Training on antimicrobial stewardship

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WHO Competency framework on AMR

WHO Competency Framework on Antimicrobial Resistance (AMR) https://apps.who.int/iris/rest/bitstreams/1138914/retrieve
About the framework

In 2015, the World Health Organization (WHO) launched the global action plan to fight antimicrobial resistance (AMR). The first objective of the plan calls for measures to improve health workers’ education and training on AMR.

This WHO competency framework for health workers’ education and training on AMR provides foundational normative guidance to help countries ensure that health workers are properly equipped with the competencies they need to combat the spread of AMR.
Target users of this document include:
  • pre-service and in-service health education and training institutions
  • accreditation and licensing bodies
  • and health policy- and decision-making authorities

The framework is configured in a tabular matrix format, containing core and additional AMR competencies, which have been organized across four domain areas and four categories of health workers. The domain areas include:

  1. Foundations that build awareness of antimicrobial resistance
  2. Appropriate use of antimicrobial agents
  3. Infection prevention and control (IPC)
  4. Diagnostic stewardship and surveillance

The four categories of health worker groupings identify competencies that are required for: all health workers, prescribers, non-prescribers and public health officers/health services managers. This framework provides users with a reference tool to guide the analysis, framing and adaptation of locally relevant education and training materials on AMR.

Links to online resources, webinars and courses

The list of resources was compiled in November 2020

Antimicrobial Stewardship Courses

Course

Description

Audience

Time

AMR competencies for healthcare staff

https://openwho.org/courses/AMR-competency

Core competencies of AMS and how they can be applied to common clinical scenarios.

Clinicians prescribing antimicrobials

8 hours

Antimicrobial Stewardship in Africa https://www.futurelearn.com/courses/antimicrobial-stewardship-for-africa

AMR in Africa

Microbiology investigations

How to develop antibiotic guidelines.

Strategies for effective use of antimicrobials.

All healthcare workers

3 hours a week for 3 weeks

Massive open online course (MOOC) on antimicrobial stewardship

https://www.futurelearn.com/courses/antimicrobial-stewardship

AMR and its global impact

Antimicrobial stewardship

Why measurement is important

Diagnostics

Behaviour Change Science

Antibiotic stewardship from across the globe

All healthcare workers

3 hours a week for 6 weeks

Antibiotic Resistance – The Silent Tsunami
https://www.reactgroup.org/antibiotic-resistance/course-antibiotic-resistance-the-silent-tsunami/

  • The importance of antibiotics and AMR.
  • Mechanisms of antibiotics and AMR
  • Challenges of resistance in clinical practice, innovation, financial models and equal distribution of medicines.
  • AMS strategies

All healthcare workers and members of the public

Each module takes 4 hours to complete

CIDRAP-ASP The Core Elements of Human Antibiotic Stewardship Programs in Resource Limited Settings

https://www.youtube.com/watch?v=wo0Dpxm0fsY

Part of CDC AMS Webinar series.

 

1 hour

Global health learning

Antimicrobial Resistance part 1.

https://www.globalhealthlearning.org/course/antimicrobial-resistance-part-1-0

AMR is and how it emerges and spreads

The impact of AMR

 

2 hours

Global health learning

Antimicrobial Resistance part 2

https://www.globalhealthlearning.org/course/antimicrobial-resistance-part-2

Factors contributing to AMR

Interventions to address AMR

 

3 hours

ARK - Antibiotic Review Kit

http://bsac-vle.com/ark-the-antibiotic-review-kit/

An AMS initiative that aims to safely reduce antibiotic use in hospitals by helping staff stop unnecessary antibiotic treatments.

   

Challenges in Antibiotic Resistance: Gram Negative Bacteria

https://www.futurelearn.com/courses/gram-negative-bacteria

Clinical infections - Gram- Negative Bacteria.

Epidemiology and basic mechanisms of resistance, locally and globally.

Treatment

The burden and impact of GNB infections

Advanced level knowledge.

AMS team

3 hours a week for 3 weeks

Interactive learning packages and toolkit resources for healthcare staff

Resource

Description

Comments / Key information

BSAC eBook http://bsac.org.uk/antimicrobial-stewardship-from-principles-to-practice-e-book/

Extensive interactive toolkit of global resources

Registration required for free download.

Refer to ch 14 for a list of available AMS educational courses in LMICs

Refer to ch 13 Educational competencies

The wider eBook is a valuable resource for AMS team

ReAct Toolbox for action on AMR https://www.reactgroup.org/toolbox/

 

Extensive toolbox to provide inspiration and guidance to tackle AMR, including examples of application

Links to further educational tools https://www.reactgroup.org/toolbox/raise-awareness/education-and-training/

Educational resources to support “Appropriate Use of Antimicrobial Agents”

Course

Description

Audience

WHO Antibiotic classification AWaRe

https://aware.essentialmeds.org/groups

/information on AWaRe classification for self-directed learning

All healthcare workers

Think sepsis e-learning

https://www.e-lfh.org.uk/programmes/sepsis/

Overview of sepsis (Developed for use in UK / developed healthcare systems)

WHO Competency for prescribers

Exploring the sepsis care bundle

https://www.nottingham.ac.uk/nursing/sonet/rlos/placs/sepsis-care-bundle/

Overview of sepsis management

(Developed for use in UK / developed healthcare systems)

WHO Competency for prescribers

Lecture: Improving outcomes in septic shock: Optimizing antimicrobial therapy by Anand Kumar

https://empendium.com/mcmtextbook/lectures/intensive/201260,improving-outcomes-in-septic-shock-optimizing-antimicrobial-therapy

Free to access lecture

WHO Competency for prescribers

 

Newborn sepsis

https://www.globalhealthlearning.org/course/newborn-sepsis

 

Identify the sepsis in the newborn

Preventing infection

Treatment in the newborn

WHO Competency for prescribers

 

Liverpool University HIV drug Interactions Website

https://www.hiv-druginteractions.org/

Resource for checking HIV drug interactions

Lectures on the following sited in educational videos section:

Pharmacokinetics, Drug absorption, Drug disposition, drug-drug interactions

WHO Competency for prescribers and pharmacists

 

Step by step approach for development and implementation of hospital antibiotic policy and standard treatment guidelines https://apps.who.int/iris/handle/10665/205912

Guidance document for policy development

AMS Committees

WHO Competency for prescribers

Online course available for drug allergy

https://education.aaaai.org/WAODrugAllergy

 

WHO Competency for pharmacists

Utilising Social Science and Behaviour Change in Antimicrobial Stewardship Programmes: Improving Healthcare

https://www.futurelearn.com/courses/behaviour-change

Behaviour change techniques be used within antimicrobial stewardship projects

AMS Committees

Resources to Support Antibiotic Use in Special Populations

Special Population

Resource

HIV drug interactions

https://www.hiv-druginteractions.org/

Pregnancy

https://www.medicinesinpregnancy.org/