Japan Nosocomial Infections Surveillance (JANIS): Current Status, International Collaboration, and Future Directions for a Comprehensive Antimicrobial Resistance Surveillance System

Japan Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in the world. The JANIS Clinical Laboratory division collects comprehensive specimen-based data from diagnostic microbiology laboratories of participating hospitals to...

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Published inJapanese Journal of Infectious Diseases Vol. 74; no. 2; pp. 87 - 96
Main Authors Kajihara, Toshiki, Yahara, Koji, Hirabayashi, Aki, Shibayama, Keigo, Sugai, Motoyuki
Format Journal Article
LanguageEnglish
Published Japan National Institute of Infectious Diseases, Japanese Journal of Infectious Diseases Editorial Committee 31.03.2021
Japan Science and Technology Agency
Subjects
Antimicrobial agents
Antimicrobial resistance
Bacteria
Drug resistance
International cooperation
JANIS
Laboratories
Microbiology
Nosocomial infection
Nosocomial infections
Surveillance
Surveillance systems
Webs
Japan
JANIS
database
surveillance
antimicrobial resistance
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Abstract Japan Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in the world. The JANIS Clinical Laboratory division collects comprehensive specimen-based data from diagnostic microbiology laboratories of participating hospitals to monitor the isolation rate of 11 major bacteria and specific AMR bacteria, and creates antibiograms of approximately 20 bacterial species. Data on the JANIS web database system are also annually tabulated and shared with the WHO Global Antimicrobial Resistance Surveillance System. To create a network of international AMR surveillance systems among Asian countries, Japan is developing an international web database system named ASIan Antimicrobial Resistance Surveillance Network (ASIARS-Net) based on the JANIS system; ASIARS-Net is an open-source database and confidentially available at almost no cost. JANIS continues to evolve in multiple directions; some are discussed at the end of this review.
AbstractList Japan Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in the world. The JANIS Clinical Laboratory division collects comprehensive specimen-based data from diagnostic microbiology laboratories of participating hospitals to monitor the isolation rate of 11 major bacteria and specific AMR bacteria, and creates antibiograms of approximately 20 bacterial species. Data on the JANIS web database system are also annually tabulated and shared with the WHO Global Antimicrobial Resistance Surveillance System. To create a network of international AMR surveillance systems among Asian countries, Japan is developing an international web database system named ASIan Antimicrobial Resistance Surveillance Network (ASIARS-Net) based on the JANIS system; ASIARS-Net is an open-source database and confidentially available at almost no cost. JANIS continues to evolve in multiple directions; some are discussed at the end of this review.
Japan Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in the world. The JANIS Clinical Laboratory division collects comprehensive specimen-based data from diagnostic microbiology laboratories of participating hospitals to monitor the isolation rate of 11 major bacteria and specific AMR bacteria, and creates antibiograms of approximately 20 bacterial species. Data on the JANIS web database system are also annually tabulated and shared with the WHO Global Antimicrobial Resistance Surveillance System. To create a network of international AMR surveillance systems among Asian countries, Japan is developing an international web database system named ASIan Antimicrobial Resistance Surveillance Network (ASIARS-Net) based on the JANIS system; ASIARS-Net is an open-source database and confidentially available at almost no cost. JANIS continues to evolve in multiple directions; some are discussed at the end of this review.Japan Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in the world. The JANIS Clinical Laboratory division collects comprehensive specimen-based data from diagnostic microbiology laboratories of participating hospitals to monitor the isolation rate of 11 major bacteria and specific AMR bacteria, and creates antibiograms of approximately 20 bacterial species. Data on the JANIS web database system are also annually tabulated and shared with the WHO Global Antimicrobial Resistance Surveillance System. To create a network of international AMR surveillance systems among Asian countries, Japan is developing an international web database system named ASIan Antimicrobial Resistance Surveillance Network (ASIARS-Net) based on the JANIS system; ASIARS-Net is an open-source database and confidentially available at almost no cost. JANIS continues to evolve in multiple directions; some are discussed at the end of this review.
Author Shibayama, Keigo
Kajihara, Toshiki
Yahara, Koji
Hirabayashi, Aki
Sugai, Motoyuki
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  fullname: Sugai, Motoyuki
  organization: Antimicrobial Resistance Research Center, National Institute of Infectious Diseases, Japan
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References 2. The Government of Japan. National Action Plan on Antimicrobial Resistance (AMR) 2016–2020. 2016. Available at <https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/0000138942.pdf>. Accessed January 20, 2021.
11. Kalil AC, Metersky ML, Klompas M, et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016;63:e61-e111.
1. World Health Organization (WHO). Global Action Plan on Antimicrobial Resistance. 2015. Abailable at <https://www.who.int/publications/i/item/global-action-plan-on-antimicrobial-resistance>. Accessed January 20, 2021.
3. Tsutsui A, Suzuki S. Japan nosocomial infections surveillance (JANIS): a model of sustainable national antimicrobial resistance surveillance based on hospital diagnostic microbiology laboratories. BMC Health Serv Res. 2018;18:799.
15. Schnall J, Rajkhowa A, Ikuta K, et al. Surveillance and monitoring of antimicrobial resistance: limitations and lessons from the GRAM project. BMC Med. 2019;17:176.
6. WHO. Global Antimicrobial Resistance Surveillance System (GLASS) report. Early implementation 2016–2017. 2018. Available at <https://www.who.int/glass/resources/publications/early-implementation-report/en/>. Accessed January 21, 2021.
10. Japanese Nosocomial Infections Surveillance. Annual open report of outpatient data in 2018. Available at <https://janis.mhlw.go.jp/report/open_report/2018/3/1/ken_Open_Report_201800_Outpatient.pdf>. Accessed June 12, 2020. Japanese.
14. Tsuzuki S, Matsunaga N, Yahara K, et al. National trend of blood-stream infection attributable deaths caused by Staphylococcus aureus and Escherichia coli in Japan. J Infect Chemother. 2020;26:367-71.
8. Sugai M. AMR surveillance in the world and in Japan, and the future of JANIS. J Jpn Soc Int Med. 2019;108:1799-806. Japanese.
7. Kajihara T, Yahara K, Stelling J, et al. Comparison of de-duplication methods used by WHO Global Antimicrobial Resistance Surveillance System (GLASS) and Japan Nosocomial Infections Surveillance (JANIS) in the surveillance of antimicrobial resistance. PLoS One. 2020; 15: e0228234.
5. European Centre for Desease Prevention and Control. Surveillance of antimicrobial resistance in Europe 2017. 2018. Available at <https://www.ecdc.europa.eu/en/publications-data/surveillance-antimicrobial-resistance-europe-2017>. Accessed January 20, 2021.
13. Hirabayashi A, Yahara K, Kajihara T, et al. Geographical distribution of Enterobacterales with a carbapenemase IMP-6 phenotype and its association with antimicrobial use: an analysis using comprehensive national surveillance data on antimicrobial resistance. PLoS One. 2020; 15: e0243630.
12. Tsutsui A, Yahara K, Clark A, et al. Automated detection of outbreaks of antimicrobial-resistant bacteria in Japan. J Hosp Infect. 2019;102:226-33.
9. Stelling JM, O’Brien TF. Surveillance of antimicrobial resistance: the WHONET program. Clin Infect Dis. 1997;24 Suppl 1:S157-68.
4. WHO. Global Antimicrobial Resistance Surveillance System (GLASS). Guide to preparing aggregated antimicrobial resistance data files. 2016. Available at <https://www.who.int/glass/resources/publications/preparing-amr-data-guide/en/>. Accessed January 20, 2021.
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References_xml – reference: 12. Tsutsui A, Yahara K, Clark A, et al. Automated detection of outbreaks of antimicrobial-resistant bacteria in Japan. J Hosp Infect. 2019;102:226-33.
– reference: 14. Tsuzuki S, Matsunaga N, Yahara K, et al. National trend of blood-stream infection attributable deaths caused by Staphylococcus aureus and Escherichia coli in Japan. J Infect Chemother. 2020;26:367-71.
– reference: 9. Stelling JM, O’Brien TF. Surveillance of antimicrobial resistance: the WHONET program. Clin Infect Dis. 1997;24 Suppl 1:S157-68.
– reference: 7. Kajihara T, Yahara K, Stelling J, et al. Comparison of de-duplication methods used by WHO Global Antimicrobial Resistance Surveillance System (GLASS) and Japan Nosocomial Infections Surveillance (JANIS) in the surveillance of antimicrobial resistance. PLoS One. 2020; 15: e0228234.
– reference: 10. Japanese Nosocomial Infections Surveillance. Annual open report of outpatient data in 2018. Available at <https://janis.mhlw.go.jp/report/open_report/2018/3/1/ken_Open_Report_201800_Outpatient.pdf>. Accessed June 12, 2020. Japanese.
– reference: 8. Sugai M. AMR surveillance in the world and in Japan, and the future of JANIS. J Jpn Soc Int Med. 2019;108:1799-806. Japanese.
– reference: 6. WHO. Global Antimicrobial Resistance Surveillance System (GLASS) report. Early implementation 2016–2017. 2018. Available at <https://www.who.int/glass/resources/publications/early-implementation-report/en/>. Accessed January 21, 2021.
– reference: 4. WHO. Global Antimicrobial Resistance Surveillance System (GLASS). Guide to preparing aggregated antimicrobial resistance data files. 2016. Available at <https://www.who.int/glass/resources/publications/preparing-amr-data-guide/en/>. Accessed January 20, 2021.
– reference: 11. Kalil AC, Metersky ML, Klompas M, et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016;63:e61-e111.
– reference: 5. European Centre for Desease Prevention and Control. Surveillance of antimicrobial resistance in Europe 2017. 2018. Available at <https://www.ecdc.europa.eu/en/publications-data/surveillance-antimicrobial-resistance-europe-2017>. Accessed January 20, 2021.
– reference: 3. Tsutsui A, Suzuki S. Japan nosocomial infections surveillance (JANIS): a model of sustainable national antimicrobial resistance surveillance based on hospital diagnostic microbiology laboratories. BMC Health Serv Res. 2018;18:799.
– reference: 2. The Government of Japan. National Action Plan on Antimicrobial Resistance (AMR) 2016–2020. 2016. Available at <https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/0000138942.pdf>. Accessed January 20, 2021.
– reference: 1. World Health Organization (WHO). Global Action Plan on Antimicrobial Resistance. 2015. Abailable at <https://www.who.int/publications/i/item/global-action-plan-on-antimicrobial-resistance>. Accessed January 20, 2021.
– reference: 13. Hirabayashi A, Yahara K, Kajihara T, et al. Geographical distribution of Enterobacterales with a carbapenemase IMP-6 phenotype and its association with antimicrobial use: an analysis using comprehensive national surveillance data on antimicrobial resistance. PLoS One. 2020; 15: e0243630.
– reference: 15. Schnall J, Rajkhowa A, Ikuta K, et al. Surveillance and monitoring of antimicrobial resistance: limitations and lessons from the GRAM project. BMC Med. 2019;17:176.
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SubjectTerms Antimicrobial agents
Antimicrobial resistance
Bacteria
Drug resistance
International cooperation
JANIS
Laboratories
Microbiology
Nosocomial infection
Nosocomial infections
Surveillance
Surveillance systems
Webs
Title Japan Nosocomial Infections Surveillance (JANIS): Current Status, International Collaboration, and Future Directions for a Comprehensive Antimicrobial Resistance Surveillance System
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