The ILRI 2019 Annual Report> It begins in the lab
State-of-the-art antimicrobial susceptibility testing laboratory at the CGIAR AMR Hub led by ILRI
State-of-the-art antimicrobial susceptibility testing laboratory at the CGIAR AMR Hub led by ILRI
By Ekta Patel
The CGIAR Antimicrobial Resistance (AMR) Hub (the ‘Hub’), a global research and development partnership that aims to mitigate agricultural-associated antimicrobial resistance risks in low- and middle-income countries (LMICs), has recently established an antimicrobial susceptibility testing (AST) Centre of Excellence. AST will help close knowledge gaps that exist on AMR in LMICs and provide the scientific information policymakers need to develop action plans to combat the rise of AMR.
Antimicrobials are agents that either kill or inhibit the growth of microorganisms like bacteria or fungi. They are critical for curing infections and improving both human and animal health and welfare. However, the indiscriminate use of antimicrobials can lead to the emergence of antimicrobial resistant organisms, which can’t be effectively treated if they infect humans or animals. Reduced treatment options and a shortage of new antimicrobials affect global efforts to improve public health, food security and the livelihoods of those in LMICs. The World Bank estimates that increasing AMR could reduce global animal productivity by 7.5% within the decade.
Before AST can be performed, the bacteria species must be identified. Traditionally, bacterial identification is done by a series of biochemical tests, which could take up to two days. The Hub has an instrument that performs a high-throughput technology known as matrix-assisted laser desorption ionization time-of-flight mass spectrometry or MALDI-TOF MS, which is a significant improvement as bacteria can now be identified within seconds. Moreover, this instrument can be also be used to identify fungi and arthropods such as ticks. The AST also has a Sensititre System enabling it to quantify antimicrobial resistance, which is relevant to understand AMR risks and treatment options.
MALDI-TOF MS will allow users across the continent to identify bacterial species within seconds.
Led and hosted by the International Livestock Research Institute (ILRI) in Kenya, the Hub brings together four CGIAR centres, namely the International Food Policy Research Institute (IFPRI), WorldFish, International Water Management Institute (IWMI) and ILRI, as well as key partners in several CGIAR research programs. The Hub builds on five research pillars to address antimicrobial use, understand AMR transmission dynamics, implement locally relevant interventions, support evidence-based policy dialogue and build capacity.
The AST Centre of Excellence is one of several key advantages the Hub, as a state-of-the-art diagnostics facility, offers researchers worldwide. Located in Nairobi, Kenya, the Hub is uniquely placed to help survey and identify potential AMR threats in the global South. The Hub will help build scientific capacity and nurture partnerships throughout the continent.
AMR transmission has not been studied comprehensively in developing countries, whose societies, agricultural practices, institutions and economies differ in important ways from the richer countries of the global North. Understanding these contexts is critical, because simply replicating policies developed in the North for controlling AMR may have severe, unintended consequences for animals and for people’s livelihoods in the developing world.
The World Bank estimates that increasing AMR could reduce global animal productivity by 7.5% within the decade.
Robert Skov, scientific director for the International Centre for Antimicrobial Resistance Solutions in Denmark, a partner to the AST Centre of Excellence, says, ‘The CGIAR AMR Hub represents a significant improvement of AMR activities across the CGIAR network, both as knowledge centre and for coordination of cross-centre activities.’
Skov added that both the AST Centre of Excellence and the CGIAR AMR Hub in general can help countries translate their policies into practices. Supporting the prudent use of antibiotics in the food chain can foster best practices solutions such as sustainable, climate-smart agriculture.
‘Knowledge of AMR within agricultural systems remains weak in most low- and middle-income countries, and the Hub can thus be a major collaborative partner for countries in the region’, says Skov.
Arshnee Moodley, the team leader of the Hub, says, ‘This is a very exciting time. We are not only strategically placed to address AMR gaps in low- and middle-income countries, but are also working with world-class partners like the Indian Council of Agricultural Research (ICAR) and EUCAST Development Laboratory which can serve as serve as knowledge and training resources’