Date: 1st group of 20 trainees on 4-5 October 2022, 2nd group of 20 trainees on 18-19 October 2022
Location: Rome, Italy
Organiser
Fondazione Policlinico Gemelli, Università Cattolica S. Cuore
Module objectives
- to “practice” the principles of antimicrobial stewardship in real-world context
- to discuss the role of the diagnostic stewardship
- to increase the knowledge on new molecular diagnostic tests and their implementation in daily practice
- to improve the antibiogram interpretation skills
- to evaluate tools for an appropriate use of antibiotics
Module venue
Fondazione Policlinico Gemelli,
L.go A. Gemelli,
8 00168 Rome,
Italy
Preliminary programme
*This module programme is subject to minor amendments
Day 1 (04/10/2022) | |||
08:30-9:00 | Welcome and presentation of the 2-day course | Welcome | Prof Maurizio Sanguinetti – Prof Roberto Cauda |
9:00-9:45 | Microbiology integrated in AS: the model of FPG | Lecture | Prof Maurizio Sanguinetti |
9:45-10:30 | Most used diagnostic instruments, appropriate sampling and specimen transport methods and how to interpret the results of microbiology tests for clinical use, microbiological algorithms | Lab visit | Microbiologists |
10:45-11:00 Coffee break | |||
10:45-11:30 | Traditional or fast microbiology: which, when, and why | Lecture | Giulia Menchinelli |
11:30-12:15 | Fast identification of antibiotic resistance determinants: tools and utility | Lecture and discussion of clinical cases | Giulia De Angelis |
12:15-13:00 | Cumulative antibiogram as a tool of antibiotic stewardship | Lecture and discussion of clinical cases
| Rita Murri and Massimo Fantoni |
13:00-14:00 Lunch | |||
14:00-14:45 | Molecular epidemiology and its role for antimicrobial stewardship | Lecture and discussion of clinical cases
| Maurizio Sanguinetti and Flavio De Maio |
14:45-16:00 | From MIC to in vivo susceptibility: interpretation of “tricky” antibiograms and -when there are not clinical breakpoint | Practical training on antibiograms
| Giulia De Angelis and Giulia Menchinelli |
16:00-17:00 | Surveillance and colonization by MDR: is the information useful to drive proper empirical therapy?
| Lecture and discussion of clinical cases
| Massimo Fantoni |
Day 2 (05/10/2022) | |||
8:30-9:15 | From the golden hour to the watchful waiting in common wards and in intensive care units: how can Microbiology help in uncertain situations | Clinical cases | Gennaro De Pascale – Rita Murri
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9:15- 10:00 | Impact of rapid diagnostic testing on antibiotic use - | Interactive session | Giulia Menchinelli – Massimo Antonelli |
10:00-10:45 | Impact of rapid diagnostic testing on antibiotic use | Interactive session | Giulia De Angelis - Rita Murri |
10:45-11:00 Coffee break | |||
11:00-13:00 | Infectious diseases consultancies in common wards and intensive care unit: how to choose an antibiotic, its dosage, its route of administration according to the pharmacokinetic and pharmacodynamic properties | Practical training | Infectious diseases consultancies (even Haematology and Transplanted pts)
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13:00-14:00 Lunch | |||
14:00-16:00 | Simulation of daily round: discussion with infectious disease physicians and microbiologist with clinical cases; when possible, involvement of specialists from other disciplines | Practical training | All |
16:00-17:00 | Wrap up and key lessons learnt |
|
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Programme coordinator contact
Dr. Rita Murri
Fondazione Policlinico Gemelli,
Rome,
Italy
Date: 25-27 November 2022
Location: Belgrade, Serbia
Organisers
ESCMID Study Group for Antimicrobial Stewardship (ESGAP) Educational Working Group, Trainee Association of ESCMID (TAE), University of Belgrade, Serbia
Module objectives
Antimicrobial stewardship refers to interventions designed to promote the optimal use of antibiotic agents, including drug choice, dosing, route, and duration of administration. To address antimicrobial resistance, all clinicians must become stewards of antimicrobials by prescribing them appropriately and educating their patients and colleagues on the proper use of this increasingly scarce medical resource. This technical workshop will equip clinicians who frequently prescribe and/or advice the use of antimicrobials with knowledge and tools to enhance their capacity in daily clinical practice as well as to empower the future leaders in antimicrobial stewardship. Through case based examples and hands-on exercises, the technical workshop will highlight how antimicrobial stewardship principles can be applied to common clinical scenarios and will explore approaches to overcome issues identified in different clinical and practice settings.
Preliminary programme
*This module programme is subject to minor amendments
Day 1 | ||
08:30 - 9:00 | Registration | |
09:00 - 09:10 | Welcome note | Goran Stevanovic, Aleksandra Barac |
09:10 - 09:40 | Antimicrobial stewardship on the national and supranational level (Description of WHO, ECDC etc activities, and national strategies) | Vera Vlahović Palčevski, Rijeka |
09:40 - 10:20 | Staffing for AMS programmes (How many members of the team are needed, which professions and specialties should be included, salary support) | Bojana Beović, Ljubljana |
10:20 - 10:35 | Coffee break | |
10:35 - 11:35 | Group work: Examples of successful antimicrobial stewardship programmes from across the globe | Marlies Hulscher |
Hands on activities: Presentation of cases of ASP AMS in specialised clinical settings (ABS in haematological department; ICU; Primary practice; LCTF – 20 min per each subject) | ||
11:35 - 13:30 | Workshop: What are the barriers to implementing antimicrobial stewardship? | Jeroen Schouten, Bojana Beovic |
13:30 - 14:30 | Lunch | |
14:30 - 15:00 | Lecture: Legal aspects of AMS (Who is responsible) | Tomislav Kostyanev |
15:00 - 16:00 | Transport to the hospital | |
16:00 - 18:00 | Hands on activity: AMS in regional hospital: How antimicrobial stewardship can be implemented in a hospital setting? | Goran Stevanovic, Ivana Milosevic, Aleksandra Barac, Ankica Vujovic |
Visiting Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia and Emergency Unit, Clinical Centre of Serbia, Belgrade, Serbia | ||
Emergency Unit, Clinical Centre of Serbia. ESGAP team will prepare topics for the discussion. Participants will rotate between groups. | ||
18:00 - 18:30 | Transport to the hotel | |
19:00 | Dinner | |
Day 2 | ||
09:00 - 09:30 | Lecture: Antimicrobial stewardship as quality management (The relationship between quality management and AMS) | Brita Skodvin, Oslo |
09:30 - 10:15 | Workshop: Small groups (4): AMS as quality management and patient safety activity. The faculty provides practical examples of quality improvement and surveillance for discussion in a group | Vera Vlahović Palčevski, Rijeka, Brita Skodvin, Oslo |
10:15 - 10:45 | Lecture: AMS aspects of antibiotic treatment of UTI | Tomislav Kostyanev |
10:45 - 11:00 | Coffee break | |
11:00 - 11:45 | Lecture: AMS aspects of antibiotic treatment of pneumonia | Jeroen Schouten |
11:45 - 12:15 | Workshop: AMS from junior’s point of view: How could AMS be promoted in all levels of the cascade? | David Ong, Muge Cevik |
12:15 - 13:15 | Lunch | |
13:15 - 14:00 | Hands on activity: Understanding lab reports (lab reports will be prepared in advance and groups will discuss them) | Jesus Rodriguez-Baño |
14:00 - 16:30 | Group work: Sharing know-how on AMS practices from participants | Marlies Hulscher , Bojana Beovic, Jeroen Schouten, Aleksandra Barac, David Ong, Muge Cevik |
Participants will be asked to prepare short presentations to present their local work | ||
16:30 - 16:45 | Coffee break | |
16:45 - 17:15 | Workshop: Using “clinical decision support software” to facilitate stewardship interventions and tracking outcomes | David Ong |
17:15 - 17:45 | Course conclusions: What should every young doctor know about antimicrobial stewardship and what are the minimal antimicrobial stewardship competency requirements? | |
17:45 - 18:00 | Evaluation | Aleksandra Barac, Muge Cevik, Ankica Vujovic |
| 18:00 | Closure | Goran Stevanovic, Aleksandra Barac |
Programme coordinator contact
Aleksandra Barac
Clinic for Infectious and Tropical Diseases,
University of Belgrade,
Serbia
Dr Muge Cevik MSc MRCP
Infection and Global Health Research,
University of St Andrews,
United Kingdom
Prof. Goran Stevanović
Clinic for infective and tropical diseases,
University of Belgrade,
Serbia
Date: 9-10 February, 2023
Location: Leuven, Belgium
Organisers
ESCMID Fungal Infection Study Group (EFISG), European Confederation of Medical Mycology (ECMM)
Module objectives
To provide a comprehensive, holistic primer or refresher on the challenges and solutions in antifungal stewardship.
Module venue
University of Leuven and Leuven University Hospital,
Herestraat 49,
3000 Leuven,
Belgium
Preliminary programme
*This module programme is subject to minor amendments
Day 1 Could this be a fungal infection? | ||
09:00-09:30 | Welcome and introductions |
|
09:30-10:00 | Spectrum of fungal diseases and patient risk factors | Dr Riina Richardson, UK |
10:00-10:30 | Epidemiology of fungal infections | Ana Alastruey, Madrid, Spain |
10:30-10:50 | Fungal infections in neonates and children | Dr Andreas Groll, Germany |
10:50-11:00 | Comfort break |
|
11:00-11:30 | Diagnostic work up for yeast infections | TBC |
11:30-12:00 | Diagnostic work up for mould infections | Dr Martin Hoenigl, Austria |
12:00-13:00 | Lunch |
|
13:00-13:30 | Antifungal susceptibility testing and antifungal resistance | Prof Maiken Arendrup, Denmark |
13:30-13:50 | The role of biofilms in treatment-resistant fungal infections | Prof Gordon Ramage, Glasgow, UK |
13:50-14:00 | Comfort break |
|
14:00-16:00 | Breakout rooms with tasks (4 x 30 min) |
|
16:00-17:00 | Summary, debrief, Q&A |
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Day 2 How can I stop unnecessary use of antifungals safely? | ||
09:00-09:15 | Good morning! |
|
09:15-09:45 | Antifungals and their mechanisms of action | Dr Roger Büggeman, Netherlands |
09:45-10:15 | Antifungals in development | Prof Oliver Cornely, Germany |
10:15-10:45 | What drives antifungal prescribing? | Dr Chris Eades, UK |
10:45-11:00 | Comfort break |
|
11:00-11:30 | Antifungal stewardship in primary care | TBC |
11:30-12:00 | Antifungal stewardship in the ICU | Prof Joost Wauters, Belgium |
12:00-12:30 | Antifungal stewardship in haematology | Prof Johan Maertens, Belgium |
12:30-13:00 | Environmental sources of fungal infections (fungal IPC) | Prof Malcolm Richardson |
13:00-14:00 | Lunch |
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14:00-16:00 | Group work, breakout rooms, virtual stewardship ward rounds |
|
16:00-17:00 | Summary, debrief, Q&A |
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Programme coordinator contact
Dr Riina Richardson
University of Manchester and Manchester University NHS Foundation Trust
Wythenshawe Hospital,
United Kingdom
Date: 7 and 9 March, 2023
Location: Online
Organisers
The Norwegian Antibiotic Centre for Primary Care, University of Oslo and Norwegian Advisory Unit for Antibiotic Use in Hospitals, Haukeland University Hospital, Bergen
Module objectives
The Antimicrobial Stewardship (AMS) provider recognizes the problems that should be addressed in LTCF and can address them by organizing appropriate structures, interventions, and monitoring.
Preliminary programme
*This module programme is subject to minor amendments
Day 1 | ||
14:00 – 14:20 | Welcome and presentation of participants and LTCFs in their settings (mentimeter) | Dr. Brita Skodvin |
14:20 – 14:45 | Diagnosis and management of infections among the elderly (UTI, LRTI, SSTI) | Dr. Ruth Davey Eig |
14:45 – 14:55 | Break | |
14:55 – 15:25 | Breakout session: Asymptomatic bacteriuria (ABU) | Faculty |
15:25 – 15:45 | Plenary discussion – ABU | Dr. Ruth Davey Eig and Dr. Silje Rebekka Heltveit-Olsen |
15:45 – 15:55 | Break | |
15:55 – 16:10 | Antibiotics to a geriatric population | Dr. Per Espen Akselsen |
16:10 – 16:40 | What is appropriate antibiotic use to patients in LTCFs? - cases (mentimeter) | Dr. Nicolay Harbin and Dr. Kjellaug Enoksen |
16:40 – 17:00 | Antibiotic guidelines in LTCFs | Dr. Per Espen Akselsen |
Day 2 | ||
14:00 – 14:05 | Welcome | Dr. Sigurd Høye |
14:05 – 14:25 | Data collection in LTCFs | Cand. Pharm. Aya Alkayssi and Dr. Ruth Davey Eig |
14:25 – 14:45 | Breakout session: What does the data tell us? - Identifying the challenges | Faculty |
14:45 – 14:55 | Break | |
14:55 – 15:15 | Stakeholders in LTCFs ( HCWs, patients, next of kin) | Dr. Silje Rebekka Heltveit-Olsen and Dr. Nicolay Harbin |
15:15 – 15:45 | Breakout session: Interventions in LTCFs -Addressing the challenges | Faculty |
15:45 – 16:05 | Plenary discussion - Interventions in LTCFs | Dr. Brita Skodvin and Dr. Nicolay Harbin |
| 16:50 – 17:00 | Evaluation and closing remarks | Dr. Sigurd Høye |
Programme coordinator contact
Associate Professor Sigurd Høye
The Norwegian Antibiotic Centre for Primary Care,
Norway
Date: 17-19 November 2023
Location: Crete, Greece
Organisers
School of Medicine, University of Crete, Greece, School of Medicine, European University of Cyprus, Cyprus, Hellenic Society of Infection Control, Athens, Greece, Center of Clinical Epidemiology and Outcomes Research (CLEO), Athens, Greece, Agency for Quality Assurance in Health (ODIPY), Athens, Greece
Module objectives
Train and educate doctors, hospital pharmacists and healthcare providers interested in Antimicrobial Stewardship Program on how to use appropriately the antimicrobials in complicated cases of infection and on how to prevent and control infections in general.
Module venue
Venue 1
School of Medicine, University of Crete – Heraklion Campus
Voutes, PC 71003, Heraklion, Crete, Greece
Website: http://www.med.uoc.gr/
Venue 2
School of Medicine, European University of Cyprus- Nicosia Cyprus
Diogenis 6 Street, PC2404, Nicosia, Cyprus
Website: https://euc.ac.cy/
Venue 3
Department of Nursing, School of Health Science, National Kapodistrian University Athens (EKPA)
Papadiamantopoulou 123, 11527, Gouda, Athens
Website: https://en.uoa.gr/
Preliminary programme
Day 1 | ||
09:00 – 09:30 | Welcome and Introduction | Dr. Diamantis Kofteridis – Aggeliki Karaiskou- Dr. Zoi Dorothea Pana |
09:30 – 10:00 | Dosing in patients with pre-existing liver dysfunction | Dr. Nikolaos Sypsas |
10:00 – 10:30 | Newer antibiotics for infections due multi-drug resistant gram – negative bacteria | Dr. Garyphallia Poulakou |
10:30 – 11:00 | Newer antibiotics for infections due to multi-drug resistant gram – positive bacteria | Dr. Nikolaos Spernovasilis |
11:00 – 11:30 | Coffee break | |
11:30 – 12:00 | Combining the intravenous antimicrobials: indications | Dr. George Chamilos |
12:00 – 12:30 | Nebulized antimicrobials: why, when and how? | Dr. Diamantis Kofteridis |
12:30 - 13:00 | Infections due to pan-drug resistant gram-negative bacteria: how do we treat them? | Dr. George Daikos |
13:00 – 13:30 | Patient’s physiology is changing: what about antimicrobials? | Dr. George Dimopoulos |
13:30 – 14:30 | Lunch | |
14:30 – 15:00 | Antivirals for COVID-19 – Stewardship is needed | Dr. Anastasia Antoniadou |
15:00 – 15:30 | The impact of the Pandemic on the research and development of new antimicrobials | Dr. Konstantinos Thomas |
15:30 – 16:00 | Non – antibiotic therapies to combat bacterial infections | Dr. Petros Ioannou |
16:00 – 16:30 | First day’s breakout room | |
16:30 – 17:00 | Closing | Dr. Diamantis Kofteridis |
Day 2 | ||
09:00 – 09:30 | The role of imaging in choosing the appropriate antimicrobial treatment initially | Dr. Maria Raissaki |
09:30 – 10:00 | Common zoonoses and antimicrobial stewardship | Dr. Karolina Akinosoglou |
10:00 -10:30 | Medical antimicrobial prophylaxis: when and how? | Dr. Dimitrios Karapiperis |
10:30 – 11:00 | Surgical antimicrobial prophylaxis: indications, agents and duration | Dr. Simeon Metallidis |
11:00 – 11:30 | Closing | Dr. Diamantis Kofteridis |
11:30 – 12:00 | Coffee break | |
12:00- 12:30 | WHO core components of ICP multimodal strategies | Zoi Dorothea Pana |
12:30 - 13:00 | Development and implementation of a sustained infection surveillance (monitoring) program | Theoklis Zaoutis |
13:00 – 13:30 | Modes of transmission: general principles | Antonis Maragkos |
13:30 – 14:30 | Lunch break | |
14:30 – 15:00 | Precaution Measures and Personal Protective Equipment: items- types requirements | Christos Triantafyllou |
15:00 – 15:30 | Hand hygiene- Surveillance of compliance | Sofia Karagiannidou |
15:30 – 16:00 | The hospital environment as risk factor for HAIS and AMR | Evagelia Douka |
16:00 – 16:30 | Infection Control and AMS in Long-term Care Facilities | Georgios Saroglou |
16:30 – 17:00 | Vaccines – Their role in Infection prevention and AMR | Dimitrios Chatzigeorgiou |
17: 30 -18:30 | Closing | Aggeliki Karaiskou & Zoi Pana & John Kopsidas |
Day 3 INFECTION CONTROL SESSION | ||
09:00 – 09:45 | Bundles of care enhance compliance to evidence-based quality process measures to improve patient care | Don Goldman |
09:45 – 10:30 | Central line Associated HAIs: ways of transmission, risk factors, bundles | Theodoros Katsoulas |
10:30 – 11:15 | Ventilator associated HAIs: ways of transmission, risk factors, bundles | Pavlos Myriantheas |
11:15 – 12:00 | Urinary catheter associated HAIs: ways of transmission, risk factors, bundles | Kostoula Arvaniti |
12:00 – 12:30 | Coffee break | |
12:30 – 13:00 | SSIs: ways of transmission, risk factors, bundles | Dimitrios Philippou |
13:00 – 13:30 | MDROs – Special measures for Infection Prevention and Control | Xanthi Dedoukou |
13:30 - 14:00 | Management of outbreaks | John Kopsidas |
14:00 – 14:30 | Unresolved issues in Infection Control | Aggeliki Karaiskou |
14:30 – 15:15 | Lunch | |
15:15 – 16:45 | Quality Improvement strategies against HAIs/AMR- In the era of patient safety | Dafni Kaitelidou |
16:45 – 17:15 | Communication skills – Achieving Synergies between IPC, AMR teams and C-suite | Vassilis Raptopoulos |
17:15 – 17:45 | Infection Preventionist as Leaders | Maria Tseroni |
17:45 – 18:30 | Innovation in Infection Prevention | Christos Argyropoulos |
18:30 – 19:00 | Closing | Kaitelidou Dafni & Aggeliki Karaiskou & Zoi Pana |
Programme coordinator contact
Professor Diamantis Kofteridis
School of Medicine,
University of Crete,
Greece
Lecturer Zoi Dorothea Pana
School of Medicine,
European University of Cyprus,
Cyprus
Aggeliki Karaiskou
Hellenic Society of Infection Control,
Greece
Date: 30-31 March, 2023
Location: Oxford, United Kingdom
Organisers
Nuffield department of primary health care sciences, University of Oxford
Module objectives
1. Develop knowledge of effective antimicrobial stewardship (AMS) interventions in primary care
2. Develop skills in using a behavioural approach to develop, implement and evaluate AMS interventions
3. Develop knowledge and skills for implementing AMS interventions in primary care
Preliminary programme
*This module programme is subject to minor amendments
Day 1 | ||
09:00 — 09:30 | Welcome & Introduction (incl. participant introductions, ice-breaker activity) | |
09:30 — 10:00 | How primary care contributes to AMR and why this is important | Dr Van Hecke |
10:00 — 10:20 | GROUP DISCUSSION | |
10:20 — 10:30 | Comfort break | |
10:30 — 11:00 | Factors influencing antibiotic prescribing & use in primary care | A/Prof Tonkin-Crine |
11:00 — 11:30 | Impact of COVID-19 on antibiotic prescribing in primary care | Drs Van Hecke, Borek |
11:30 — 12:00 | GROUP DISCUSSION & ACTIVITY (identifying modifiable behaviours and influences) | |
12:00 — 13:00 | Lunch break | |
13:00 — 13:30 | Overview of the evidence for effective AMS interventions in primary care | A/Prof Tonkin-Crine, Dr Van Hecke |
13:30 — 13:50 | GROUP DISCUSSION | |
13:50 — 14:00 | Comfort break | |
14:00 — 15:30 | DEEP DIVE SESSIONS (30 min rotation in breakout rooms, with —15 min discussions) | |
DEEP DIVE 1: Communication strategies, shared decision making in primary care DEEP DIVE 2: Point-of-care testing (rapid diagnostics) in primary care DEEP DIVE 3: Delayed/back-up prescriptions in primary care | Drs Wanat, Borek A/Prof Hayward A/Prof Tonkin-Crine, Dr Van Hecke | |
15:30 — 16:00 | Summary and Q&A | |
Day 2 | ||
09:00 — 09:30 | Welcome, recap & reflections from Day 1, introduction to Day 2 | |
09:30 — 10:00 | Behavioural science approach to AMR & AMS in primary care | Drs Borek, Wanat |
10:00 — 10:20 | GROUP DISCUSSION | |
10:20 — 10:30 | Comfort break | |
10:30 —11:00 | Developing AMS interventions in primary care | Drs Wanat, Borek |
11:00 — 11:30 | GROUP ACTIVITY (identifying target behaviours, influences, logic modelling) | |
11:30 — 12:00 | Evaluating AMS interventions using mixed methods | A/Profs Tonkin-Crine, Hayward |
12:00 — 12:30 | GROUP ACTIVITY (planning evaluation of an AMS intervention, group discussion) | |
12:30 — 13:30 | Lunch break | |
13:30 — 14:00 | Implementing AMS interventions in primary care | A/Prof Tonkin-Crine, Dr Borek |
14:00 — 14:30 | GROUP ACTIVITY (identifying implementation barriers and how to address them) | |
14:30 — 14:40 | Comfort break | |
14:40 — 15:15 | Overall summary, discussion & close | A/Prof Tonkin-Crine, Drs Wanat, Borek, Van Hecke, A/Prof Haywar |
Programme coordinator contact
Dr Oliver Van Hecke
Nuffield Department of Primary Care Health Sciences
Radcliffe Observatory Quarter,
Oxford,
United Kingdom
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