Japan Nosocomial Infections Surveillance (JANIS): Current Status, International Collaboration, and Future Directions for a Comprehensive Antimicrobial Resistance Surveillance System

The Japanese Nosocomial Infections Surveillance (JANIS) is one of the largest national antimicrobial resistance (AMR) surveillance systems in world. In particular, JANIS Clinical Laboratory (CL) division collects comprehensive specimen-based data from diagnostic microbiology laboratories participating hospitals to monitor isolation rate 11 major bacteria and specific AMR bacteria, creating antibiograms approximately 20 bacterial species. Data web-database system are also annually tabulated provided WHO Global Antimicrobial Resistance System (GLASS). To create a network international among Asian countries, Japan developing an named ASIan Network (ASIARS-Net) based on system, but open-source available confidentially at almost no cost. further continues evolve multiple directions, some which selected discussed end this review.