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Raise Awareness  –  Education and training

Training manuals and courses

A variety of online courses, training manuals, and teaching modules are available that address different issues related to antibiotics and antibiotic resistance.

A selection of available open source materials can be found below.

Resources have been divided into the following tables:

  • General
  • Infection prevention and control
  • Educating providers
  • Rational use/Stewardship
  • Food production

Selected Resources

General

Resource Description
Antibiotic Resistance: the Silent Tsunami This open online course on antibiotic resistance developed by ReAct and Uppsala University gives an overview on how misuse of antibiotics worldwide have lead to the rapid emergence and spread of antibiotic resistant bacteria and how to take action.
Gut Check: Exploring Your Microbiome A massive open online course (MOOC) giving a tour of the human gut and its microscopic inhabitants developed by the University of Colorado Boulder and University of Colorado System.
Education Modules Educational modules that can be helpful during a handwashing behavioral change program. Presented by the Global Handwashing Partnership.
Epidemics – the Dynamics of Infectious Diseases Massive Open Online Course (MOOC) on understanding infectious diseases – what they are, how they spread, and how they can be prevented, including how antibiotic resistance evolves.
Antimicrobial resistance – theory and methods This Massive Open Online Course (MOOC) provides basic definitions and an overview of antimicrobials; their use, the emergence and spread of resistance including how bacteria become resistant and mechanisms of action. It covers methods for antimicrobial susceptibility testing (AST) and detection of specific resistance in the microbiological laboratories. It also shows how to use genomic analysis tools to detect resistance genes.

Infection prevention and control

Resource Description
Patient Safety Curriculum Guide Multi-professional Edition A manual aimed at health care educators and students. It contains ready-to-teach, patient safety programmes that can be used as a whole or on a per topic basis. Topic 9 in part B: Infection Prevention and Control focuses on the prevention of health care associated infections (teaching slides can be found here). Available in Chinese, Czech, English, French, Indonesian, Italian, Japanese, Polish, Spanish.
Infection Prevention and Control: A guide for health professionals in low-resource settings Free online e-book for training in infection prevention and control in resource-limited settings.
Clean Care is Safer Care: Tools for training and education Training material from WHO on hand hygiene, including:

  • Hand hygiene training Films
  • Slides for education sessions for trainers and health care workers
  • Hand hygiene technical reference manual to train health care workers
Partnering to Heal Computer-based, video-simulation training program on infection control practices for health professionals, students, and patient advocates. The focus is on effective communication about infection control practices and ideas for creating a “culture of safety” in healthcare institutions to keep patients from getting sicker. Developed by the U.S. Department of Health and Human Services.

Educating providers

Resource Description
WHO Competency Framework for Health Workers’ Education and Training on Antimicrobial Resistance This framework from WHO outlines core and additional competencies for health workers in regards to antimicrobial resistance, and is a reference guide for academic institutions, educators, accreditation bodies, regulatory agencies and health policy- and decision-making authorities. The purpose is to guide the education and training of health workers.
How to educate prescribers in antimicrobial stewardship practices A description of the needs for education. professional curriculums should include principles of microbiology, infectious diseases and clinical pharmacology, with emphasis on the principles of prudent prescribing.
Understanding and Responding to Pharmaceutical Promotion: A Practical Guide WHO and HAI have developed this manual to assist teachers and health care professionals in teaching medical and pharmacy students about pharmaceutical promotion, and how to cope with pressure from the pharmaceutical industry.
Drug and Therapeutics Committee Training Course. Participant’s Guide – All Sessions Example training course for a Drug and Therapeutics Committee. Contains instructions and examples cases for discussions (but not answers). Covers for example medicine selection for the formulary, identification of medicine use problems, and the promotion of interventions to improve medicine use. WHO/MSH/USAIDS.
Understanding and changing human behaviour-antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour This paper addresses: 1) Situations where human behaviour is involved in relation to antibiotics, focusing on providers and consumers; 2) Theories about human behaviour and factors influencing behaviour in relation to antibiotics; 3) How behaviour in relation to antibiotics can change; and, 4) Antibiotic mainstreaming as an approach to facilitate changes in human behaviour as regards antibiotics.
Strengthening Pre-service Pharmacy Training on Rational Medicine Use and Antimicrobial Resistance This technical report describes the innovative design of the Rational Medicine Use and AMR theme within the Pharmacy Practice curriculum, illustrates the more engaged teaching-learning experience and provides concrete materials developed for this purpose.
Behavioral Approach to Appropriate Antimicrobial Prescribing in Hospitals Article describing an intervention on appropriate antibiotic prescribing grounded in behavioral theory. A root cause analysis of inappropriate prescribing was performed, and then prescribers were offered a free choice of how to improve their antimicrobial prescribing based on this analysis. The Root Cause Analysis Interview Topic List can be found in supplemental content.
Theory at a Glance: A Guide For Health Promotion Practice This guide describes influential theories of health-related behaviours, process of shaping behaviour, and the effects of community and environmental factors on behaviour.
How to change practice: Understand, identify and overcome barriers to change A guide giving practical advice on how to encourage healthcare professionals to change their practice in line with the latest guidance, provided by the AIDS Education and Training Center (AETC) Program.
National Quality Partners Playbook: Antibiotic Stewardship in Acute Care The Playbook helps hospitals and health systems strengthen existing antibiotic stewardship initiatives or create antibiotic stewardship programs from the ground up. It is a complementary resource to CDC’s Core Elements of Hospital Antibiotic Stewardship Programs. The Playbook offers practical strategies for implementing antibiotic stewardship programs in hospitals.

Rational use/stewardship

Resource Description
Antimicrobial Stewardship: A competency-based approach A self-paced, 8 hour course on OpenWHO. Uses case-based examples to highlight how antimicrobial stewardship principles can be applied to common clinical scenarios. Course divided into 14 modules: Module A-E covers foundational clinical knowledge necessary to use antimicrobials wisely, and module F-N how clinicians can incorporate this knowledge in their management of patients with common infection.
Antimicrobial Stewardship: From Principles to Practice  Comprehensive eBook from the British Society for Antimicrobial Chemotherapy (BSAC) that covers for example (register for access):

  • Challenges posed by antimicrobial resistance
  • Tools for setting up stewardship programs and making use of existing programs
  • Resources to apply the principles of stewardship to a wide range of professions, and areas
  • Support for work in LMICs
  • An interactive multimedia platform
Antimicrobial Stewardship: Managing Antibiotic Resistance A massive open online course (MOOC) on antimicrobial stewardship developed by the University of Dundee and the British Society for Antimicrobial Chemotherapy BSAC, UK. Available in English, Mandarin, Spanish, and Russian. More info and course evaluation has been published.
Antimicrobial Stewardship Curriculum for Medical Students Curriculum created for U.S. medical students by Wake Forest School of Medicine in collaboration with the Centers for Disease Control and Prevention (CDC) and the Association of American Medical Colleges (AAMC) to increase understanding of antibiotic resistance and how to prevent and control it.
Clinical Antibiotic Stewardship for South Africa This course in Clinical Antibiotic Stewardship developed by the South African Antibiotic Stewardship Programme (SAASP) includes the principles of antibiotic prescribing and an approach to common clinical problems.

Food production

Resource Description
Antimicrobial Resistance Learning Site for Veterinarians These open-source teaching modules on antimicrobial resistance are designed for integration into existing veterinary school courses regarding: pharmacology, microbiology, one health, and species-specific medicine.
Five keys to growing safer fruits and vegetables: promoting health by decreasing microbial contamination Training manual on how to grow safer crops, which has been developed to support food safety education of rural workers, by the World Health Organization (WHO).
Farm Biosecurity: Less diseases, better performance, and higher profits Teaching sessions (slide presentations) from FAO covering important biosecurity aspects in poultry farms.
Antimicrobial Resistance in the Food Chain Massive Open Online Course (MOOC) on antimicrobial resistance in the food chain. The course provides information on what antibiotics are, how they work and how resistance develops. It deals with antibiotic use both in health care and in farming and explains how antibiotics contaminate the environment.

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