ICMR- AIIMS HAI Surveillance Network Dr Vikas Gautam PGIMER, Chandigarh Dr A Siromony Valan, CDC-India
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ICMR- AIIMS HAI Surveillance Network
Dr Vikas Gautam PGIMER Chandigarh
Dr A Siromony Valan CDC-India
The Global Health Security Agenda (GHSA) is an effort by nations and international organizations to accelerate progress toward a world safe and secure from infectious disease threats
Antimicrobial Resistance (AMR) one of the 11 GHSA action packages
The AMR action package focuses on
Strengthening laboratory capacity to detect AMR
Implementation of AMR surveillance
Report and follow resistance trends
Staphylococcus aureus
Streptococcus pneumoniae
Neisseria gonorrhoeae
Escherichia coli
Klebsiella pneumoniae
Salmonella species
Shigella species
Acinetobacter baumannii
Purpose
Baseline assessment of capacity
individual laboratories included in the National AMR surveillance network in India
Through evaluation
develop an action plan to improve laboratory capacity to Identify detect and
report AMR pathogens
Pilot tested at AIIMS Trauma Centre AIIMS Jodhpur TMC Kolkata
8 16 Non NABL 38 NABL accredited
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
The Global Health Security Agenda (GHSA) is an effort by nations and international organizations to accelerate progress toward a world safe and secure from infectious disease threats
Antimicrobial Resistance (AMR) one of the 11 GHSA action packages
The AMR action package focuses on
Strengthening laboratory capacity to detect AMR
Implementation of AMR surveillance
Report and follow resistance trends
Staphylococcus aureus
Streptococcus pneumoniae
Neisseria gonorrhoeae
Escherichia coli
Klebsiella pneumoniae
Salmonella species
Shigella species
Acinetobacter baumannii
Purpose
Baseline assessment of capacity
individual laboratories included in the National AMR surveillance network in India
Through evaluation
develop an action plan to improve laboratory capacity to Identify detect and
report AMR pathogens
Pilot tested at AIIMS Trauma Centre AIIMS Jodhpur TMC Kolkata
8 16 Non NABL 38 NABL accredited
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Staphylococcus aureus
Streptococcus pneumoniae
Neisseria gonorrhoeae
Escherichia coli
Klebsiella pneumoniae
Salmonella species
Shigella species
Acinetobacter baumannii
Purpose
Baseline assessment of capacity
individual laboratories included in the National AMR surveillance network in India
Through evaluation
develop an action plan to improve laboratory capacity to Identify detect and
report AMR pathogens
Pilot tested at AIIMS Trauma Centre AIIMS Jodhpur TMC Kolkata
8 16 Non NABL 38 NABL accredited
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Purpose
Baseline assessment of capacity
individual laboratories included in the National AMR surveillance network in India
Through evaluation
develop an action plan to improve laboratory capacity to Identify detect and
report AMR pathogens
Pilot tested at AIIMS Trauma Centre AIIMS Jodhpur TMC Kolkata
8 16 Non NABL 38 NABL accredited
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Pilot tested at AIIMS Trauma Centre AIIMS Jodhpur TMC Kolkata
8 16 Non NABL 38 NABL accredited
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Lab Assessments AIIMS- ICMR HAI Surveillance - Non NABL Sites
SN Hospital Name Date of Assessment
1JPNATC All India Institute Of Medical Sciences
New DelhiDelhi 02 November 2017
2Sher-i- Kashmir Institute of Medical Sciences
KashmirKashmir 13 November 2017
3 AIIMS Jodhpur Rajasthan 1 September 2017
4 Kasturba Medical College Manipal Karnataka 15 November 2017
5Mahatma Gandhi Institute of Medical Sciences
SevagramMaharashtra 08 December 2017
6 King Georges Medical University Lucknow UP 23 November 2017
7 IPGMER Kolkata WB 9 November 2017
8 AIIMS Bhubaneswar Odisha 20 November 2017
NABL Sites1 Sir Ganga Ram Hospital Delhi Delhi 10 April 2018
2 PGIMER Chandigarh Chandigarh 27 March 2018
3 TMC Kolkata WB 28 August 2018
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Dr Vikas Gautam PGIMER Chandigarh Dr AS Valan CDC India New Delhi Dr Sujata Baveja LTMC Mumbai Dr Sanjeev K Singh AIMS Kochi Dr Purva Mathur JPNATC New Delhi Dr Sanjay Bhattachayra TMC Kolkata Dr Indranil Roy CDC India New Delhi Dr Neeraj Goel SGRH New Delhi Col Saurav Sen AFMC Pune Dr Smita ICMR New Delhi
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
10
20
30
40
50
60
70
80
90
100
Lab A Lab B Lab C
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
Lab 7 Lab 8 Lab 6 Lab 2 Lab 5 Lab 1 Lab 4 Lab 3
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
AMR Laboratory Assessments 2017 -18
ICMR- AIIMS Network
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 2 Lab 1 Lab 4 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 6 Lab 3 Lab 4 Lab 5 Lab 7 Lab 1 Lab 2 A1 A2 A3
Pe
rce
nta
ge
Non NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 5 Lab 7 Lab 8 Lab 6 Lab 1 Lab 2 Lab 4 Lab 3 A2 A3 A1
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 1 Lab 6 Lab 5 Lab 4 Lab 2 Lab 3 A1 A2 A3
Pe
rce
nta
ge
Non- NABL NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 7 Lab 8 Lab 5 Lab 4 Lab 6 Lab 2 Lab 1 Lab 3 A2 A3 A2
Pe
rce
nta
ge
NABL
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
0
10
20
30
40
50
60
70
80
90
100
Lab 8 Lab 7 Lab 5 Lab 6 Lab 3 Lab 1 Lab 2 Lab 4 A1 A2 A3
Pe
rce
nta
ge
Non - NABL NABL
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Basic Lab capacity and Infrastructure
Quality Assurance
Specimen Processing and Isolation
Organism ID
AST
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Human Resources
Attrition Rate
Training
Competency Assessment
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
IQC
Availability of ATCC strains
Schedule not maintained
Quality of Discs
CAPA
EQAS Participation
Indian J Med Microbiol 2013 Apr-Jun31(2)207-8 doi 1041030255-0857115244
Importance of performing routine quality control testing of antimicrobial discs
Arora S Gautam V Ray P
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Documentation
SOPs for (ID AST Media preparation)
Latest CLSI break points ndash NA on benchside
IQC
AST ndash Colistin amp Vancomycin
AST Data Entry amp Analysis
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
EQAS
Sample Collection and Transportation
ATCC strains
AST ndash Colistin amp Vancomycin
Thanks
Thanks
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