ESBL E.Coli Tricycle project Indonesia
The Global Integrated Survey on ESBL producing E.coli, or the Tricycle Project, started in November 2018 with the aim to strengthen the antimicrobial resistance (AMR) surveillance system globally/in Indonesia and promote integrated surveillance across human, animal and environment sectors using the One Health approach.  The Indonesian National Institute of Health Research and Development (NIHRD) within the Ministry of Health (MoH) leads this project in collaboration with the Ministry of Agriculture (Balai Veteriner, Subang) and the Ministry of Environment and Forestry (Puslitbang Kualitas dan Laboratorium Lingkungan, Serpong), with additional support from WHO Indonesia.  The surveillance data collected between December 2018 and May 2019 was analyzed and ESBL-Ec transmission hot spots and modifiable risk factors were identified. Findings and feedback from the initial data analysis was provided to the national study team and to the Director of Center for Research and Development of Biomedical and Basic Health technology, NIHRD. The visiting experts expressed their positive impression on the progress of the implementation of the ESBL-Ec Tricycle AMR Surveillance project in Indonesia and will continue to provide support to the national study team to analyze and interpret the findings from the final collection of samples.