Course 6: Antimicrobial Stewardship Principles and Action Planning

This advanced level course is on antimicrobial stewardship (AMS). The lessons provide detailed coverage on elements of AMS, strategies, action planning and so on.

1. Topics and Sub-topics

1. Welcome

  • 1.1. Welcome

2. AMS Program

  • 2.1. AMS Program
  • 2.2. Learning Objectives
  • 2.3. Video-Introduction - AMS Program

3. AMS Program Planning Assessment

  • 3.1. Video-Antimicrobial Stewardship - Ac...

4. References

  • 4.1. Topic_1_AMS Program

Course 5: Healthcare-Associated Infections And their Control practices

This advanced level course is on healthcare-associated infection prevention and control. The lessons cover core components of IPC, care bundles elaborately. This course also provides detailed coverage on quality indicators and surveillance in healthcare settings.

1. Topics and Sub-topics

1. Course Overview

  • 1. Course Overview
  • 1.1. OPEN-AMR

2. Common Healthcare Associated Infectio...

  • 2.1. Introduction
  • 2.2. Overview
  • 2.3. Learning Objectives
  • 2.4. Introduction
  • 2.5. Topics to Cover
  • 2.6. Types of HAI
  • 2.7. Central line-associated bloodstream infections (CLABSI)
  • 2.8. Catheter-associated urinary tract infection (CAUTI)
  • 2.9. Surgical site infections (SSI)
  • 2.10. Ventilator-associated Pneumonia (VAP)
  • 2.11. Most common healthcare-associate Infection
  • 2.12. Risk Factors for HAI
  • 2.13. Modes of Transmission of HAI
  • 2.14. Pathophysiology
  • 2.15. Agents Causing HAI
  • 2.16. Prevention of HAI
  • 2.17. Core Components of Infection Prevention and Control
  • 2.18. IPC programs
  • 2.19. IPC guidelines
  • 2.20. IPC education and training
  • 2.21. HAI surveillance
  • 2.22. Multimodal strategies
  • 2.23. Monitoring/audit of IPC practices and Feedback
  • 2.24. Workload, staffing and bed occupancy
  • 2.25. Built environment, materials and equipment for IPC at the Facility level
  • 2.26. Summary
  • 2.27 References

3. Care Bundles

  • 3.1. Introduction
  • 3.2. Overview
  • 3.3. Learning Objectives
  • 3.4. Introduction
  • 3.5. Topics to Cover
  • 3.6. History of Care Bundles
  • 3.7. Effectiveness of Care Bundles
  • 3.8. Elements of Care Bundles
  • 3.9. Benefits of Care Bundles
  • 3.10. Specific interventions
  • 3.11. Bundles for the Prevention of Centra...
  • 3.12. Components of CLABSI
  • 3.13. Bundles for the Prevention of CAUTI
  • 3.14. Components of CAUTI
  • 3.15. Bundles for the VAP
  • 3.16. Bundles for the Prevention of SSI
  • 3.17. Suggested Practices for Care Bundle...
  • 3.18. Summary
  • 3.19. References
  • 3.20. Completed

4. Quality Indicators and Surveillance final

  • 4.1. Introduction
  • 4.2. Overview
  • 4.3. Learning Objectives
  • 4.4. Topics to Cover
  • 4.5. Quality Indicators
  • 4.6. Surveillance
  • 4.7. Objectives of Surveillance
  • 4.8. Steps in Surveillance for Healthcare
  • 4.9. Methods of Surveillance
  • 4.10. Surveillance Strategies
  • 4.11. Case Finding Methods
  • 4.12. Data Collection
  • 4.13. Data Analysis and Report
  • 4.14. Audits in Infection Prevention and C
  • 4.15. Objectives of an Audit
  • 4.16. Preparation of Audit Team
  • 4.17. Audit Tools
  • 4.18. Audit Methodology
  • 4.19. Clinical Audit Cycle
  • 4.20. Types of Audits
  • 4.21. Audit Reports
  • 4.22. Summary
  • 4.23. References

5. Patient Safety

  • 5.1. Patient Safety
  • 5.2. Summary

Course 4: Advanced Infection Prevention and Control Practices

This advanced level course is on healthcare-associated infection prevention and control. The lessons cover standard precautions and preventions measures, safe injection practices, sharps safety and handling, occupational safety for healthcare workers and so on.

1. Topics and Sub-topics

1. Course Overview

  • 1. Course Overview

2. Introduction Advanced Infection Control Practices

  • 2.1. Introduction
  • 2.2. Overview
  • 2.3. Learning Objectives
  • 2.4. Introduction
  • 2.5. Chain of Infection - Healthcare Facilities
  • 2.6. Sources of Micro-organisms in HAIs
  • 2.7. Factors Causing HAIs
  • 2.8. Types of HAIs
  • 2.9. Prevention Measures
  • 2.10. Standard Precautions
  • 2.11. Summary
  • 2.12. Video: Introduction Advanced Infect...

3. Transmission Based Practices

  • 3.1. Introduction
  • 3.2. Overview
  • 3.3. Learning Objectives
  • 3.4. Introduction
  • 3.5. Modes of Transmission
  • 3.6. Implementation of Transmission-based Precautions (TBPs)
  • 3.7. When should TBP's be applied?
  • 3.8. TBP's - CDC 2021
  • 3.9. Activities Resulting in Transmission
  • 3.10. Isolation Requirements – Transmission Based Practices
  • 3.11. Isolation Requirements - TBPs
  • 3.12. Summary

4. Safe Injection Practices

  • 4.1. Introduction
  • 4.2. Overview
  • 4.3. Learning Objectives
  • 4.4. Introduction
  • 4.5. Topics to Cover
  • 4.6. Safe Injection
  • 4.7. Safe Injection Practices
  • 4.8. Unsafe Injection Practices
  • 4.9. Why Should We Follow Safe Injection...
  • 4.10. Risks Associated With Unsafe Injection..
  • 4.11. CDC's Role In Safe Injection Practices
  • 4.12. CDC's Role In Safe Injection Practices
  • 4.13. CDC's Role In Safe Injection Practices
  • 4.14. Summary
  • 4.15. Video: Safe Injection Practices

5. Occupational Safety

  • 5.1. Introduction
  • 5.2. Overview
  • 5.3. Learning Objectives
  • 5.4. Introduction
  • 5.5. HCWs at Risk
  • 5.6. Transmission of Infections in HCFs
  • 5.7. Blood-borne Infections in HCFs
  • 5.8. Needle-stick Injury in HCFs
  • 5.9. Prevention of HCWs - Occupational E...
  • 5.10. Exposure to Blood, Body Fluids and...
  • 5.11. Post Exposure Prophylaxis (PEP)
  • 5.12. Steps in PEP Management to Blood-...
  • 5.13. Personal Protective Equipment (PPE)
  • 5.14. Occupational Vaccination Programme
  • 5.15. HCWs - Based on Risk Stratification
  • 5.16. HCWs Vaccination - Based on Risk Stratification
  • 5.17. Safe Work Practices
  • 5.18. Safe Work Practices as Recommended by OSHA
  • 5.19. OSH in Outbreak Response – Community Settings
  • 5.20. Safeguards Followed by Healthcare
  • 5.21. Occupational Safety and Health in COVID 19
  • 5.22. Summary

6. References

Course 3: Basics of Antimicrobial Stewardship and Core Components

This course provides detailed coverage on anti-microbial stewardship. The lessons cover core components of AMS, good stewardship guidelines, strategies for containment of antimicrobial resistance microbes and so on.

1. Topics and Sub-topics

1. Anti-microbial Stewardship

  • 1.1. Welcome
  • 1.2. Antimicrobial Stewardship (AMS)
  • 1.3. Overview
  • 1.4. Learning Objectives
  • 1.5. Introduction
  • 1.6. Topics to Cover
  • 1.7. Antimicrobial agents
  • 1.8. Use of Antibiotics
  • 1.9. Antibiotics - Advantages
  • 1.10. Antibiotics - Disadvantages
  • 1.11. Antibiotic Resistance - The Global T...
  • 1.12. Antibiotics vs Human Microflora
  • 1.13. Conserve Antibiotics for Future
  • 1.14. Role of Microbiology Culture
  • 1.15. Antibiogram
  • 1.16. WHO Strategies for Containment of Antimicrobial Resistance
  • 1.17. Prioritization and Implementation
  • 1.18. Combat Drug Resistance - The Antimicrobial Stewardship(AMS) Standard
  • 1.19. Purpose of Antimicrobial Stewardship
  • 1.20. Effective AMS
  • 1.21. Role of AMS
  • 1.22. Summary

2. Infections and Antimicrobials

  • 2.2. Overview
  • 2.3. Learning Objectives
  • 2.4. Introduction
  • 2.5. Topics to Cover
  • 2.6. Infection
  • 2.7. Types of Infections
  • 2.8. Antimicrobial Agents
  • 2.9. Most Common Infections in India
  • 2.10. Treatment
  • 2.11. What is Antimicrobial Resistance?
  • 2.12. Causes of Antimicrobial Resistance
  • 2.13. Selective Pressure
  • 2.14. Mutation
  • 2.15. Gene transfer
  • 2.16. Inadequate Diagnostics
  • 2.17. Inappropriate Use
  • 2.18. Hospital Use
  • 2.19. Societal Pressures
  • 2.20. Agricultural Use
  • 2.21. Spread of Antimicrobial Resistance
  • 2.22. Methods to Control Spread of Antimicrobial
  • 2.23. Guidelines for Optimizing
  • 2.24. Antimicrobial prescribing
  • 2.25. Reserve antimicrobials
  • 2.26. Hypersensitivity
  • 2.27. Alert Antimicrobials
  • 2.28. Monitoring Antimicrobial Use
  • 2.29. Summary

3. Antimicrobial Stewardship Core Compound

  • 3.1. Antimicrobial Stewardship (AMS)
  • 3.2. Overview
  • 3.3. Learning Objectives
  • 3.4. Topics to Cover
  • 3.5. Core Elements of Antibiotic Stewardship
  • 3.6. Core Components of Antibiotic Stewardship
  • 3.7. Leadership Commitment
  • 3.8. Accountability
  • 3.9. Action
  • 3.10. Monitoring & Surveillance
  • 3.11. Reporting
  • 3.12. Education
  • 3.13. Efforts to Support Antibiotic Stewardship
  • 3.14. Summary

4. References

Course 2: Common Infection Prevention and Control Practices

This course aims to train healthcare workers in common infection prevention and control practices. The lessons elaborately cover the core components of IPC, standard precautions. The course provides detailed coverage on hand hygiene, personal protective equipment, biomedical waste management, disinfection, and sterilisation, and so on. A module on infection prevention and control measures and guidelines during outbreak has been included to train healthcare workers for pandemic/endemic situations.

1. Topics and Sub-topics

1. Course Overview

  • 1.1. OPEN-AMR

2. Common Infection Prevention and Control

  • 2.1. Introduction
  • 2.2. Overview
  • 2.3. Learning Objectives
  • 2.4. Infection Prevention and Control (Definition and Background)
  • 2.5. Significance of Infection Prevention and Control
  • 2.6. Topics to Cover
  • 2.7. Standard Precautions for Infection Prevention and control
  • 2.8. Hand Hygiene
  • 2.9. Personal Protective Equipment (PPE)
  • 2.10. Respiratory Hygiene and Cough Etiquette
  • 2.11. Needle Stick Injuries
  • 2.12. Environmental Cleaning
  • 2.13. Linens
  • 2.14. Disposal of Waste
  • 2.15. CDC Guidelines for the Prevention of Device-Associated Infections
  • 2.16. Core Components of IPC
  • 2.17. Core Component 1 - IPC Programs
  • 2.18. Core Component 2 - IPC Guidelines
  • 2.19. Core Component 3 - IPC Education...
  • 2.20. Core Component 4 - HAI Surveillance
  • 2.21. Core Component 5 - Multimodal Strategies
  • 2.22. Core Component 6 - Monitoring/Audit of IPC Practices and Feedback
  • 2.23. Core Component 6 - Core Element 7 - Workload, Staffing, and Bed Occupancy
  • 2.24. Core Component 8 - Built Environment, Materials, and Equipment for IPC at the Facility Level
  • 2.25. Methods of Surveillance
  • 2.26. Summary

3. Hand Hygiene

  • 3.1. Hand Hygiene Video
  • 3.2. Q6

4. PPE

  • 4.1 PPE Video

5. Bio Medical Waste

  • 5.1. Introduction
  • 5.2. Overview
  • 5.3. Learning objectives
  • 5.4. Topics To Cover
  • 5.5. Biomedical Waste (BMW) – Definition
  • 5.6. Other Important Definitions Related to Healthcare Waste
  • 5.7. Classification of Healthcare Waste
  • 5.8. Biomedical Waste
  • 5.9. General Waste
  • 5.10. Other Waste
  • 5.11. Categorization and Classification of Waste in Healthcare Facilities
  • 5.12. Interim Storage of Biomedical Waste
  • 5.13. In-House Transportaion of Biomedical Waste
  • 5.14. Pre-treatment of Biomedical Waste
  • 5.15. Yellow Category A- Pretreatment, Treatment and Disposal of Human Anatomical Waste
  • 5.16. Yellow Category C- Pretreatment, Treatment and Disposal of Solid Waste
  • 5.17. Yellow Category D- Pretreatment, Treatment and Disposal of Expired and Discarded Medicine
  • 5.18. Yellow Category E- Pretreatment, Treatment and Disposal of Chemical Waste
  • 5.19. Yellow Category F- Pretreatment, Treatment and Disposal of Chemical Liquid Waste
  • 5.20. Yellow Category G- Pretreatment, Treatment and Disposal of G Waste
  • 5.21. Yellow Category H- Pretreatment, Treatment and Disposal of H Waste
  • 5.22. Red Category : Pretreatment, Treatment and Disposal of Red Category Biomedical Waste
  • 5.23. White Category : Pretreatment, Treatment and Disposal of White Category Biomedical Waste
  • 5.24. Blue Category : Pretreatment, Treatment and Disposal of Blue Category Biomedical Waste (Glass Material )
  • 5.25. Blue Category : Pretreatment, Treatment and Disposal of Blue Category Biomedical Waste (Metal Body Implants )
  • 5.26. Occupational Safety of Healthcare Workers Handling Biomedical Waste
  • 5.27. Summary
  • 5.28. Biomedical and Waste Management Video

6. Role of IPC in Outbreak Management

  • 6.1. Introduction
  • 6.2. Overview
  • 6.3. Learning Objectives
  • 6.4. Topics to Cover
  • 6.5. Introduction
  • 6.6. Outbreak
  • 6.7. Investigation and Management
  • 6.8. Formation of Outbreak Control Team...
  • 6.9. Risk Reduction Measures
  • 6.10. Early Recognition and Source Control
  • 6.11. Administrative Controls
  • 6.12. Environmental and Engineering Con...
  • 6.13. Personal Protective Equipment
  • 6.14. General Measures
  • 6.15. End of outbreak
  • 6.16. Summary
  • 6.17. References

7. Cleaning, Disinfection and Sterilization

  • 7.1. Introduction
  • 7.2. Overview
  • 7.4. Introduction
  • 7.5. Topics to Cover
  • 7.6. A Rational Approach to Disinfection and Sterilization
  • 7.7. Factors affecting the efficacy and Disinfection and Sterilization
  • 7.8. Cleaning
  • 7.9. Disinfection
  • 7.10. Sterilization7.11. Steam Sterilization
  • 7.12. Flash Sterilization
  • 7.13. Ethylene Oxide "Gas" Sterilization
  • 7.14. Hydrogen Peroxide Gas Plasma
  • 7.15. Sterilizing Practices
  • 7.16. Cleaning of instruments
  • 7.17. Packaging
  • 7.18. Loading
  • 7.19. Storage of instruments
  • 7.20. Monitoring of sterilization of instrumentation
  • 7.21. Summary
  • 7.22. Cleaning Disinfection and Sterilization
  • 7.23. References

Course 1: Introduction to Infection Prevention and Control and Antimicrobial Stewardship

This course provides foundation to the IPC and AMS Program through imparting basic knowledge on healthcare-associated infections, infection prevention and control, and antimicrobial stewardship.

The lessons cover basics and hierarchy of infection control, core elements and strategies for antimicrobial stewardship and so on.

1. Topics and Sub-topics

Course Overview

2. Introduction of IPC

  • 2.1. Introduction
  • 2.2. Overview
  • 2.3. Learning Objectives
  • 2.4. Topics to Cover
  • 2.5. Introduction
  • 2.6. HAI
  • 2.7. Types of HAIs
  • 2.8. Chain of Infection
  • 2.9. Examples of Modes of Transmission
  • 2.10. Levels of Infection Control
  • 2.11. Hierarchy of infection Controls
  • 2.12. Basics of Infection Control
  • 2.14. End Slide

3. Introduction of Antimicrobial Stewardship

  • 3.1. Introduction
  • 3.2. Overview
  • 3.3. Learning Objectives
  • 3.4. Topics to Cover
  • 3.5. What is Antimicrobial Stewardship?
  • 3.6. Why is Antimicrobial Stewardship Importance
  • 3.7. Goals of Antimicrobial Stewardship
  • 3.8. Cycle of Antimicrobial Stewardship
  • 3.9. Antimicrobial Management Team
  • 3.10. Antimicrobial Management Team
  • 3.11. Functions of Antimicrobial Management
  • 3.12. Core Elements of Antibiotic Stewardship
  • 3.13. Antimicrobial Stewardship Strategies
  • 3.14. Good Antimicrobial Stewardship
  • 3.15. Surveillance of Antimicrobial Use
  • 3.16. Rational Use of Antibiotics
  • 3.17. Inappropriate Antibiotic Usage
  • 3.18. Antibiotic Treatment Strategies
  • 3.19. Antibiotic Policy
  • 3.20. Development of Antibiotic Policy
  • 3.21. What is an Antibiogram
  • 3.22. Antibiogram Use
  • 3.23. Summary
  • 3.24. End Slide

4. References