Antimicrobial Resistance Surveillance (AMR Surveillance) AMR Surveillance of N. gonorrhoeae Treatable sexually transmitted infections affect 300 million people a year Gonorrhoea accounts for about 62 million infections a year BUT Gonorrhoea is becoming increasingly resistant to antibiotics AMR surveillance of N. gonorrhoeae is important What is GASP? GASP is the WHO's Gonococcal Antimicrobial Surveillance Programme GASP has set up networks of laboratories in more than 50 developing and developed countries around the world (Sri Lanka is one of the focal point laboratories participating in GASP) which collect isolates of the bacteria that cause gonorrhoea from patients and test their resistance to the antibiotics used to treat gonorrhoea (According to SOP manual) AMR surveillance of Neissaria gonorrhoea in Sri Lanka Method: Cross sectional study of all GC culture positive samples from the central clinic and from few peripheral STD clinics during each year are taken as the study sample. Disk diffusion method is used to monitor the resistance patterns Antibiotics used in testing 1.Penicillin0.5IU 2.Tetracycline10 g 3.Ciprofloxacin1 g 4.Nalidixic acid30 g 5.Spectinomycin100 g 6.Cefuroxim30 g 7.Ceftriaxone0.5 g