Sujith John Chandy (Educator)

Sujith John Chandy (Educator)

Dr. Chandy is a clinical pharmacologist and resource person passionate about antibiotic use. He is affiliated to both CMC Vellore, and Karolinska Institutet Stockholm where his PhD was in this area.

Location Professor, Dept of Pharmacology & Clinical Pharmacology, Christian Medical College, Vellore, TN, India

Activity

  • True, data mining takes time and effort

  • Yes, Louise. Multidisciplinary team approach is ideal. Unfortunately in many hospitals, communication between disciplines is a challenge. This needs to be worked on

  • Good point Antonia. Real time talking is worthwhile

  • A great idea Judith - a competition. I guess, it will work well if we get the baseline monitored first

  • Yes Amin. Hofstede's cultural dimension theory is worthwhile looking at while planning strategies

  • Thanks Eliseo. A holistic approach is always best. However, strategies can start with smaller components and then move towards fulfilling the holistic approach

  • True Louise. It would be sustainable and doable with a little bit of training

  • Thanks Antonia. Using an electronic system is a good idea. However, we need to keep the strategies multi-dimensional as far as possible

  • True Louise. Leaders being on board visibly would definitely help

  • Absolutely Eliseo. Start with the low hanging fruit

  • Yes, Antonia. Control by itself may not work

  • Thanks Antonia. Yes, many countries are in the same situation unfortunately

  • There is no fixed proforma. However the idea is to make the proforma as simple as possible so that sustainability is achieved. Besides antibiotic names and doses, it would be important to convert into defined daily doses. You can then compare every month

  • Evidence presentation and dissemination will give good insight to stakeholders

  • A combination of the above will definitely help

  • True Ysabelle. Optimal human resources is often the key

  • True Lesley. Output is often based on the input

  • Fantastic Alexander

  • Yes, success stories would be great

  • The other aspect is that many hospitals have a high turnover of junior staff and so newcomers need access too

  • Good that you are focussing on specific antibiotics used in certain situations. That is a good approach

  • Yes, Beatrice, access is crucial

  • True, Tracie, the proportion of healthcare professionals in different age groups and their familiarity with technology matters a lot

  • Thanks Ainhoa for both comments. Yes, frontline personnel matter a lot and so too culture and context

  • Yes, Constantinos. It needs constant engagement

  • Thanks Judith. The infection control team would hopefully be able to move the AMS program forward in your hospital

  • Thanks Sadie. Good to see a well oiled structure.

  • Thanks Constantinos. Yes, it would be good to get a buy in from the relevant committees. This can act as a good support in with various departments too

  • Great to see the passion for action Amin

  • Thanks Ainhoa. Well said. The road is not easy, but its worthwhile pursuing and persisting.

  • Thanks Amin. Very positive approach. Lets hope for the best results

  • Yes, Margaret feedback would have really helped

  • Yes, Lesley, low hanging fruit was the first step

  • Absolutely Tracie. It would definitely help

  • All your suggestions would definitely be useful Lucy

  • Thanks Margaret. A mixture of restrictive and encouraging measures would be good, but the setting and culture also needs to be taken into consideration

  • Good idea Ysabelle. Focussing on one antibiotic at a time could be a useful strategy

  • Yes, Lesley. Each strategy has its own problems and chances of success. Cost is a factor too

  • Yes, Alexander. I think a mixture of the above would go a long way to improving use

  • Thanks Beatrice. Good strategies! Monitoring and feedback would be key

  • Thanks Maria. All these would help. Of course the most important challenge would be to develop sustainable strategies to change prescribing and dispensing behaviour

  • Yes, Tracie, I think PDSA cycles would be essential in such areas as AMR problems keep evolving