Bloodstream infection and Antimicrobial Resistance a major health threat in LRS (low resource settings). Antimicrobial stewardship has been shown to improve medical interventions in high-income countries, but in LRS, there are inherent limitations. Lessons learned from the MSF Mini-Lab deployment are presented. When resources are limited, prioritizing is the key. How MSF chose their reagents and consumables is presented, and their rationale for the selection of antibiotics to be tested and methods to be used. The critical factors are to get the right test for the right patient at the right time in these settings.

Presenter: Jean-Baptiste Ronat

Jean-Baptiste Ronat graduated in biology and biotechnology laboratory analysis at Lyon University. After working for 10 years as auditing and implementing laboratory capacity strengthening projects in various fields of biological diagnosis in Low and middle-income countries for Médecins Sans Frontieres (MSF) and World Health Organization, he developed a particular interest in clinical bacteriology. After joining in 2012 Paris MSF headquarters to work on ways to improve access to diagnosis and monitoring of microbial infections and antimicrobial resistance, he initiated the approach toward simplification of clinical bacteriology laboratory by initiating the Mini-Lab project together with international institutional, scientific and industrial partners and his now, scientific lead of this initiative and PhD student of at Bicetre Bacteriology Laboratory of the Bicetre University Hospital, France .