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The ultimate team

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 …

Prescribing for the scenario

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. …

Stewardship from across the globe

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 …

Some ideas on how and where to start

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 …

How Dr Barlow and Mr Gilchrist started

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 …

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 …

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 …

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 …

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 …

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 …