Incorporating Telementorship Into Laboratory Capacity Building Initiatives for Improved AMR Surveillance in Ethiopia
Background: In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched the Ethiopia AMR Surveillance Network at 4 sentinel laboratories. Simultaneously, laboratory capacity building was initiated to ensure the rep...
Saved in:
Published in | Infection control and hospital epidemiology Vol. 41; no. S1; pp. s41 - s42 |
---|---|
Main Authors | , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Cambridge
Cambridge University Press
01.10.2020
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Background:
In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched the Ethiopia AMR Surveillance Network at 4 sentinel laboratories. Simultaneously, laboratory capacity building was initiated to ensure the reporting of quality laboratory data to the surveillance system. One initiative, Project ECHO (Extension for Community Healthcare Outcomes) was used to virtually connect subject matter experts with participating laboratories in remote settings to provide ongoing education and telementoring and to foster peer-to-peer learning and problem solving in microbiology. The 10-month project was supported by the Centers for Disease Control and Prevention (CDC) and the American Society for Microbiology (ASM).
Methods:
Biweekly 1-hour sessions were held by ASM for 2 sentinel sites, Tikur Anbessa Specialized Hospital and the EPHI Clinical Microbiology and Mycology Laboratory, using a videoconferencing platform. Each virtual session consisted of a didactic session, a case presentation by a participating laboratory, open discussion and feedback. Case presentations focused on technical challenges and problems encountered in the preanalytical, analytical, and postanalytical phases of microbiology testing. Experts from CDC and ASM provided feedback along with a summation of key learning objectives. Sessions were recorded and post session reports were shared with participants. To assess participants’ baseline knowledge, a comprehensive pretest was administered prior to the first session. The same instrument was administered as a posttest 2 weeks after the final session. Unstructured interviews were also conducted to assess participants’ perceptions of the value of ECHO to their work.
Results:
Mean pretest scores were 69.25% and the posttest scores were 71.04%, a difference of 1.79% (
P
= NS). Participant interviews revealed perceived benefits of ECHO participation to include enhanced critical thinking and problem resolution in microbiology, increased communication and improved working relationships between participating sites, and improved understanding and application of CLSI standards. As a result of Ethiopia’s participation in Project ECHO, 23 case presentations have been added to ECHO Box, a resource bank and web portal, which allows members of the ECHO community to share and access didactics, documents, and learning materials.
Conclusions:
Despite minimal difference between pretest and posttest scores, the Project ECHO experience of virtual case-based learning and collaborative problem solving has encouraged critical thinking, peer-to-peer learning, networking among participants, and has provided microbiologists with the resources for improved bacterial isolation, identification, and antibiotic susceptibility testing. The lessons learned could be applied as this project is expanded to additional laboratories in the AMR Surveillance Network.
Funding:
None
Disclosures:
None |
---|---|
AbstractList | Background: In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched the Ethiopia AMR Surveillance Network at 4 sentinel laboratories. Simultaneously, laboratory capacity building was initiated to ensure the reporting of quality laboratory data to the surveillance system. One initiative, Project ECHO (Extension for Community Healthcare Outcomes) was used to virtually connect subject matter experts with participating laboratories in remote settings to provide ongoing education and telementoring and to foster peer-to-peer learning and problem solving in microbiology. The 10-month project was supported by the Centers for Disease Control and Prevention (CDC) and the American Society for Microbiology (ASM).Methods: Biweekly 1-hour sessions were held by ASM for 2 sentinel sites, Tikur Anbessa Specialized Hospital and the EPHI Clinical Microbiology and Mycology Laboratory, using a videoconferencing platform. Each virtual session consisted of a didactic session, a case presentation by a participating laboratory, open discussion and feedback. Case presentations focused on technical challenges and problems encountered in the preanalytical, analytical, and postanalytical phases of microbiology testing. Experts from CDC and ASM provided feedback along with a summation of key learning objectives. Sessions were recorded and post session reports were shared with participants. To assess participants’ baseline knowledge, a comprehensive pretest was administered prior to the first session. The same instrument was administered as a posttest 2 weeks after the final session. Unstructured interviews were also conducted to assess participants’ perceptions of the value of ECHO to their work. Results: Mean pretest scores were 69.25% and the posttest scores were 71.04%, a difference of 1.79% (P = NS). Participant interviews revealed perceived benefits of ECHO participation to include enhanced critical thinking and problem resolution in microbiology, increased communication and improved working relationships between participating sites, and improved understanding and application of CLSI standards. As a result of Ethiopia’s participation in Project ECHO, 23 case presentations have been added to ECHO Box, a resource bank and web portal, which allows members of the ECHO community to share and access didactics, documents, and learning materials. Conclusions: Despite minimal difference between pretest and posttest scores, the Project ECHO experience of virtual case-based learning and collaborative problem solving has encouraged critical thinking, peer-to-peer learning, networking among participants, and has provided microbiologists with the resources for improved bacterial isolation, identification, and antibiotic susceptibility testing. The lessons learned could be applied as this project is expanded to additional laboratories in the AMR Surveillance Network.Funding: NoneDisclosures: None Background: In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched the Ethiopia AMR Surveillance Network at 4 sentinel laboratories. Simultaneously, laboratory capacity building was initiated to ensure the reporting of quality laboratory data to the surveillance system. One initiative, Project ECHO (Extension for Community Healthcare Outcomes) was used to virtually connect subject matter experts with participating laboratories in remote settings to provide ongoing education and telementoring and to foster peer-to-peer learning and problem solving in microbiology. The 10-month project was supported by the Centers for Disease Control and Prevention (CDC) and the American Society for Microbiology (ASM). Methods: Biweekly 1-hour sessions were held by ASM for 2 sentinel sites, Tikur Anbessa Specialized Hospital and the EPHI Clinical Microbiology and Mycology Laboratory, using a videoconferencing platform. Each virtual session consisted of a didactic session, a case presentation by a participating laboratory, open discussion and feedback. Case presentations focused on technical challenges and problems encountered in the preanalytical, analytical, and postanalytical phases of microbiology testing. Experts from CDC and ASM provided feedback along with a summation of key learning objectives. Sessions were recorded and post session reports were shared with participants. To assess participants’ baseline knowledge, a comprehensive pretest was administered prior to the first session. The same instrument was administered as a posttest 2 weeks after the final session. Unstructured interviews were also conducted to assess participants’ perceptions of the value of ECHO to their work. Results: Mean pretest scores were 69.25% and the posttest scores were 71.04%, a difference of 1.79% ( P = NS). Participant interviews revealed perceived benefits of ECHO participation to include enhanced critical thinking and problem resolution in microbiology, increased communication and improved working relationships between participating sites, and improved understanding and application of CLSI standards. As a result of Ethiopia’s participation in Project ECHO, 23 case presentations have been added to ECHO Box, a resource bank and web portal, which allows members of the ECHO community to share and access didactics, documents, and learning materials. Conclusions: Despite minimal difference between pretest and posttest scores, the Project ECHO experience of virtual case-based learning and collaborative problem solving has encouraged critical thinking, peer-to-peer learning, networking among participants, and has provided microbiologists with the resources for improved bacterial isolation, identification, and antibiotic susceptibility testing. The lessons learned could be applied as this project is expanded to additional laboratories in the AMR Surveillance Network. Funding: None Disclosures: None |
Author | Alebachew, Gebrie Abubeker, Rajiha Assefa, Dawit Dinku, Surafel Fentaw Omondi, Michael Abdeta, Abera Teshale, Amete Kanter, Theresa Tsige, Estifanos Urrego, Maritza VanderEnde, Daniel Mitiku, Mequanit Evans, Martin Adem, Thuria Berhanu, Amare Parsons, Michele Hazim, Carmen |
Author_xml | – sequence: 1 givenname: Martin surname: Evans fullname: Evans, Martin – sequence: 2 givenname: Rajiha surname: Abubeker fullname: Abubeker, Rajiha – sequence: 3 givenname: Surafel Fentaw surname: Dinku fullname: Dinku, Surafel Fentaw – sequence: 4 givenname: Thuria surname: Adem fullname: Adem, Thuria – sequence: 5 givenname: Abera surname: Abdeta fullname: Abdeta, Abera – sequence: 6 givenname: Amete surname: Teshale fullname: Teshale, Amete – sequence: 7 givenname: Dawit surname: Assefa fullname: Assefa, Dawit – sequence: 8 givenname: Gebrie surname: Alebachew fullname: Alebachew, Gebrie – sequence: 9 givenname: Mequanit surname: Mitiku fullname: Mitiku, Mequanit – sequence: 10 givenname: Estifanos surname: Tsige fullname: Tsige, Estifanos – sequence: 11 givenname: Maritza surname: Urrego fullname: Urrego, Maritza – sequence: 12 givenname: Amare surname: Berhanu fullname: Berhanu, Amare – sequence: 13 givenname: Carmen surname: Hazim fullname: Hazim, Carmen – sequence: 14 givenname: Daniel surname: VanderEnde fullname: VanderEnde, Daniel – sequence: 15 givenname: Theresa surname: Kanter fullname: Kanter, Theresa – sequence: 16 givenname: Michele surname: Parsons fullname: Parsons, Michele – sequence: 17 givenname: Michael surname: Omondi fullname: Omondi, Michael |
BookMark | eNotkF1LwzAUhoNMcE7v_AEBb-3MR9Mml3NMLUwEneBdyZJTl9ElNW0H-_e2zKtz4Lwfh-caTXzwgNAdJXNKaP7oDMwZYWQuGL9AUyqESjLJ0wmaEqlUIhn_vkLXbbsnhORK0SnqCm9CbELUnfM_eAM1HMB3IbY71-Bi2PBab8dziCe81I02rjvhp97VdjQU3nVu8B6hxVWIuDg0MRzB4sXbB_7s4xFcXWtvADuPV93OhcbpG3RZ6bqF2_85Q1_Pq83yNVm_vxTLxToxlHCeMEGpFBRyTVhuwarUWrEFngvQjMpcblMiDcsMEZApSqS1RlbSZlZobiHlM3R_zh1--u2h7cp96KMfKksm1QBGcCUG1cNZZWJo2whV2UR30PFUUlKOXMuBazlyLQeu_A9KbW65 |
ContentType | Journal Article |
Copyright | 2020 by The Society for Healthcare Epidemiology of America. All rights reserved. |
Copyright_xml | – notice: 2020 by The Society for Healthcare Epidemiology of America. All rights reserved. |
DBID | AAYXX CITATION 3V. 7RV 7X7 7XB 88C 88E 8AO 8C1 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU FYUFA GHDGH K9- K9. KB0 M0R M0S M0T M1P NAPCQ PQEST PQQKQ PQUKI S0X |
DOI | 10.1017/ice.2020.523 |
DatabaseName | CrossRef ProQuest Central (Corporate) ProQuest Nursing and Allied Health Journals Health & Medical Collection ProQuest Central (purchase pre-March 2016) Healthcare Administration Database (Alumni) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College Health Research Premium Collection Health Research Premium Collection (Alumni) Consumer Health Database (Alumni Edition) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Consumer Health Database Health & Medical Collection (Alumni Edition) Healthcare Administration Database Medical Database Nursing & Allied Health Premium ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition SIRS Editorial |
DatabaseTitle | CrossRef ProQuest Central Essentials SIRS Editorial ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Pharma Collection ProQuest Family Health (Alumni Edition) ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Medical Library (Alumni) ProQuest Public Health ProQuest Family Health ProQuest One Academic Eastern Edition ProQuest Health Management ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Health Management (Alumni Edition) ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) |
DatabaseTitleList | ProQuest Central Essentials CrossRef |
Database_xml | – sequence: 1 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Public Health |
EISSN | 1559-6834 |
EndPage | s42 |
ExternalDocumentID | 10_1017_ice_2020_523 |
Genre | Conference Proceeding |
GeographicLocations | Ethiopia |
GeographicLocations_xml | – name: Ethiopia |
GroupedDBID | --- ..I .55 .GJ .XZ 0-6 09C 09E 0R~ 1Z5 2KS 354 4.4 53G 5GY 5RE 6PF 7RV 7X7 88E 8AO 8C1 8F7 8FI 8FJ AAAZR AABES AABWE AACGO AACJH AAGFV AAIKC AAKTX AAMNW AARAB AASVR AAUKB AAWTL AAYXX ABBXD ABJNI ABLJU ABOCM ABPLY ABQTM ABROB ABUWG ABVZP ABWCF ABXAU ABZCX ACBMC ACCJX ACETC ACGFO ACGFS ACUIJ ACYZP ACZBM ACZUX ADAZD ADDNB ADFEC ADIMB ADKIL ADOVH ADOVT ADVJH AEBAK AEHGV AENCP AENEX AENGE AEUPB AEXZC AEYHU AEYYC AFFNX AFFUJ AFKQG AFKRA AFLOS AFLVW AGABE AGJUD AGLWM AHJTV AHMBA AHQXX AHRGI AIAGR AIGNW AIHIV AIOIP AISIE AJCYY AJPFC AJQAS AKZCZ ALIPV ALMA_UNASSIGNED_HOLDINGS ANPSP AQJOH ARZZG AS~ ATUCA AUXHV AYIQA AZGZS AZQEC BBLKV BCGOX BEEDS BENPR BESQT BJBOZ BLZWO BMAJL BRIRG C45 CBIIA CCPQU CCQAD CCUQV CFAFE CFBFF CGQII CHEAL CITATION CJCSC CS3 CTKSN DCCCD DOHLZ DOOOF E3Z EBS EGQIC EJD EX3 F5P FYUFA HMCUK HQ3 HTVGU HZ~ H~W IH2 IH6 IOEEP IOO IS6 J5H JHPGK JLS JQKCU JSG JST JVRFK K9- KAFGG KCGVB KFECR KOO LHUNA LW7 M0R M0T M1P N9A NAPCQ NIKVX NZEOI OMK ONOOK OVD P2P PQQKQ PSQYO RCA ROL RWL S6U SAAAG SJN SY4 T9M TAE TEORI UCV UKHRP USG UT1 VVN WFFJZ WOW X7M ZDLDU ZE2 ZGI ZJOSE ZMEZD ZYDXJ ~A~ 3V. 7XB 8FK K9. PQEST PQUKI S0X |
ID | FETCH-LOGICAL-c1033-2511851e7a027ded94dd5be375ea21878b408c26c05e69108ddc8f8d6d5a3de43 |
IEDL.DBID | BENPR |
ISSN | 0899-823X |
IngestDate | Thu Oct 10 20:58:48 EDT 2024 Thu Sep 26 16:24:41 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | S1 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c1033-2511851e7a027ded94dd5be375ea21878b408c26c05e69108ddc8f8d6d5a3de43 |
OpenAccessLink | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/77B62D367B9BA41F71A323A9312F8381/S0899823X20005231a.pdf/div-class-title-incorporating-telementorship-into-laboratory-capacity-building-initiatives-for-improved-amr-surveillance-in-ethiopia-div.pdf |
PQID | 2898345395 |
PQPubID | 36628 |
ParticipantIDs | proquest_journals_2898345395 crossref_primary_10_1017_ice_2020_523 |
PublicationCentury | 2000 |
PublicationDate | 2020-10-00 20201001 |
PublicationDateYYYYMMDD | 2020-10-01 |
PublicationDate_xml | – month: 10 year: 2020 text: 2020-10-00 |
PublicationDecade | 2020 |
PublicationPlace | Cambridge |
PublicationPlace_xml | – name: Cambridge |
PublicationTitle | Infection control and hospital epidemiology |
PublicationYear | 2020 |
Publisher | Cambridge University Press |
Publisher_xml | – name: Cambridge University Press |
SSID | ssj0007991 |
Score | 2.3629146 |
Snippet | Background:
In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched... Background: In July 2017, recognizing the threat that antimicrobial resistance poses to the population, the Ethiopian Public Health Institute (EPHI) launched... |
SourceID | proquest crossref |
SourceType | Aggregation Database |
StartPage | s41 |
SubjectTerms | Antibiotics Capacity development Critical thinking Disease control Health surveillance Medical laboratories Microbiology Mycology Problem solving Public health Surveillance |
Title | Incorporating Telementorship Into Laboratory Capacity Building Initiatives for Improved AMR Surveillance in Ethiopia |
URI | https://www.proquest.com/docview/2898345395 |
Volume | 41 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1NT8JAEN0IXEyM8TOiSPagx2o_dun2ZIBIwCgxCElvTbuzJL20CMXEf-9sd9Fw8dK0adPDzHbezOzrPELugpArL2CZoxCu9C85whEQ-XiZpn4oOWOGbTHtjRfsJeaxbbhtLK1yFxPrQA2l1D3yRywMRMB4EPGn1aejVaP07qqV0GiQlu8xvU3bGjxP32e_sTiMjGYeVhWO8IPYUt_10Gg9sgcrf_eB-8E-KO3H5BpoRifk2GaItG9cekoOVHFGjkx7jZq_hs5JNdHzJ-sZxIg9dK4MC7ysScl0gmf01bi3XH_TISKixHSbDqwINj6RV3k983tDMW2lpreggPbfZvRju_5SWo0IFwTNC6o58eUqTy_IYvQ8H44dK6DgSK_WaNPlA_fQ7lh8goKIAfBMaf-kCO2hyJgrpN-TLlc9zBsEgBRLAT3gaQCKBZekWZSFuiJUMrnUgncSIsUQVzPlSQA3SzNg0ndVm9zvLJiszJyMxBDIwgQtnWhLJ2jpNunszJvYr2WT_Pn2-v_bN-RQv8iQ6TqkWa236haTgirrkkYYh3gUQ69rV8EPmui6pQ |
link.rule.ids | 315,786,790,12083,12250,21416,27955,27956,31752,33299,33777,43343,43612,43838,74100,74369,74657 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV09T8MwELWgDCAhxKcoFPAAYyCN7cSZUKmoWmg7QCt1sxKfK2VJSpsi8e85x6lQF7ZEiTLc2X53l3f3CLlnkTBtxlPPIFzZlhzpSYgDvE2SINKCc8e2GIf9KX-biVldcFvVtMrNmVgd1FBoWyN_wsRAMi5YLJ4XX55VjbJ_V2sJjV2yxxlite0U7_5RPKLYKeZhTuHJgM1q4rsdGW0H9mDe7z-KgG1D0vaJXMFM75gc1fEh7TiHnpAdk5-SQ1dco65n6IyUAzt9sppAjMhDJ8ZxwIuKkkwHeEWHzrnF8od2EQ81Btv0pZbAxjeyMqsmfq8oBq3UVRYM0M7og36ul9_GahHhcqBZTi0jvlhkyTmZ9l4n3b5Xyyd4ul0ptNnkQbTR6ph6goGYA4jUWO8kCOyRTLkvdRBqX5gQowYJoOVcQggiYWA4uyCNvMjNJaGa67mVu9MQG46ompq2BvDTJAWuA980ycPGgmrhpmQoRx-LFFpaWUsrtHSTtDbmVfVeWak_z179__iO7Pcno6EaDsbv1-TAftTR6lqkUS7X5gbDgzK9rdbAL1wKukM |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3PS8MwFA46QQQRf-J0ag56rGubpE1PMqdj0zlEN9gttEkGvbRz6wT_e1-ajOHFW0tLD--9vO-99Mv7ELolMdMBoZmnAa7MkRzucZWEcJumYSwZpZZtMYr6E_oyZVPHf1o6WuU6J9aJWpXS7JG3oTHghDKSsPbM0SLen3oP8y_PKEiZP61OTmMb7QAqRibCeXdD94gTq54H_YXHQzJ1JHgzPtoM7wmhbLpnIfkLT3-zcw05vUN04GpF3LHOPUJbujhG-3ajDdvzQyeoGphJlPU0YkAhPNaWD17W9GQ8gCs8tI4uFz-4C9goofDGj04OG97Iq7ye_r3EUMBiu8ugFe68feDP1eJbG10iCA2cF9iw48t5np6iSe953O17TkrBk0Gt1mYaCRaAB6ANVVolVCmWaeOpFEA-5hn1uQwj6TMdQQXBlZJ8xlWkWEqUpuQMNYqy0OcISypnRvpOqkRTQNhMB1IpP0szRWXo6ya6W1tQzO3EDGGpZLEASwtjaQGWbqLW2rzCrZul2Hj54v_HN2gX3C-Gg9HrJdoz37QMuxZqVIuVvoJKocqu6xD4BdWwvoE |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Incorporating+Telementorship+Into+Laboratory+Capacity+Building+Initiatives+for+Improved+AMR+Surveillance+in+Ethiopia&rft.jtitle=Infection+control+and+hospital+epidemiology&rft.au=Evans%2C+Martin&rft.au=Abubeker%2C+Rajiha&rft.au=Dinku%2C+Surafel+Fentaw&rft.au=Adem%2C+Thuria&rft.date=2020-10-01&rft.issn=0899-823X&rft.eissn=1559-6834&rft.volume=41&rft.issue=S1&rft.spage=s41&rft.epage=s42&rft_id=info:doi/10.1017%2Fice.2020.523&rft.externalDBID=n%2Fa&rft.externalDocID=10_1017_ice_2020_523 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0899-823X&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0899-823X&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0899-823X&client=summon |