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WHONET in Microbiology

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WHONET in Microbiology

WHONET in Microbiology

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  • 1. WHONET inMICROBIOLOGY Dr.T.V.Rao MD
  • 2. 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.
  • 3. “If you cannot measure it, you cannot improve it” Lord Kelvin, 1824-1907
  • 4. WHONET contains CompleteLaboratory Information SystemClinical reporting– return results to clinicians– permanent recordLaboratory management system– preliminary and final results– guide technologists through needed laboratory tests– billing and financial accountingData analysis
  • 5. DocumentationWHONET is a Windows-based database softwaredeveloped for themanagement ofmicrobiology laboratorydata and the analysis ofantimicrobialsusceptibility testresults.
  • 6. All the Documented results are analyzed in WHONETThe heart of WHONETis a software packagedesigned to collect theresults of antibioticresistance tests.Researchers /Microbiologists feed theresults into a computerand look for trends
  • 7. WHONET: is A Microbiology Data Management Tool Enhance the use of locally- generated data – Antimicrobial policy, infection control – Laboratory quality assurance Promote collaborations – National and International networks
  • 8. WHONET Creates data from your Documentations
  • 9. WHONET is used to supportsurveillance activities in the countries indicated in Red.
  • 10. 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
  • 11. WHONET analytical tools facilitateThe understanding of the local epidemiologyof microbial populations; The selection ofantimicrobial agents; The identification ofhospital and community outbreaks;The recognition of quality assurance problemsin laboratory testing.
  • 12. WHONETRuns on all Major operating systems The latest edition of WHONET runs on Microsoft Windows (98, 2000, XP, Vista, Windows 7) and through Windows emulators can be run successfully on Linux and Macintosh computers.
  • 13. Software is MultilingualThe software is multilingual.Languages available atpresent include: Bulgarian,Chinese (simplified),English, Estonian, French,German, Greek, Indonesian,Italian, Japanese,Norwegian (Bokmål andNynorsk), Portuguese,Russian, Spanish and Thai.
  • 14. Why we should adopt to WHONETThe WHONET program puts each laboratorys datainto a common code and file format at thatlaboratory, either by serving as or by translatingfrom its own computer reporting system. It thenenables each medical center to analyze its files inways that help it monitor and manage resistancelocally and to merge them with files of other centersfor collaborative national or global surveillance ofresistance.
  • 15. Growing importance of WHONETWorld over antimicrobialresistance is a majorpublic health problem.The WHONET softwareprogram puts eachlaboratory data into acommon code and fileformat, which can bemerged for national orglobal collaboration ofantimicrobial resistancesurveillance
  • 16. WHONET Puts the data in orderThese tools enable any microbiologylaboratory to put its test results into adatabase and conduct analyses to supportlocal infection control and antibiotic use.Laboratories can also upload files created byWHONET, to feed into national or other multi-center surveillance networks and to informdrug policy.
  • 17. Useful for routine reporting and Analyses the DataWHONET is not acomplete laboratorymanagement systembut can be used forsimple clinical reportingof results. Softwaredevelopment hasconcentrated on dataanalysis, particularly of theresults of antimicrobialsusceptibility tests.
  • 18. Epidemiological trends can predicted from Data The analytic tools aid the selection of antimicrobial agents, the identification of hospital outbreaks, and the recognition of quality control problems in the laboratory. Review of antimicrobial results also permits characterization of resistance mechanisms and the epidemiology of resistant strains
  • 19. Use and Misuse of Antibiotics has created Drug ResistanceGenes expressing resistance to each antimicrobial agentemerged after each agent became widely used. More than ahundred such genes now spread selectively through globalnetworks of populations of bacteria in humans or animalstreated with those agents. Information to monitor andmanage this spread exists in the susceptibility test results oftens of thousands of laboratories around the world. Thecomparability of those results is uncertain, however,and their storage in paper files or in computer fileswith diverse codes and formats has made theminaccessible for analysis
  • 20. Principal goals of the software are:To enhance local useof laboratory data;and to promotenational andinternationalcollaboration throughthe exchange ofdata.
  • 21. The software consists of three sections. Section 11) Data Entry. In addition to the routine entryof susceptibility test results (disk diffusion,MIC, and/or E-test), this program permitsprinting, retrieval, and correction of clinicalrecords as well as immediate feedback on testresults. If data are converted from an existinglaboratory system, for example with BACLINK,direct entry of data into WHONET isunnecessary.
  • 22. Section 22) Data Analysis. Currently supported analyses include listingsand summaries of isolates by user-defined criteria; tabulationof the percentages of resistant, intermediate, and susceptibleisolates by species; zone diameter and MIC histograms;scatter plots of zone diameter versus zone diameter or MICversus MIC; scatter plots of zone diameter versus MIC scatterplots and the calculation of zone diameter/MIC regressioncurves; listings and summaries of isolates by resistanceprofile; and automated screening of the data for unusualisolates.
  • 23. Section 3Configuration Program. This program permitsthe user to enter and modify laboratory-specific information such as patient-careareas, antibiotics and interpretive breakpoints,language, and hardware.
  • 24. WHONET analytical tools facilitate:the understanding of the local epidemiologyTo understanding of the local epidemiology ofmicrobial populations; the selection ofantimicrobial agents;the identification of hospital and communityoutbreaks; and the recognition of qualityassurance problems in laboratory testing.
  • 25. WHONET can handle Bacteria, Fungus, Parasite WHONET can handle results from the testing of bacteria, fungi, and parasites. WHONET does not yet have Virological tests incorporated, but this is a priority area of programming in the upcoming year.
  • 26. Picks up Antibiograms and analysesThe heart of WHONETis a software packagedesigned to collect theresults of antibioticresistance tests.Researchers feed theresults into a computerand look for trends.
  • 27. Individual Microbial Infections can be analyzed at regular intervals
  • 28. Analyses the isolates by month and location (MRSA)
  • 29. Histograms can be created for Individual Microbes
  • 30. Scatterplot created for two different Antibiotic Amikacin vs. Gentamicin
  • 31. Data Created from Various countreis can be Compared and analyzed
  • 32. Emerging resistant pattern of Drug resistance can beidentified early and compared with different locations in Hospital
  • 33. All antibiotic profiles at a click
  • 34. Uses of Microbiology Data Laboratory quality improvement –Laboratory testing –Utilization of laboratory services by clinical staff Infection control and outbreak preparedness – Identification of new and problem pathogens – Identification and investigation of outbreaks
  • 35. Uses of Microbiology DataAntimicrobial policy– Trends in infections and resistance– Characterization of cross-resistance– Development of treatment guidelinesResearch– New resistance mechanisms– Risk factors for resistanceEvaluation of interventions
  • 36. With on line linking We can feed ourresults to WHO surveillance systemWith the establishment of the Division ofEmerging and other Communicable DiseasesSurveillance and Control, WHO will strengthennational and international capacity insurveillance, prevention and control ofcommunicable diseases, in particular thosethat represent new, emerging and re-emerging public health problems.
  • 37. Experience with WHONET suggestsThe WHONET experience suggests that soliddrug resistance data can be collected andanalyzed in resource-constrained settings,using core microbiology, if local laboratoriesare given appropriate support. Strengtheningthese laboratories is therefore a potentiallycost-effective contribution to both treatingdrug resistant disease and preventing itsfurther spread.
  • 38. WHO thanks the individuals globally and helps the LaboratoriesWHO is grateful to themany individuals around theworld who contributedtranslations of the software.If you would like to assistwith additional translations,please contact the WHOCollaborating Centre inBoston.
  • 39. Down load WHONET through Hyperlink below Click here to download the software and manuals
  • 40. You can back link the data you already haveMany laboratories in the world already havecomputer systems for the recording of laboratorytest results. WHONET comes with the free BacLinkdata conversion utility to facilitate the transfer ofdata from existing laboratory information systemsinto WHONET in order to avoid the need for doubledata entry. BacLink, also developed by the WHOCollaborating Centre in Boston, is included andinstalled as part of the standard WHONET package.
  • 41. Desktop softwares Laboratory systems Laboratory instruments Excel Mysis Access MIC systems MEDITECH EpiInfo Disk diffusion ADBakt readers BacLink Data conversion Data analysis WHONET
  • 42. Baclink can transfer data into WHONET from:Common commercialdatabase andspreadsheet software;commercialsusceptibility testinstruments for MICbroth micro dilution anddisk diffusion readershospital and laboratoryinformation systemsthrough text files
  • 43. WHONET connects to the World through WWWThese tools enable any microbiologylaboratory to put its test results into adatabase and conduct analyses to supportlocal infection control and antibiotic use.Laboratories can also upload files created byWHONET, to feed into national or othermulti-centre surveillance networks and toinform drug policy. Such surveillanceprograms are now in place in many countries.
  • 44. WHONET Use in the WorldAfrican Regional Office of WHO (AFRO) – Algeria, Kenya, Namibia, South Africa, Tanzania, ZambiaEastern Mediterranean Regional Office of WHO (EMRO) – Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Saudi Arabia, TunisiaEuropean Regional Office of WHO (EURO) – Austria, Belgium, Bulgaria, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Greece, Iceland, Ireland, Israel, Italy, Latvia, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Russia, Slovakia, Slovenia, Spain, Sweden, Ukraine, United KingdomPan-American Health Organization (PAHO) – Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Panama, Paraguay, Peru, United States, Uruguay, VenezuelaSouth-East Asian Regional Office of WHO (SEARO) – India, Indonesia, Sri Lanka, ThailandWestern Pacific Regional Office of WHO (WPRO) – China, Hong Kong (China), Japan, Republic of Korea, Malaysia, Philippines, Singapore, Taiwan, Viet Nam
  • 45. Reducing the Antimicrobial resitance is agreat contribution to Medical ProfessionThe WHONET experience suggests that solid drugresistance data can be collected and analyzed inresource-constrained settings, using coremicrobiology, if local laboratories are givenappropriate support. Strengthening theselaboratories is therefore a potentially cost-effectivecontribution to both treating drug resistant diseaseand preventing its further spread.
  • 46. Long Term Goals of WHONET usageThe long term goals of these activities are tostrengthen the capacities of WHO member countriesto detect and contain the emergence of major multi-drug resistant bacteria and to improvestandardization of interpretation of antibioticresistance data throughout the world. This in turnwill be supportive to all those involved inantimicrobial drug research and development and forWHO to advocate for it.
  • 47. World Antibiotic Resistance NetworkWHO has also startedanother program,WARN (the WorldAntibiotic ResistanceNetwork), to helpgather and analyze thedata generated by thefolks who useWHONET.
  • 48. WHONET serves Major challenges in Drug ResistanceCreate Laboratory facilities for accuratediagnosis and susceptibility testingDisseminate information on local and regionalprevalence of resistanceEstablish antibiotic policies, treatmentguidelines, and infection control policies, withmechanisms for feedback and review.
  • 49. Wish to Orient and Install WHONET in your Laboratory Contact Dr.T.V.Rao MD Email doctortvrao@gmail.com Mob 09742140985

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