis. Options include isolate line-listings and

summaries, such as organism frequencies over time,

antimicrobial susceptibility test statistics, zone diameter

antibiotic scatterplots and regression curves, and

antibiotic resistance and MIC histograms, profile line

listings and summaries. WHONET also has a number of

alert features which permit the detection of unlikely or

important results as well as possible community

outbreaks of bacterial or non-bacterial species.

DR.T.V.RAO MD 12

• World over antimicrobial

resistance is a major public

health problem. The

WHONET software

program puts each

laboratory data into a

common code and file

format, which can be

merged for national or

global collaboration of

antimicrobial resistance

surveillance

WHY WE SHOULD BE PART OF

WHONET PROGRAMME

DR.T.V.RAO MD 13

ALL THE DOCUMENTED RESULTS ARE

ANALYZED IN WHONET

• The heart of WHONET is

a software package

designed to collect the

results of antibiotic

resistance tests.

Researchers /

Microbiologists feed the

results into a computer

and look for trends

DR.T.V.RAO MD 14

WHONET CONTAINS COMPLETE LABORATORY

INFORMATION SYSTEM

Clinical reporting – return results to clinicians

– permanent record

Laboratory management system – preliminary and final results

– guide technologists through needed laboratory tests

– billing and financial accounting

Data analysis

DR.T.V.RAO MD 15

CLINICIANS CAN ACCESS DATA OF THEIR PATIENTS

ANYTIME IN THE COMPUTER JUST WITH CLICK OF THE

MOUSE

DR.T.V.RAO MD 16

• The WHONET experience

suggests that solid drug

resistance data can be collected

and analysed 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.

BENEFIT TO CLINICIANS FOR EFFECTIVE ANTIBIOTIC

USAGE AND IMPLEMENTING ANTIBIOTIC POLICY

DR.T.V.RAO MD 17

THE WHONET DOCUMENTATION AT

TRAVANCORE MEDICAL COLLEGE, KOLLAM IS

SUPPORTED BY …

• Faculty • Dr Changdeo. S.Aher

• Deepa Babin

• Deepthy Sooryadas

• Technical Assistance

• Aneesh K.S

• Sheena

• Thanooja

• Nusaifa

• Majitha

• Faseela

DR.T.V.RAO MD 18

ANTIBIOTICS SAVE LIVES

SAVE ANTIBIOTICS FROM MISUSE

DR.T.V.RAO MD 19

WHONET WORKING TEAM AT TRAVANCORE

MEDICAL COLLEGE. KOLLAM, KERALA. INDIA

DR.T.V.RAO MD 20

WHONET WORKING TEAM AT TRAVANCORE

MEDICAL COLLEGE. KOLLAM, KERALA. INDIA

DR.T.V.RAO MD 21

• The Programme is supported at our Institute by our

Teaching and Technical staff. I wish many

laboratories to initiate the system and even

smaller laboratories as we have a control on

antibiotic policy, documentation and know what is

happening on the matters of Antibiotic resistance

Email

doctortvrao@gmail.com

DR.T.V.RAO MD 22