Course: Antimicrobial Stewardship: Managing Antibiotic Resistance

Watch Bill’s clinical scenario (or read the transcript in downloads below) and address these three questions: Do you think that getting to know which micro organisms are causing Bill’s symptoms …

This week we have considered how to collect both quantitative and qualitative information about antibiotic prescribing and how it may be fed back to various healthcare professionals – the purpose …

In this video Dr Paño, Infectious Diseases Physician introduces Bill’s case to Dr García, microbiologist. Dr Paño has provided the microbiology lab with two specimens: a urine sample and blood …

We will now consider how to use the quantitative data on patterns of antibiotic use along with the information about quality of antibiotic use to develop prescribing indicators to drive …

In this video Dr Jacqueline Sneddon reflects on the importance of considering how balancing measures reflect what may be happening elsewhere in a system as a result of the improvement …

Point Prevalence Survey (PPS) data. We have looked at ways to measure the quantity of antibiotics used but how can the quality of prescribing be measured? Remember we need to …

In this video Alison Macdonald, Antimicrobial Pharmacist, describes her experience of the value of PPS in an individual hospital.

In this video Maggie Heginbothom, Public Health Wales, describes the value of PPS to a national stewardship programme and how they can be used to compare within or between countries.

In the last few steps we have concentrated on what DDDs are and how they can be used. In this video Mr William Malcolm summarises this section.

A Multidisciplinary Intervention to Reduce Infections of ESBL- and AmpC-Producing, Gram-Negative Bacteria at a University Hospital. We will now consider how a quality improvement approach in Denmark was used to …

Now watch this very short video clip on the importance of choosing an appropriate denominator. So far we have considered the way to measure the volume of antibiotic use, but …

Here is another short exercise. Look at the data on use of meropenem or third generation cephalosporins in Dunswood Hospital featured in the outbreak scenario. What does this show? Could …

Drug utilisation analysis has used DDDs as the key measure since the 1970s but DDDs were never developed specifically to monitor the impact of antimicrobial stewardship interventions. So what are …

One of the more commonly used alternatives to DDDs is the Days of Therapy (DOT). One DOT represents the administration of a single antibiotic on a given day regardless of …

By now you will have gained an understanding of what DDDs are and how they are calculated. This brief exercise will build on this introduction. In the video you will …