© Marco Pascucci/MSF

Fighting antibiotic resistance


This project aims to fight the spread of antimicrobial resistance and grant equal access to proper diagnosis all over the world.

As stated by the World Health Organization (WHO AMR review), Antimicrobial Resistance (AMR) is a major public health concern.

The access to a good diagnosis of bacterial deseases is usually not available in low-resource settings (LRS). This leads to non appropriate patient treatment and to the selection of resistant strains because of the non rational use of broad spectrum antibiotics.

Antibiograms are an easy-to-implement test for detecting bacteria resistances to antibiotics

The raw result of an antibiogram needs to be interpreted by a microbiologist, and microbiologists are a rare in in low resource settings.

ASTapp is a free, offline smartphone application to help the non-expert staff in LRS with the interpretation of antibiograms in their routinary lab activity. 
It will perform the analysis of antibiogram pictures and provide advice for appropriate patient treatment.

A major public health concern
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Antimicrobial resistance is growing worldwide, rendering many medicines ineffective. Without intervention, drug-resistant pathogens could lead to millions of deaths by 2050

Global action plan on antimicrobial resistance
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4 actions identified by the World Health organization (WHO) : To improve awareness and understanding of antimicrobial resistance / To strengthen knowledge through surveillance and research / To reduce the incidence of infection / To optimize the use of antimicrobial agents

Our partners
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The MSF Foundation is developing this project in partnership with  Dr. Amin Madoui, Research Scientist at UMR 8030 Genoscope Metabolic Genomics, CEA/CNRS/Univ Evry. Dr. Madoui is at the origin of the project with Nada Malou, microbiologist advisor at MSF. Pr. Christophe Ambroise of the Laboratory of Mathematics and Modelling (LaMME) of the University of Evry. This partnership allows us to have the premises and servers essential to the development of the project. Pr. Christophe Ambroise also provides us with the skills and expertise of engineers from the LaMME and participates in the supervision of the development manager. Dr Guilhem Royer at the Bacteriology and Hospital Hygiene Laboratory of the Henri Mondor University Hospital in Créteil. We thus have a wide variety of antibiotic susceptibility testing photos with microbiological expertise.

The team

© MSF

The Foundation's project team and its partners.

From right to left

  • Laëtitia Viaud, MSF Foundation
  • Prof. Christophe Ambroise, University of Evry, LaMME
  • Céline Langendorf, Epicentre
  • Dr. Amin Madoui, Genoscope
  • Dr. Guilhem Royer, Henry Mondor University Hospital of Créteil
  • Marco Pascucci, MSF Foundation
  • Dr. Nada Malou, MSF
  • Clara Nordon, MSF Foundation
  • Isabelle Mouniaman, MSF
  • Dr. Northan Hurtado, MSF
  • Maître Georgie Courtois
  • And Alexis Fasquel, MSF Foundation 

    © MSF

    Nada Malou

    Microbiologist Advisor

    Microbiologist Advisor at MSF, Nada has a PhD in Microbiology and she is specialized in infectious and tropical diseases. 
    She has been working at MSF since 2012. It has set up the 5 bacteriology laboratories of MSF France. It ensures that the project meets the technical needs encountered on MSF sites.

    © MSF

    Marco Pascucci

    Responsible for the development of the application

    Marco Pascucci (PhD in physics, MS in computing systems) is in charge of the application development.