Presentation by Dr. Jari Jalava, Senior Expert, Infectious Disease Control and Vaccinations Unit

1. 10.6.2019 1
FinRes – Antimicrobial Resistance
database
Jari Jalava, PhD

2. Surveillance of AMR in Finland
 Communicable Diseases Act (1227/2016) requires comprehensive
surveillance of AMR.
 Surveillance at national level and developing indicators are mainly
THL’s responsibility.
 Participation in
– EARS-net conducted by ECDC
– other networks conducted ECDC/EFSA that collect AMR data
– GLASS conducted by WHO
10.6.2019 2

3. Organization of AMR Surveillance in Finland
3
 Finres:
– National antimicrobial
susceptibility database
(THL)
– 19 clinically important
bacteria/antimicrobials
– Including MRSA, VRE,
ESBL, (CPE)
– Infections
– 287 000 isolates / year
– 2 000 000 tests / year
– Coverage of blood cultures
over 98%
 FiRe: (Finnish study group
for antimicrobial resistance)
– Since 1992
– 23 clinical laboratories
– All clinical microbiology
laboratories
– including private
laboratories
– THL mycobacterium
laboratory
www.finres.fi

4. 10.6.2019 4
1. Acinetobacter baumannii
2. Campylobacter coli
3. Campylobacter jejuni
4. Enterobacter cloacae
5. Enterococcus faecalis
6. Enterococcus faecium
7. Eschericia coli
8. Haemophilus influenzae
9. Klebsiella oxytoca
10. Klebsiella pneumoniae
11. Moraxella catarrhalis
12. Mycobacterium tuberculosis
13. atypical mycobacteria
14. Neisseria gonorrhoeae
15. Pseudomonas aeruginosa
16. Salmonella enterica
17. Staphylococcus aureus
18. Streptococcus pneumoniae
19. Streptococcus pyogenes

5. Effica Samba Tamlab
WHONET (db)
Finres database
Infectious diseases
register
Finres report
THL www
interface
FiRe laboratories
EARS-Net
10.6.2019
Public www interface Data
Cube
THLwww-
upload
GLASS
FWD, Campy
5
Whonet 2019
Excel

6. 10.6.2019 6
https://sampo.thl.fi/pivot/prod/fi/finres/lite/fact_lite

7. 10.6.2019 7
www.finres.fi

10. www.finres.fi
Finres reports
10.6.2019
2017
2015
2014
2013
2012
2016
2017
2018
To be published
18.11.2019
(EAAD)
10

11. 10.6.2019
Acinetobacter baumannii
Campylobacter coli
Campylobacter jejuni
Enterobacter cloacae
Enterococcus faecalis
Enterococcus faecium
Eschericia coli
Haemophilus influenzae
Klebsiella oxytoca
Klebsiella pneumoniae
Moraxella catarrhalis
Mycobacterium tuberculosis
atypical mycobacteria
Neisseria gonorrhoeae
Pseudomonas aeruginosa
Salmonella enterica
Staphylococcus aureus
Streptococcus pneumoniae
Streptococcus pyogenes
11
http://ecdc.europa.eu/en/healthtopics/antimicrobial-resistance-and-
consumption/antimicrobial_resistance/EARS-Net/Pages/EARS-Net.aspx
EARS-Net

12. 10.6.2019
Acinetobacter baumannii
Campylobacter coli
Campylobacter jejuni
Enterobacter cloacae
Enterococcus faecalis
Enterococcus faecium
Eschericia coli
Haemophilus influenzae
Klebsiella oxytoca
Klebsiella pneumoniae
Moraxella catarrhalis
Mycobacterium tuberculosis
atypical mycobacteria
Neisseria gonorrhoeae
Pseudomonas aeruginosa
Salmonella enterica
Staphylococcus aureus
Streptococcus pneumoniae
Streptococcus pyogenes
12
GLASS*
*Also other than invasive isolates

13. 10.6.2019 13
EFSA 2017
Campylobacter coli
Campylobacter jejuni

14. 10.6.2019 14
Gonococcal AMR survellance
GASP 2017
Data from the HUSLAB and
NIDR
Candida
Data from the HUSLAB
(in future)