A point prevalence survey (PPS) of antimicrobial use amongst patients referred to tertiary care centre in Northern India

ally transmitted infections.Malaria prevalence was low in Mbeya CC, Mbeya DC, and Ifakara TC (1%, 1%, and 3% of febrile children, respectively), while much higher in Ulanga and Mlimba (45% and 14%, respectively), with some seasonality (42% from April to November, and 53% from December to March in Ulanga).Pneumonia was more prevalent in Mbeya DC, accounting for 22% of all cases (compared with 8% in Mbeya CC and 11% in the 3 Morogoro districts), with no clear seasonal pattern.Acute watery diarrhea was also more frequent in Mbeya CC and DC, occurring in 19% of the cases, against 9% in the other 3 districts.Microbiological surveillance is ongoing until September 2024; results will be presented during the congress.Discussion: Utilization of a CDSA in health facilities enabled reliable real-time syndromic surveillance.Conclusion: Adding static and mobile targeted microbiological surveillance, triggered by alerts based on clinical and spatiotemporal abnormalities, could potentially allow Tanzania to advance to a smart resource-sparing surveillance system with early detection of outbreaks.