title: First National Workshop on Antibiotic Resistance in Cambodia: Phnom Penh, Cambodia, 16-18 November 2011.
abstract: The First National Workshop on Antibiotic Resistance in Cambodia was organised by the Cambodian Ministry of Health with support from several national and international partner institutions. It brought together policy-makers, clinicians, pharmacists, laboratory technicians and other professionals dealing with the problems of bacterial infection and antibiotic resistance across the country. Antibiotic resistance data from starting up and experienced laboratories were presented, showing high rates of resistance in key pathogens to most antibiotics currently available in Cambodia, e.g. 70-90% multidrug resistance and 70-80% decreased ciprofloxacin susceptibility in Salmonella enterica serovar Typhi, 20-40% meticillin resistance rates in Staphylococcus aureus and 30-50% extended-spectrum β-lactamase production in Escherichia coli. A five-point plan was discussed, which included initiatives from government and non-governmental partners, focusing on rational prescribing, clinical practice guidelines, improved laboratory services, infection prevention and enhanced education at all levels. Implementation, however challenging, is a priority given the high levels of resistance seen in key pathogens and the overall health needs in the country.
authors.affiliation: Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium. Electronic address: Evlieghe@itg.be.
authors.forename: E
authors.initials: E
authors.lastname: Vlieghe
authors.affiliation: Ministry of Health, Department of Hospital Services, Cambodia.
authors.forename: S
authors.initials: S
authors.lastname: Sary
authors.affiliation: Sihanouk Hospital Center of HOPE, Phnom Penh, Cambodia.
authors.forename: K
authors.initials: K
authors.lastname: Lim
authors.affiliation: Ministry of Health, Department of Hospital Services, Cambodia.
authors.forename: C
authors.initials: C
authors.lastname: Sivuthy
authors.affiliation: Sihanouk Hospital Center of HOPE, Phnom Penh, Cambodia.
authors.forename: T
authors.initials: T
authors.lastname: Phe
authors.affiliation: Angkor Hospital for Children - Mahidol Oxford Research Unit, Siem Reap, Cambodia; Centre for Tropical Medicine, Nuffield Department of Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
authors.forename: C
authors.initials: C
authors.lastname: Parry
authors.affiliation: Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: De Smet
authors.affiliation: University of Health Sciences, Faculty of Pharmacy, Phnom Penh, Cambodia.
authors.forename: C
authors.initials: C
authors.lastname: Monidarin
authors.affiliation: Diagnostic Microbiology Development Program, USA.
authors.forename: E
authors.initials: E
authors.lastname: Baron
authors.affiliation: Angkor Hospital for Children - Mahidol Oxford Research Unit, Siem Reap, Cambodia; Centre for Tropical Medicine, Nuffield Department of Medicine, Churchill Hospital, University of Oxford, Oxford, UK.
authors.forename: C E
authors.initials: CE
authors.lastname: Moore
authors.affiliation: World Health Organization, Cambodia.
authors.forename: W
authors.initials: W
authors.lastname: Mfuko
authors.affiliation: World Health Organization, Cambodia.
authors.forename: N
authors.initials: N
authors.lastname: Asgari
authors.affiliation: University Research Co., LLC, Cambodia.
authors.forename: O
authors.initials: O
authors.lastname: Chhorvoin
authors.affiliation: Fondation Mérieux, Phnom Penh, Cambodia.
authors.forename: N
authors.initials: N
authors.lastname: Steenkeste
authors.affiliation: Fondation Mérieux, Phnom Penh, Cambodia.
authors.forename: C
authors.initials: C
authors.lastname: Leyer
authors.affiliation: Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: van Griensven
authors.affiliation: Sihanouk Hospital Center of HOPE, Phnom Penh, Cambodia.
authors.forename: S
authors.initials: S
authors.lastname: Thai
authors.affiliation: Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Jacobs
keywords: Antibiotic resistance; Bacterial; Cambodia; Surveillance; Workshop