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A quick win from India

In this video Dr Sujith Chandy introduces his quick win from India
Hello, and welcome to Quick Win 2. This Quick Win is entitled, preparation and dissemination of antibiotic policy guidelines in hospital settings and the role of online access as a quick win strategy for antimicrobial stewardship. My name is Sujith Chandy, and I welcome you to this Quick Win.
As we all know, antimicrobial resistance is a global problem. And one of the major contributory factors is inappropriate antibiotic use, and, therefore, one needs antimicrobial stewardship to contain antimicrobial resistance.
One of the major strategies of stewardship has been the implementation of antibiotic policy guidelines. But in various contexts and scenarios this has been a challenge to truly implement it and disseminate it in an effective manner.
So I would like to tell you about a quick win story from a hospital in South India where we assessed the impact of these guidelines on antibiotic use over a 10-year period. Vellore district, a district in the southern Tamil Nadu state of India, with a population of 4 million people, an area of 6,000 square kilometres, 60% of the population has a rural background with a literacy of 79%. The main occupation is agriculture. The hospital itself, is 115 years old, a not-for-profit, tertiary care teaching hospital, more than 2,000 beds and 6,000 outpatients a day, pretty large by any standard in the world. We have various departments, of which the Department of Microbiology is a national centre for quality assessment.
There’s a compurised network existing in the hospital and also in the pharmacy.
There’s a Drugs and Therapeutics Committee, a Hospital Infections Control Committee, an Antibiotic Policy Group, all of which are functioning quite well.

In this video Dr Sujith Chandy introduces you to his quick win from India which will outline the use of medicines in low and middle income countries (LMIC), such as India, to better understand some of the overall challenges of AS in these settings.

During this quick win you will revise some of the methods used to measure antibiotic use and patterns of use and begin to understand some methods of preparation and dissemination for antibiotic policy guidelines – in particular, the access to online antibiotic policy guidelines as a quick win component in AS:

  • To reinforce learning on certain methodological issues used for assessing antibiotic use
  • To understand and stimulate further thinking about how best guidelines could be prepared in your own context
  • To encourage innovation and customisation in one’s own context about alternative methods of dissemination of guidelines

Before you watch the video you should:

  • Read the downloadable background article below on antibiotic use, resistance and the Indian profile
  • Read the downloadable paper below on perceptions about antibiotic use and resistance
  • Relate the perceptions about antibiotic use and resistance to your own context.
  • Revise learning points from Week 1 about resistance and in particular Step 1.8 the Introduction to Resistance.
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Antimicrobial Stewardship: Managing Antibiotic Resistance

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