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Antimicrobial stewardship

You might see slight variations in the definition of antimicrobial stewardship depending on whichever resource you refer to, but the principle should be the same: Antibiotic stewardship (AS) encompasses all …

In an ideal world!

Considering who should be involved in prescribing decisions for patients depends on the staff available. In an ideal world one might argue that an infection doctor should be involved in …

Revisiting setting the scene: Part 1

In the introduction to the course, Professor Nathwani asked you to watch “Antimicrobial Stewardship: Managing Antibiotic Resistance Part 1” and consider a number of infection related questions in relation to …

Key antibiotic stewardship issues

In the video, you may have noted some of the following antibiotic stewardship issues: Likely sub-optimal prescribing of antibiotics in primary care “lots of different antibiotics from the GP” Lack …

Why is stewardship important?

Now watch this animation created by the Sinai Health System and University Health Network Antimicrobial Stewardship Program in Canada, which cleverly explains why Antimicrobial Stewardship is so important. We would …

What can be done?

The Infectious Diseases Society of America describes antimicrobial stewardship as: “Coordinated interventions designed to improve and measure the appropriate use of antimicrobials by promoting the selection of the optimal antimicrobial …

Professor Dilip Nathwani’s summary

In this video Professor Nathwani summarises the first week of the course. Once you have watched this video you may wish to read or refer to the attached review of …

The genetic basis for resistance

In this video Prof Neil Woodford describes the mechanisms of resistance in bacteria giving an overview of the types of resistance. He also considers whether resistance is inevitable.

Transferable Resistant Bacteria

Resistant bacteria can also be transferred from person-to-person, either directly or indirectly. Many infections with multidrug resistant bacteria are preceded by colonisation with these organisms. The person-to-person spread of antibiotic …

Setting the scene: Part 2

Now watch part two of our scenario. The video runs for 10 minutes and shows the response to the outbreak by the hospital team. As you watch, consider some of …

The emergence of antibiotic resistance

So how old is resistance? In this video Dr David Jenkins explains. You can find links to the references that Dr Jenkins mentions at the bottom of this page in …

Setting the scene: part 1

For your first activity you are asked to watch this video, which runs for 8 minutes and tells the story of two patients, Bill & Fred, and how they are …

The global outlook

Take a moment to reflect and imagine what your practice would be like without antibiotics. Post your reflections in the comments and compare these with others. As additional information you …