NAIROBI, KENYA – FRANKFURT
AMR NETWORK

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PARTNERSHIPS

PARTNERSHIP BETWEEN:

University Hospital of Goethe University Frankfurt,
Department of Infectious Diseases, HIV Therapy and Tropical Medicine / Germany

&

Kenyatta National Hospital (KNH) Nairobi / Kenya

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 resistance 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 KENYA

  • Kenya is a republic located in Eastern Africa and the 7th most populous country in Africa with 48 million inhabitants.
  • Nairobi is the capital as well as the largest city, followed by Mombasa and Nakuru.
  • The population growth rate (2.31%) and the fertility rate (3.57) have been decreasing gradually since 2012.
  • Life expectancy has been increasing significantly over the past ten years to 65.9, so people in Kenya live longer and presumably healthier lives.
  • The probability of dying before the age of five was 41.1 for 1,000 live births in 2018.

 

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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. A contributing factor is non-targeted antibiotic therapy in absence of microbiological results. 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 Kenya, 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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Because there is no database available in Kenya about local resistance patterns and most frequent pathogens, it is difficult to choose the right antibiotics. With this knowledge, it would be possible to improve treatment, develop national treatment guidelines and reduce the inappropriate use of antibiotics.

The Kenyan government has recognised the need for improving this situation.

Based on this national as well as existing international commitment, the two partnering universities have decided to tackle this important public health problem and join the global efforts to stop further development of antimicrobial resistance.

Joint efforts include the establishment of a data collection system, a surveillance system, the training of laboratory personnel to identify bacteria causing clinically relevant infections and possible resistance against the available antibiotics, and training of medical doctors to handle antibiotic treatment responsibly and based on the information available. The partnership is also supporting the Kenyan government in the development of standard treatment guidelines based on the data collected.

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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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University Hospital of Goethe University Frankfurt (UKF), Department of Infectious Diseases, HIV Therapy and Tropical Medicine / Germany

UKF is one of 33 university hospitals in Germany. It has 32 specialty clinics and institutes, 1,488 beds, with an annual average of 51,112 inpatients and 447,939 outpatients. Its purpose is clinical care, research and teaching: “Knowledge becomes health” is UKF’s mission.

Contact:

Dr. Frauke Borgans
Universitätsklinikum der Goethe Universität Frankfurt
Abteilung Infektiologie
Theodor-Stern Kai 7, Haus 33C
60590 Frankfurt am Main
frauke.borgans@kgu.de

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Kenyatta National Hospital (KNH) Nairobi / Kenya

KNH is the prime national referral institution. It is currently the largest referral and teaching hospital in the country. Kenyatta National Hospital employs over 6,000 staff and has a capacity of 2,000 beds with an annual average of 80,000 inpatients and 500,000 outpatients.

KNH offers a wide range of specialised medical and surgical services. It works in close synergy with the College of Health Sciences of the University of Nairobi, the leading tertiary healthcare training centre in Kenya and the East Africa region.

Contact:

Dr. Lydia Okutoyi
Kenyatta National Hospital
HOD, Patient Safety and Quality Healthcare
Hospital Road Upper Hill
PO Box 20723-00202
Nairobi
lydiakinyuru08@yahoo.com

MORE INFORMATION

ABOUT

University Hospital of Goethe University Frankfurt (UKF), Department of Infectious Diseases, HIV Therapy and Tropical Medicine / Germany

UKF is one of 33 university hospitals in Germany. It has 32 specialty clinics and institutes, 1,488 beds, with an annual average of 51,112 inpatients and 447,939 outpatients. Its purpose is clinical care, research and teaching: “Knowledge becomes health” is UKF’s mission.

Contact:

Dr. Frauke Borgans
Universitätsklinikum der Goethe Universität Frankfurt
Abteilung Infektiologie
Theodor-Stern Kai 7, Haus 33C
60590 Frankfurt am Main
frauke.borgans@kgu.de

logo ukf rgb

Kenyatta National Hospital (KNH) Nairobi / Kenya

KNH is the prime national referral institution. It is currently the largest referral and teaching hospital in the country. Kenyatta National Hospital employs over 6,000 staff and has a capacity of 2,000 beds with an annual average of 80,000 inpatients and 500,000 outpatients.

KNH offers a wide range of specialised medical and surgical services. It works in close synergy with the College of Health Sciences of the University of Nairobi, the leading tertiary healthcare training centre in Kenya and the East Africa region.

Contact:

Dr. Lydia Okutoyi
Kenyatta National Hospital
HOD, Patient Safety and Quality Healthcare
Hospital Road Upper Hill
PO Box 20723-00202
Nairobi
lydiakinyuru08@yahoo.com

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AMR Network
 AMR NETWORK 

Kumasi, Ghana – Hamburg

Asella, Ethiopia – Düsseldorf

Jimma, Ethiopia – Munich

Butare, Rwanda – Berlin

Kampala, Uganda – Leipzig

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