# Sentinel laboratory compliance with best practices in Burkina Faso’s antimicrobial resistance surveillance network

## TL;DR

This study evaluates how well sentinel labs in Burkina Faso follow best practices for antimicrobial resistance testing.

## Contribution

It provides baseline data on lab compliance with national procedures, highlighting quality control gaps.

## Key findings

- Most labs performed quality control for culture media but not consistently for antibiotic discs.
- 76.47% of labs were over 80% compliant with the Kirby Bauer testing method.
- Noncompliance was found in quality control components of the national procedure manual.

## Abstract

Standardising procedures is the best way to harmonise and strengthen the quality of laboratory-based antimicrobial resistance surveillance. Since 2018, Burkina Faso has developed and disseminated the national manual of procedures for performing antibiotic susceptibility tests in sentinel laboratories within its national antimicrobial resistance surveillance network.

Our study aimed to assess these sentinel laboratories’ compliance with good practices for antibiotics susceptibility tests.

Four teams evaluated the antimicrobial resistance sentinel sites laboratories throughout Burkina Faso from 19 to 28 September 2022. Eighteen out of 19 sentinel laboratories were evaluated. A four-member technical committee designed and validated the evaluation tool composed of three Microsoft Excel sheets. The evaluation emphasised quality controls for culture media, antibiotic discs and compliance with antimicrobial susceptibility testing procedures by the laboratories. Excel software was used for data recording and graphs and table design. The free R software version 4.2.0 was used for descriptive statistics. An overall score below 80% was considered noncompliance.

Most (83.33%) of the sentinel laboratories conducted at least one quality control activity for culture media, and 66.67% conducted at least one quality control activity for antibiotic discs. Over three-quarters (76.47%) of the laboratories were more than 80% compliant with the modified Kirby Bauer antimicrobial susceptibility testing method.

The evaluation revealed the noncompliance of sentinel laboratories with the national procedure manual, particularly in the quality control component.

This study has provided baseline data on the sentinel laboratories’ compliance with the national antimicrobial susceptibility testing procedures manual, particularly in areas performing quality control checks or meeting quality indicators for culture media and antibiotic discs.