The issuing of an ARA means enhanced microbiological surveillance should be instigated and that, whenever there is a suspicion that a resistant strain may be circulating, isolates should be sent to PHE’s AMRHAI laboratory for testing. Specific infection control measures may also be recommended.
Proposals for ARAs may be put forward by any interested party. Proposals should be addressed to the standing committee co-chairs via email@example.com. Where proposals are based on surveillance data, an appropriate reference unit will need to confirm the resistance of relevant isolates.
The standing committee co-chairs will initially review proposals and, if deemed of sufficient public health impact, convene a standing committee teleconference to consider whether an alert is needed.
ARAs have previously been issued relating to: