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Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya

Genomic surveillance is vital for detecting outbreaks and understanding the epidemiology and transmission of bacterial strains, yet it is not integrated into many national antimicrobial resistance (AMR) surveillance programmes. Key factors are that few scientists in the public health sector are trai...

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Autores principales: Kigen, Collins, Muraya, Angela, Kyanya, Cecilia, Kingwara, Leonard, Mmboyi, Onesmus, Hamm, Tiffany, Musila, Lillian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Microbiology Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483422/
https://www.ncbi.nlm.nih.gov/pubmed/37646415
http://dx.doi.org/10.1099/mgen.0.001098
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author Kigen, Collins
Muraya, Angela
Kyanya, Cecilia
Kingwara, Leonard
Mmboyi, Onesmus
Hamm, Tiffany
Musila, Lillian
author_facet Kigen, Collins
Muraya, Angela
Kyanya, Cecilia
Kingwara, Leonard
Mmboyi, Onesmus
Hamm, Tiffany
Musila, Lillian
author_sort Kigen, Collins
collection PubMed
description Genomic surveillance is vital for detecting outbreaks and understanding the epidemiology and transmission of bacterial strains, yet it is not integrated into many national antimicrobial resistance (AMR) surveillance programmes. Key factors are that few scientists in the public health sector are trained in bacterial genomics, and the diverse sequencing platforms and bioinformatic tools make it challenging to generate reproducible outputs. In Kenya, these gaps were addressed by training public health scientists to conduct genomic surveillance on isolates from the national AMR surveillance repository and produce harmonized reports. The 2-week training combined theory and laboratory and bioinformatic experiences with Klebsiella pneumoniae isolates from the surveillance repository. Whole-genome sequences generated on Illumina and Nanopore sequencers were analysed using publicly available bioinformatic tools, and a harmonized report was generated using the HAMRonization tool. Pre- and post-training tests and self-assessments were used to assess the effectiveness of the training. Thirteen scientists were trained and generated data on the K. pneumoniae isolates, summarizing the AMR genes present consistently with the reported phenotypes and identifying the plasmid replicons that could transmit antibiotic resistance. Ninety per cent of the participants demonstrated an overall improvement in their post-training test scores, with an average increase of 14 %. Critical challenges were experienced in delayed delivery of equipment and supplies, power fluctuations and internet connections that were inadequate for bioinformatic analysis. Despite this, the training built the knowledge and skills to implement bacterial genomic surveillance. More advanced and immersive training experiences and building supporting infrastructure would solidify these gains to produce tangible public health outcomes.
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spelling pubmed-104834222023-09-08 Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya Kigen, Collins Muraya, Angela Kyanya, Cecilia Kingwara, Leonard Mmboyi, Onesmus Hamm, Tiffany Musila, Lillian Microb Genom Methods Genomic surveillance is vital for detecting outbreaks and understanding the epidemiology and transmission of bacterial strains, yet it is not integrated into many national antimicrobial resistance (AMR) surveillance programmes. Key factors are that few scientists in the public health sector are trained in bacterial genomics, and the diverse sequencing platforms and bioinformatic tools make it challenging to generate reproducible outputs. In Kenya, these gaps were addressed by training public health scientists to conduct genomic surveillance on isolates from the national AMR surveillance repository and produce harmonized reports. The 2-week training combined theory and laboratory and bioinformatic experiences with Klebsiella pneumoniae isolates from the surveillance repository. Whole-genome sequences generated on Illumina and Nanopore sequencers were analysed using publicly available bioinformatic tools, and a harmonized report was generated using the HAMRonization tool. Pre- and post-training tests and self-assessments were used to assess the effectiveness of the training. Thirteen scientists were trained and generated data on the K. pneumoniae isolates, summarizing the AMR genes present consistently with the reported phenotypes and identifying the plasmid replicons that could transmit antibiotic resistance. Ninety per cent of the participants demonstrated an overall improvement in their post-training test scores, with an average increase of 14 %. Critical challenges were experienced in delayed delivery of equipment and supplies, power fluctuations and internet connections that were inadequate for bioinformatic analysis. Despite this, the training built the knowledge and skills to implement bacterial genomic surveillance. More advanced and immersive training experiences and building supporting infrastructure would solidify these gains to produce tangible public health outcomes. Microbiology Society 2023-08-30 /pmc/articles/PMC10483422/ /pubmed/37646415 http://dx.doi.org/10.1099/mgen.0.001098 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License.
spellingShingle Methods
Kigen, Collins
Muraya, Angela
Kyanya, Cecilia
Kingwara, Leonard
Mmboyi, Onesmus
Hamm, Tiffany
Musila, Lillian
Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title_full Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title_fullStr Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title_full_unstemmed Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title_short Enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in Kenya
title_sort enhancing capacity for national genomics surveillance of antimicrobial resistance in public health laboratories in kenya
topic Methods
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483422/
https://www.ncbi.nlm.nih.gov/pubmed/37646415
http://dx.doi.org/10.1099/mgen.0.001098
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