Course: Antimicrobial Stewardship: Managing Antibiotic Resistance

In 2015 a paper, “Randomised Trial of Rapid Multiplex Polymerase Chain Reaction-Based Blood Culture Identification and Susceptibility Testing” by Banerjee et al, was published detailing the results of a clinical …

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 …

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 …

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 …

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 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.

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 …

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.

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 …

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.

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 …

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 …

So far we have considered why measurement of antibiotic use is a cornerstone of any antimicrobial stewardship programme and in particular why measuring antibiotic use can help to improve the …