Course: Antimicrobial Stewardship for Africa

The clinical microbiology laboratory is important in antimicrobial stewardship. The clinical microbiology laboratory acts as a link between antibiotic stewardship and infection control. In a lab, the staff carry out …

In this video Professor Shaheen Mehtar provides ideas for setting up an ASP network in your location to provide support to those involved in stewardship.

In this video Professor Andrew Whitelaw describes a case he was involved with as a junior microbiologist in a paediatric ward in a hospital in South Africa. He outlines the …

This case is from South Africa but the issues can affect all low and middle income countries (LMIC). The case occurred in a Tertiary academic hospital. The hospital had an …

What should be in any antimicrobial stewardship toolkit? The aim of a study by Pulcini et al 2018 “Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: …

There are two core, proactive, evidence-based strategies for antimicrobial stewardship. Formulary restriction and pre-authorisation. Prospective audit with intervention and feedback. Formulary restriction and pre-authorisation This involves: Limiting the use of …

“Refers to coordinated interventions designed to improve and measure the appropriate use of antimicrobial agents by promoting the selection of optimal antibiotic drug regimens including dosing, duration of therapy and …

As we have seen the increase in antibiotic misuse has led to the increase in antibiotic resistance. In this video Dr Philip Oshun, Clinical Microbiologist, Infection Control Practitioner MBChB, MPH …

As the scenario video shows it is vital to recruit all frontline health workers into responsible stewardship of antibiotics. Guidelines on how to collect good quality specimens should be made …

In this article Prof Marc Mendelson highlights the key points from part 2 of the scenario. Scene 7 (06:31 – 07:39) “Sometimes, we should be courageous enough to tell the …

Now watch this clip from the scenario video and identify any further failings in the stewardship of Mr Anote’s case. Take notes as before.

In this article Marc Mendelson, Professor of Infectious Diseases and Head of the Division of Infectious Diseases & HIV Medicine at Groote Schuur Hospital, University of Cape Town (UCT), outlines …

In the hospital setting, antibiotics misuse has been noted as a driver of antibiotic resistance. Antibiotic misuse includes: Underuse – An antibiotic is not used when it could improve health. …

A year later, In 2017, Tadesse et al. published a review article titled – Antimicrobial resistance in Africa: a systematic review. The aim of their study was to understand and …

In 2001 the WHO published “WHO global strategy on containment of antimicrobial resistance”, which aimed to enable countries to implement policies in response to antimicrobial resistance. In 2005 it was …