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Paediatric prescribing case

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 …

A global toolkit for antimicrobial stewardship

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: …

Principles of stewardship

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 …

Definition of Antimicrobial Stewardship (AMS)

“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 …

Principles of rational antibiotic use

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 …

The importance of laboratory results

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 …

Compare your findings again

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 …

Mr Anote’s story Part 2

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.

Compare your findings

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 …

Mr Anote’s story Part 1

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. …

The State of Stewardship in Africa

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 …