Course: Antimicrobial Stewardship: Managing Antibiotic Resistance

Having healthcare professionals with a diversity of experience and skills, not necessarily all infection specialists, on the antimicrobial management team to work on stewardship activities is important. If you had …

We will now begin to consider who needs to be involved if antimicrobial stewardship is to be embedded in clinical and organisational practice and become a routine and multidisciplinary activity. …

Watch this video to hear how Dr Adrian Brink from South Africa and Dr Sujith Chandy from India have set up successful stewardship programmes. You may find some of the …

In Step 2.3 and Step 2.4 some antibiotic stewardship issues from the scenario video were identified and discussed. In this article we have revisited some of these issues and linked …

In this video, taken from a longer discussion, Dr Gavin Barlow and Mr Mark Gilchrist explain where they both started with antimicrobial stewardship in their hospitals. The full video is …

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 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 …

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 …

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 …

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 …

Dr David Jenkins describes the causal relationship between antibiotic prescribing and resistance. Scroll down to the bottom of the page to view the references that Dr Jenkins refers to. Reflecting …

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 …

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.

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 …

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 …