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

 

9:15- 10:00

Impact of rapid diagnostic testing on antibiotic use -
Improving diagnostic algorithms for severe infections: respiratory tract infections in ICU

Interactive session

Giulia Menchinelli – Massimo Antonelli

10:00-10:45

Impact of rapid diagnostic testing on antibiotic use
Improving diagnostic algorithms for severe infections: the bloodstream infections

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)

 

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

 

 

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

 

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

 

14:00-16:00

Group work, breakout rooms, virtual stewardship ward rounds

 

16:00-17:00

Summary, debrief, Q&A

 

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