The 7th World One Health Congress (WOHC), the world’s premier event to advance the One Health agenda, start from 07 - 11 November 2022 at the Sands Expo & Convention Centre in Singapore with more than 1400 in-person and 1000 virtual attendees from academic institutions, civil society, government bodies, private sector and multilateral organisations around the world.

Director Pham Duc Phuc PhD. MD, is guest speaker for the session of Impact on and innovations in clinical practice, Theme 1: MultiDrug Resistant Organisms (MDRO) - the Rightful Roles, Responsibilities and Interests of the Non-ID physicians. Dr. Phuc has shared the studies Interventions to decrease Carbapenem Resistant Enterobacteriaceae (CRE) colonization and transmission between hospitals, households, communities and domesticated animals (funded by ICARS), 2022 – 2025 which representative for studies on Antimicrobial Resistance applying One Health Approach.

In brieft, the project team will follow patients that are CRE colonised at discharge out to their households. The households will be randomized to intervention and control group. An intervention to improve hygiene and decrease unnecessary antibiotic use will be evaluated on CRE transmission in the household and to domesticated. Colistin, a last resort antibiotic for very ill patients, is often used for animals in feed as growth promoter, selecting for antibiotic resistance that boomerang back into hospitals. The situation of colistin resistance in households and animals will be assessed, and to targeted interventions to reduce transmission. Wastewater from hospitals will be tested for antibiotics and resistant bacteria. To check the relatedness of bacteria in humans, animals and environment resistance genes will be investigated.