KAMPALA, UGANDA – LEIPZIG
AMR NETWORK

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PARTNERSHIPS

PARTNERSHIP BETWEEN:

University of Leipzig, Division of Infectious Diseases and Tropical Medicine / Germany

&

Kiruddu Referral Hospital, Kampala / Uganda

Tackling antimicrobial resistance in Africa – a global problem of unknown dimensions

Bacteria and other germs adapt when they are exposed to anti-microbial treatments such as antibiotics. This results in resist- ance against the substances used and medications lose their effect. Antimicrobial resistance (AMR) can render it impossible to treat common infections and leads to substantially increased healthcare costs, prolonged treatment, disability and death. AMR is a global problem and thus needs to be tackled globally. It exists in every country.

MORE ABOUT UGANDA

  • The country has 37.6 million inhabitants living on an area of 241,038 sq. km.
  • The average fertility rate is 5.8 children per woman.
  • Since becoming independent from Britain in 1962, the East African nation has endured a military coup, followed by a brutal military dictatorship which ended in 1979, disputed elections in 1980, and a five-year war that brought current President Yoweri Museveni to power in 1986.
  • Uganda has won praise for its vigorous campaign against HIV/AIDS.
  • Life expectancy at birth is 62 (f) / 52 (m) years.

 

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The main causes of this development are the overuse of antimicrobial medicine – especially in agriculture and animal farming – and unnecessary prescriptions for patients. Inappropriate use, wrong dosage, and lack of knowledge by medical doctors and patients alike aggravate the problem. The extent of AMR in low- and middle-income countries (LMIC) is largely unknown, mainly because relevant data are missing.

This is also the situation in Uganda, which is facing the continuous development of antibiotic resistance against available antibiotics. And, as in many LMIC, the extent of the problem is unknown for lack of data.

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The Ugandan government has recognised the need for improving this situation. Based on national as well as existing international commitment, the two partnering institutions decided to tackle this important public health problem and join the global efforts to stop the further development of AMR.

Joint efforts include the establishment of a data collection system, a surveillance system, the training of laboratory personnel to identify bacteria causing an infection and possible resistance against the available antibiotics and training of medical doctors on the rational use of antibiotic treatment. The partnership is also supporting the Ugandan government in the development of standard treatment guidelines.

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eHEALTH

Our eHealth Contribution

One important problem identified is inadequate communication between the medical doctors caring for patients and the laboratories performing the required analyses. The requests for testing are paper-based and frequently get lost with the respective specimens on their way to the laboratories, or are severely delayed. The same applies to test results: These often reach the doctor late or never, making it impossible to base clinical decisions on them.

Therefore, the partnership decided to use an innovative approach and develop together with IT specialists an app-based system for communication between the laboratory and medical doctors. This will ensure timely delivery of the request and of the test result as well as the collection of valid data for subsequent analyses and the development of local evidence-based guidelines.

All tools developed consist of free and open-source software which has been adapted in teamwork with neighbouring African regions. Six HKP-supported partnerships collaborate closely because they use the same approach. This collaboration calls itself the COMBAT AMR network.

The COMBAT AMR network enables comparing and sharing as well as joint discussions on data, exchange of experiences and discussions on possible solutions. The network develops regional recommendations on AMR, and it creates substantial synergies.

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PARTNERSHIPS

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Uni Leipzig

University of Leipzig, Division of Infectious Diseases and Tropical Medicine / Germany

Within the University of Leipzig, the Leipzig University Hospital is an essential part of inpatient and outpatient care in the state of Saxony. The campus comprises some 50 clinics and institutes which cover almost all medical disciplines at university level. Currently, over 6,000 employees are engaged in clinical care, research, and education.

The Department of Infectious Diseases and Tropical Medicine is part of the Clinic of Gastroenterology. Currently, the department has three specialised consulting physicians and two residents. The consulting physicians are responsible for inpatients and outpatients with the full range of infectious and tropical diseases.

Contact:

Dr. med. Amrei von Braun
University Hospital Leipzig
Division of Infectious Diseases and Tropical Medicine
Liebigstraße 20
04103 Leipzig
+49 341 97 24970
amrei.braun@medizin.uni-leipzig.de

Kiruddu Referral Hospital Kampala / Uganda

Kiruddu Referral Hospital is a public tertiary hospital located in Kampala, the capital of Uganda. The hospital is directly managed by the Ministry of Health. Patients from all over the country are referred to Kiruddu for care. Furthermore, Kiruddu serves as a teaching hospital for medical students of the College of Health Sciences of Makerere University. The hospital has a capacity of 200 beds for inpatient treatment and 14 outpatient clinics, which serve approximately 300-500 patients daily. Among other facilities, the hospital has the largest infectious disease ward in the country, as well as the only ward specialising in the treatment of patients with burns.

Contact:

Dr. med. Charles Kabugo
Kiruddu Referral Hospital
Executive Director
Buziga Hill
Makindye Division
Kampala
kabugocharles@hotmail.com

MORE INFORMATION

ABOUT

University of Leipzig, Division of Infectious Diseases and Tropical Medicine / Germany

Within the University of Leipzig, the Leipzig University Hospital is an essential part of inpatient and outpatient care in the state of Saxony. The campus comprises some 50 clinics and institutes which cover almost all medical disciplines at university level. Currently, over 6,000 employees are engaged in clinical care, research, and education.

The Department of Infectious Diseases and Tropical Medicine is part of the Clinic of Gastroenterology. Currently, the department has three specialised consulting physicians and two residents. The consulting physicians are responsible for inpatients and outpatients with the full range of infectious and tropical diseases.

Contact:

Dr. med. Amrei von Braun
University Hospital Leipzig
Division of Infectious Diseases and Tropical Medicine
Liebigstraße 20
04103 Leipzig
+49 341 97 24970
amrei.braun@medizin.uni-leipzig.de

Uni Leipzig

Kiruddu Referral Hospital Kampala / Uganda

Kiruddu Referral Hospital is a public tertiary hospital located in Kampala, the capital of Uganda. The hospital is directly managed by the Ministry of Health. Patients from all over the country are referred to Kiruddu for care. Furthermore, Kiruddu serves as a teaching hospital for medical students of the College of Health Sciences of Makerere University. The hospital has a capacity of 200 beds for inpatient treatment and 14 outpatient clinics, which serve approximately 300-500 patients daily. Among other facilities, the hospital has the largest infectious disease ward in the country, as well as the only ward specialising in the treatment of patients with burns.

Contact:

Dr. med. Charles Kabugo
Kiruddu Referral Hospital
Executive Director
Buziga Hill
Makindye Division
Kampala
kabugocharles@hotmail.com

AMR Network
AMR NETWORK

Kumasi, Ghana – Hamburg

Asella, Ethiopia – Düsseldorf

Jimma, Ethiopia – Munich

Butare, Rwanda – Berlin

Nairobi, KenYa – Frankfurt

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