Skip to 0 minutes and 7 secondsHello, and welcome to this course on antimicrobial stewardship in veterinary practice. My name is David Tisdall. I'm head of Department of clinical sciences at the University of Surrey, School of Veterinary Medicine. And it's my pleasure to welcome you to this course. Over the next three weeks, along with colleagues from across the UK veterinary schools, we're going to be exploring what antimicrobial stewardship means for us in veterinary practice and how we can achieve it. But I want to start by painting you a picture. And it's a picture of a sandy beach on which had been washed up hundreds, possibly thousands of starfish.
Skip to 0 minutes and 55 secondsAnd along the beach, are walking a dad and his daughter. She's perhaps four or five years old. And as the little girl is walking along, she's picking up a starfish one by one and throwing them back into the sea, one after another after another. And her dad is looking at her, watching, wondering why she's doing what she's doing. And so he asks her. He says, my child, why are you throwing those starfish back into the sea? There's so many of them. It's such a big problem. How could you possibly make a difference? And she says to him, well, it made a difference for that one, and for that one, and for that one.
Skip to 1 minute and 50 secondsI think that sometimes, when we are confronted with global One Health challenges such as antimicrobial resistance, we're guilty, all too often, of having an attitude that is more like the dad in that story than like the daughter. We see the scale of the problem rather than the opportunities that are there for us to make a difference within our local context. And it's those opportunities that I really want us to explore together over the next three weeks of this course.
Skip to 2 minutes and 31 secondsSo in week 1, we're going to start by thinking about understanding medicines use, thinking about what antimicrobial stewardship is and why it matters. And particularly thinking about that in the light of antimicrobial resistance. You'll explore and reflect on your current prescribing practices, and we'll break into our individual species disciplines to consider what some of the unique challenges are to overcoming an antimicrobial resistance and achieving antimicrobial stewardship within each of those disciplines. In the second week, we'll think about how we start to engage with medicines use. So we'll consider best practice prescribing and what the opportunities are for monitoring and benchmarking medicines use in practice.
Skip to 3 minutes and 26 secondsWe'll then go back into species discipline and start considering a range of different case studies that illustrate ways in which practitioners from across the UK have started to implement antimicrobial stewardship practices and programmes within their place of work. And considering those case studies we'll roll on into a following week which is focused on transforming medicines use and a key emphasis on motivating lasting change. We hope that you will enjoy exploring these topics with us, and you will end up with lots of ideas for how you can implement antimicrobial stewardship practises within your place of work.
Skip to 4 minutes and 18 secondsI want to leave you with a quote from Edmund Burke who was a Anglo-Irish politician and philosopher. He said a lot of great things but one of the quotes that really speaks to me is this-- and that is that "nobody made a greater mistake than he who did nothing because he could only do a little." Let's together consider what the opportunities are within our local contexts to make a difference in the fight against the big global challenge of AMR and build a culture of antimicrobial stewardship from the ground up that is truly transformational for veterinary practice in the UK and beyond.
Welcome to the course
Welcome to this course on antimicrobial stewardship in veterinary practice. Over the next 3 weeks we will learn how to establish AMS within our local context, critically reflect on our own prescribing practices and develop strategies to motivate lasting change.
This week’s focus is on understanding how medicines are used and what this means for AMS and AMR. We will explore the importance of AMS, and our responsibility for it. Also, we’ll discuss the real-life challenges to AMS through a series of species-focused case studies and reflect on the range of factors that influence and motivate our prescribing decisions.
By the end of week 1 learners should be able to:
- Discuss the importance of good antimicrobial stewardship in veterinary practice.
- Explain the relationship between good antimicrobial stewardship, preventative healthcare, One Health and AMR.
- Assess their responsibility for and the importance of antimicrobial stewardship within their local context.
- Discuss the main risks for and mechanisms of AMR development and transmission in veterinary practice.
- Reflect on the internal and external factors that influence their current prescribing practices, including human and system factors, culture and team dynamics, and economics.
- Evaluate the challenges to achieving good antimicrobial stewardship within their local context and species discipline.
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Please find a downloadable copy of the PowerPoint slides used in the video in the downloads section below.