AMR surveillance
Antimicrobial resistance surveillance software, an AMR surveillance system for hospital antibiograms, MDRO counts and antibiotic resistance trends
Resistance surveillance in a US hospital usually means one person, one annual spreadsheet and a lot of questions nobody has time to answer between editions. This is the software that answers them from the susceptibility export your lab already produces.
Try the builder on the sample data, or drop in your own CSV. It is parsed in your browser and never uploaded.
Short answer
Antimicrobial resistance surveillance software turns laboratory susceptibility results into the numbers a hospital tracks over time: the cumulative antibiogram, resistance by unit and specimen source, quarterly trends and counts of multidrug resistant organisms. Antimicrobe does this from a CSV export of your LIS, applies CLSI M39 style first isolate rules, and publishes its price: $249 a month for one facility, up to $2,400 a month for twelve.
Four kinds of hospital surveillance software, and which one this is
Vendors use the word surveillance for very different products, and buying the wrong one is an expensive mistake. A pharmacy surveillance platform watches patients in real time and fires alerts. An infection surveillance system applies NHSN definitions to find healthcare associated infections. Antibiotic use surveillance counts days of therapy from administration records. Resistance surveillance looks at the organisms: what your isolates are susceptible to, where, and how that is moving.
When a budget line or an RFP says antimicrobial monitoring software, ask which of the four it means, because the data feed, the implementation work and the price differ by an order of magnitude. Antimicrobe is the last kind. It reads microbiology results, not the medication administration record and not the admission feed. That narrow scope is why it can start from a file instead of an interface project, and why it can publish a price.
| Type | Question it answers | Data it needs | Examples | Antimicrobe |
|---|---|---|---|---|
| Antimicrobial resistance surveillance | What are our organisms susceptible to, by unit and quarter? | Microbiology susceptibility results | WHONET, instrument data managers, Antimicrobe | Yes, this is the product |
| Pharmacy surveillance and stewardship alerting | Which patient needs a pharmacist today? | EHR, ADT, eMAR, lab feeds in real time | Sentri7, VigiLanz, TheraDoc, BD HealthSight Clinical Advisor | No |
| Infection (HAI) surveillance | Did this patient meet an NHSN infection definition? | EHR, lab, device and procedure data | BD HealthSight Infection Advisor, Sentri7 Infection Prevention, Epic Bugsy | No |
| Antibiotic use surveillance | How many days of therapy per 1,000 patient days? | Administration records (eMAR, BCMA) | NHSN AU Option through certified vendors | No |
What you get from one susceptibility export
The input is the export your laboratory information system already produces for the annual antibiogram: one row per organism and antibiotic result, with a patient key, collection date, specimen source, unit, organism, antibiotic and the S, I or R interpretation. MIC values are used when they are there and never required.
- A facility cumulative antibiogram built with CLSI M39 style rules: first isolate per patient per organism per period, with the before and after counts shown
- Cells under 30 isolates flagged in place instead of silently dropped, so a reader can see why a number is missing
- Cuts by specimen source and period on every plan, and by unit and syndrome on the Stewardship plan
- Quarterly trend for any organism and drug pair, with the isolate count behind each point
- An MDRO watch list covering carbapenem resistance, ESBL phenotype, the MRSA fraction and VRE, reported as counts
- Empiric options ranked by local percent susceptible for a chosen syndrome and source
- The breakpoint source and version stamped on every export, so a trend that spans a CLSI revision is labeled
Antibiotic surveillance software or AMR surveillance, which one are you shopping for?
If the request came from a pharmacy director who wants intervention queues, IV to oral prompts and NHSN AUR submission, you are shopping for a pharmacy surveillance platform, and the honest answer is that those products are sold by field reps, interface to the EHR, and do not publish prices. Our comparisons of those vendors are linked below.
If the request came from the stewardship committee, the lab, or infection prevention and sounds like "we need to know what is resistant, where, and whether it is getting worse", you are shopping for resistance surveillance. That job does not need a real-time feed. It needs clean susceptibility data, consistent rules and someone other than the microbiologist being able to run the report.
Plenty of hospitals need both and already own the first. Enterprise platforms are scoped around alerting, and teams on them still build the cumulative antibiogram by hand every spring. Running Antimicrobe next to Sentri7, VigiLanz or TheraDoc is a normal arrangement.
Vendor by vendor: Sentri7 alternatives, VigiLanz alternatives, TheraDoc competitors and BD HealthSight and MedMined alternatives. For the program side, see the antimicrobial stewardship software features.
How resistance surveillance runs, step by step
The builder on this page computes in your browser and sends nothing to us, so you can test it on a real export before you talk to anyone. An account stores the data so quarters accumulate and several people can read the same report.
- Export last year from your LIS, the same file you would hand to whoever builds the antibiogram today
- Load it in the builder at the top of this page. Column names are detected and shown back to you to confirm
- Review the first isolate counts and the cells flagged under 30 isolates before anything is published
- Publish the facility antibiogram and the source and unit cuts, then load each new quarter to extend the trend
- Set thresholds on the MDRO watch so a movement you care about is flagged in the next report
Which plan fits which hospital
Every limit is published. The Lab plan is bought by card on the site; the others start with an email and the same onboarding.
Multi-hospital buyers should read regional antibiogram software for health systems first, because pooling isolates across sites has its own traps. The full matrix is on the pricing page.
| Plan | Price | Facilities and isolates | Surveillance scope | Typical buyer |
|---|---|---|---|---|
| Lab | $249 | 1 facility, 25,000 isolates a year, 2 seats | Antibiogram, cuts by source and period, CLSI breakpoints | Microbiology lab manager or a small hospital pharmacy |
| Stewardship | $749 | Up to 3 facilities, 150,000 isolates, 8 seats | Adds unit and syndrome cuts, quarterly trends, MDRO watch, EUCAST | Stewardship program at a 150 to 600 bed hospital |
| Network | $2,400 | Up to 12 facilities, 750,000 isolates, 25 seats | Adds cross-facility comparison, scheduled LIS export ingest, API, audit log | Regional health system or public health network |
| Enterprise | Quoted | Unlimited | SSO, BAA, data residency, SLA | Large system with procurement and security review |
What this AMR surveillance system does not do
If one of those is the requirement, you need a pharmacy or infection surveillance platform, and we would rather tell you now than after a demo.
- No real-time alerting on individual patients. Reports are built from the export you provide, on your schedule
- No NHSN AUR submission, for either the AU or the AR Option
- No healthcare associated infection definitions, device days or case review
- No EHR or HL7 interface requirement. Scheduled export ingest is on the Network plan; HL7 or FHIR is part of the Enterprise plan
- Not a clinical decision support or prescribing tool. It summarizes data for qualified professionals to review
Related reading: NHSN AUR reporting software compared, antimicrobial stewardship software features, carbapenem resistant organism tracking, resistance map across your facilities, LIS susceptibility export. The four steps from susceptibility testing data to an antibiogram cover the method end to end.
Questions
On this page's topic
What is an AMR surveillance system?
An AMR surveillance system collects antimicrobial susceptibility results over time and reports how resistant organisms are, where, and whether that is changing. In a hospital it produces the cumulative antibiogram, resistance by unit and source, quarterly trends and MDRO counts. National systems such as WHO GLASS do the same at country scale.
How is antimicrobial resistance monitored in hospitals?
Most US hospitals monitor resistance through the annual cumulative antibiogram built from microbiology results under CLSI M39 rules, plus MDRO tracking by infection prevention. Software adds unit and quarterly cuts, keeps the rules consistent between years, and lets people other than the lab produce the report.
How much does antimicrobial resistance surveillance software cost?
Enterprise surveillance platforms do not publish prices and are sold with an implementation fee plus an annual license. Antimicrobe publishes its prices: $249 a month for one facility, $749 for up to three with trends and the MDRO watch, and $2,400 for a twelve-facility network.
Does it replace WHONET?
For most US hospitals, yes. WHONET is free and capable but runs only on Windows, is single-user, and needs BacLink configured to your LIS export. Antimicrobe reads the same export in a browser and several people can use the same report. Labs with a WHONET expert often keep it.
Can we track CRE, ESBL, MRSA and VRE by unit?
Yes, on the Stewardship plan and above. The MDRO watch reports carbapenem resistance, ESBL phenotype, the MRSA fraction and VRE as counts by unit and quarter, because a percentage on a rare phenotype is noise. You can set thresholds that flag a movement in the next report.
Does Antimicrobe submit to the NHSN AR Option?
No. NHSN AUR submission requires certified software that reads EHR and lab data in a defined format, and Antimicrobe is not certified for it. Hospitals usually meet AUR through their EHR vendor or a pharmacy surveillance platform and use Antimicrobe for the antibiogram and resistance reporting.
More on antimicrobial resistance reporting
- hospital antibiogram The annual antibiogram is the most reused document a microbiology laboratory produces, and u...
- CLSI M39 antibiogram software Most antibiograms that fail an M39 review fail on the same four things: repeat isolates coun...
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- VITEK 2 antibiogram Your VITEK 2 already produced every MIC and interpretation the antibiogram needs. The hard p...
- MicroScan antibiogram Your WalkAway already produced every MIC and interpretation the antibiogram needs. The year-...
- Sensititre antibiogram Sensititre is often the plate your lab reaches for when the main AST panel does not carry th...
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