About the Dutch Antimicrobial Stewardship masterclass & expert consultancy
"How to improve antibiotic use: a practical introduction to the development and implementation of Antimicrobial Stewardship Programs."read more
About the Dutch Antimicrobial Stewardship masterclass & expert consultancy“How to improve antibiotic use: a practical introduction to the development and implementation of Antimicrobial Stewardship Programs”
Our goal is to guide professionals and policy makers through the process of developing and implementing a successful Antimicrobial Stewardship Program in their hospital, healthcare system, region or even country. We achieve to do so by preparing you through pre-course online courses and project assignments, by teaching you through a 5-day course and helping you to elaborate your project. After the masterclass a dedicated coach will assist you with the evaluation and refinement of the project.
Learning objectives of the course
- To understand the problems of Antimicrobial Resistance (AMR) across global, national and local levels;
- to understand and be able to describe the core elements of antimicrobial stewardship;
- to understand how to develop local/national guidelines for appropriate antibiotic use, based on international guidelines and local/national resistance levels;
- to be aware of the main barriers to the development of an Antimicrobial Stewardship Program, and to be able to apply improvement strategies to address these;
- to be able to convey the knowledge and skills needed for Antimicrobial Stewardship to both clinical and management teams in hospitals;
- to have decided next steps to take to improve antibiotic use/implement antibiotic stewardship in my health care setting/country.
Why Radboudumc?The Radboudumc offers small classes, excellent and reknown clinical and implementation scientists as well as tutors, clear learning goals, modern teaching skills, examination and certification. Furthermore, we cooperate with other Centers of Excellence in Infectious Diseases exchanging guest professors.
We are ideally placed for groups, responsible for the implementation of an Antimicrobial Stewardship Program, including clinicians (micro, ID, clinical pharmacy) and policymakers.
The masterclass aims to teach senior staff hospital doctors, policy makers and is ideally oriented at groups.
- Senior staff hospital doctors (ID, microbiology, clinical pharmacy, ICU, paediatrics etc) who start to develop and / or implement an Antimicrobial Stewardship Program in their hospital / healthcare system /region / country and will train their colleagues;
- Policy makers (partly separate sessions) e.g. hospital directors, healthcare inspectorate and Department of Health officials;
- Ideally (but not exclusively) oriented at groups, responsible for the implementation of an Antimicrobial Stewardship Program, including both clinicians (micro, ID, clinical pharmacy) and policymakers.
22-26 May 2019; max. 40 participants; very suitable for group training (hospital, healthcare system, region or country).
You will be staying in the new and luxurious Landgoed Hotel Holthurnsche Hof which is situated on a beautiful 19th-century estate between the hills of Berg en Dal, only a few kilometers from Nijmegen.
Where?Fletcher Landgoed Hotel Holthurnsche Hof****, nearby Nijmegen.
You will be staying in the new and luxurious Landgoed Hotel Holthurnsche Hof, which is situated on a beautiful 19th-century estate between the hills of Berg en Dal. In addition, the hotel is only a few kilometers from the bustling city of Nijmegen.
Click here for more information.
- Weeze, Germany (45 km)
- Eindhoven, NL (77 km)
- Dusseldorf, Germany (112 km)
- Rotterdam, NL (128 km)
- Amsterdam, NL (141 km)
No limitations. However, this course is a teach-the-teacher, postgraduate course targeted at healthcare professionals with hospital, clinical or management experience.
European CME credits pending.
€ 2.250,- per participant.
Tutors of the masterclass
Bart-Jan Kullberg MD PhD, professor of Internal Medicine and Infectious DiseasesBart-Jan's specific expertise involves the treatment of invasive fungal infections. He was a member of the IDSA, ECCMID and ECIL guideline committees and is chairman of the Dutch guideline committee for invasive mycoses. He is a member of the Board of Directors of the international Mycoses Study Group (MSG-ERC) and was principal investigator of various international clinical trials in the field of antifungal therapy. He was a member of the daily board of the Dutch Working Party on Antibiotic Policy (SWAB) from 2002-2015, was one of the initiators of the national antimicrobial stewardship program and the A-teams in the Netherlands, and is chairman of the national antimicrobial stewardship working group.
Read more about Bart-Jan or visit the Dutch Antimicrobial Stewardship team page.
Marlies Hulscher PhD, professor of Quality of Care for infectious diseasesMarlies is a senior researcher at the Scientific Institute for Quality of Healthcare (IQ healthcare) of the Radboud University Medical Center, Nijmegen. IQ healthcare has a multi-disciplinary health services research staff with a background in e.g. sociology, social psychology, humanities, (bio)medical sciences, and economics and management. Marlies has more than 25 years experience in implementation research and behavioral science. Implementation scientists seek to understand the behavior of healthcare professionals and other stakeholders as a key variable in the uptake of evidence-based interventions into routine practice. Such insight into factors that underpin behaviors is crucial so that theories on behavioral change can be selected to generate ideas for the planning of effective interventions to change professional and stakeholder behavior and improve patient health.
As a Principal Investigator Marlies has performed numerous studies on defining, measuring, understanding and improving appropriate hospital antibiotic use and infection prevention. She is experienced in qualitative and quantitative research and in effect, process and economic evaluations.
Read more about Marlies or visit the Dutch Antimicrobial Stewardship team page.
Jeroen Schouten MD PhD, intensivist and senior researcherJeroen is an intensivist at Radboud University Medical Center in Nijmegen and is a senior researcher at IQ healthcare. Jeroen earned a PhD in Infectious Diseases and Implementation Science and has been involved in qualitative research with a focus on antimicrobial stewardship ever since, focusing on its application in Intensive care medicine. As senior researcher, Jeroen has performed numerous studies on understanding and improving hospital antibiotic use. He is experienced in qualitative and quantitative research methods and has been involved in many (inter)national initiatives to improve antibiotic prescribing (e.g. SWAB, ECCMID, ECDC, WHO).
Read more about Jeroen or visit the Dutch Antimicrobial Stewardship team page.
Heiman Wertheim, professor in clinical microbiologyHeiman is clinical microbiologist and heads the clinical microbiology department at Radboud University Medical Center. He is board member for the Nederlandse Vereniging voor Medische Microbiologie (NVMM) and member of the ‘Raad voor Wetenschap en Innovatie’ at the Federatie Medisch Specialisten.
One of his main interests is antibiotic resistance in both resource rich and resource constrained settings and does this through a multidisciplinary approach: health systems, policy development, behavior, surveillance, prevention, genomics, stewardship and clinical trials. Heiman is currently part of a WHO expert panel to develop a priority pathogens list (PPL) for antimicrobial resistant bacteria.
Read more about Heiman or visit the Dutch Antimicrobial Stewardship team page.
Roger Brüggemann PhD, hospital pharmacist and clinical pharmacologistRoger is a hospital pharmacist and clinical pharmacologist at Radboud University Medical Center in Nijmegen. He is responsable for translational farmacological research into anti-infectives (antifungal and antibacterial). His research interests cover three domains: from in vitro and experimental work in animals to research in specific patient populations (ICU, hematology, neonatology and pediatrics, obese patients) in a model of strong national and international collaboration. The focus of his research is to unravel influencing factors on pharmacokinetics and pharmacodynamics of anti-infectives. Roger co-authors treatment guidelines on TDM for antifungals. Clinically, Roger is responsible for pharmacological consultation at the departments of Hematology and Intensive Care medicine. He is a member of Radboudumc A-team.
Read more about Roger or visit the Dutch Antimicrobial Stewardship team page.
Jaap ten Oever MD PhD, infectious disease physicianJaap’s interest are community- and hospital-acquired infections and antimicrobial stewardship, in which he has extensive hands-on experience, is involved in research and policy-making. He was trained as an infectious disease specialist at the Radboud university medical center and obtained his PhD in 2014 with his thesis “Footprints of infections novel diagnostic strategies in infectious diseases”. Besides being a member of the Radboud university medical center antimicrobial stewardship team, he participates in the antibiotic resistance & infection prevention network Gelderland (GAIN), is secretary of the Dutch working Party on Antibiotic Policy (SWAB) working group on antimicrobial stewardship, and a board member of the SWAB. He coordinates the development and implementation of the Dutch antimicrobial stewardship monitor. He is the vice-coordinator of the infectious diseases training program.
Read more about Jaap or visit the Dutch Antimicrobial Stewardship team page.
The course consists of a pre-course and a 5 day course. After the course, you will keep in contact with you dedicated tutor-coach for 6 months.
Pre-course study material is provided. Participants are required to study the suggested material and follow the WHO MOOC on Antimicrobial stewardship. Participants are also required to submit an abstract (format is provided by the organization) for an ongoing or planned antimicrobial stewardship project in their organization (e.g. implementation of guidelines, improving prescribing practice etc.) This project will be used as a thread throughout the course. The required preparation time is approx. 8 hours.
Morning: General introduction, basic principles of an Antibiotic Stewardship Program (ASP)
9.00 Welcome and introduction to all participants and faculty (J. Schouten)
9.30 - 10.00 Antimicrobial resistance, quantity and quality of antimicrobial use, a global perspective (H. Wertheim)
10.00-10.30 The BASIC requirements of an ASP (Jan Prins)
10.30-11.00 The WHAT of antimicrobial stewardship: which stewardship activities lead to better outcomes (Jaap ten Oever)
11.00-11.30 The HOW of antimicrobial stewardship: how do I make sure that stewardship activities are implemented (Marlies Hulscher)
11.30-12.30 Discussion. Presentation of tutors for each group.
12.30-13.30 Lunch Break
Afternoon: Workshop Implementation in practice part I “What is exactly my problem ?”
13.30-17.00 Prerogatives of an ASP: what is my current status? Which are my norms? What do I need to do first? ‘prepared homework: where do I come from?’ (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
- 1-3 powerpoint slides about the current situation in your hospital / region/ country, what is your largest problem/concern related to antimicrobial use and what you hope to achieve in your home country
- Afterwards group work on clarifying goals for the course
20.00-21.30 Fire-side conversation “Clinical case studies with a seasoned ID physician” (Jos van der Meer)
Morning: Workshop Implementation in practice part II: “How do I measure the quantity of Antimicrobial use?”
9.00-9.30 Quantity of antimicrobial use: the basics (Stephanie Natsch)
9.30-12.00 How to deduct Quantitative Measures from a raw database and how to analyse and present data: a 5 step approach (Stephanie Natsch, Paul van der Linden, Annemieke van den Broek, Bart Hendriks)
12.00-12.30 How do I do this in my own hospital, a practical example (Bart Hendriks, Leiden)
Afternoon: Workshop Implementation in practice part II: “How do I measure the quality of Antimicrobial use?”
13.30-14.00 Quality Indicators in Antimicrobial Stewardship, the basics (Marlies Hulscher)
14.00-16.00 How to conduct a Point Prevalence Survey or an audit, interpret the results and present results (Jaap ten Oever, Stephanie Natsch, Annemieke van den Broek, Jeroen Schouten)
16.00-16.30 Lecture “How to use surveillance data to curb antimicrobial prescribing in daily practice” (Heiman Wertheim)
16.30-18.00 Working on Group Project
18.00-19.00 Optional: biking or walking tour in the Nijmegen - Groesbeek area
Morning: Workshop implementation in practice part III “how do I analyse barriers?”
9.00-9.30 Determinants of Antibiotic use (Marlies Hulscher)
9.30-12.00 How to assess barriers and facilitators related to optimal antibiotic use (Jeroen Schouten, Jaap ten Oever, Anke Oerlemans, Marlies Hulscher)
Lunch break (on the bus)
Afternoon: Visit to the National Institute for Public health and the Environment (RIVM)
13.00 -13.30 Welcome and tour at RIVM
13.30-14.15 Meetings with Marieken van der Lubben of Jaap (RIVM), Merel Langelaar (Dutch Health Care Inspectorate) and Mark de Boer (SWAB, the Dutch Working party on Antimicrobial Stewardship)
14.15-16.15 Presentation of successful Dutch stewardship projects (6 presentations of 15 minutes + 5 minutes discussion)
- Allergy to Antibiotics? A practical approach - Mark de Boer, Leiden
- Implementing an Antimicrobial use Monitoring system – Bart Hendriks, Leiden
- Organising Outpatient Antimicrobial therapy (OPAT) – Marvin Berrevoets, Tilburg
- Clinical rules, audits and interventions- Winnie de Bruin, Hospital Pharmacist Diaconessenhuis Utrecht
- Optimizing treatment of S. aureus sepsis - Marvin Berrevoets, Tilburg
- Deployment of a nurse specialist for the Antimicrobial Management team - Ilse Overvest (PAMM)
18.00-20.00 Dinner in the city of Utrecht
Morning: Workshop implementation in practice part IV “How do I choose effective interventions?”
9.00-9.30 How do I get from a barrier to a potentially effective intervention (Rob Ruiter, Maastricht)
9.30 – 12.00 Workshop “From barrier to intervention”: tools and tricks (Marlies Hulscher, Jeroen Schouten, Rob Ruiter)
12.30-13.30 Lunch break
13.30-14.00 AMS in primary care: the cradle of Dutch success? (Theo Verheij, Utrecht)
14.00-14.30 ABS in Long Term Care Facilities: a growing concern needs an appropriate approach (speaker to be confirmed)
15.00-15.30 ABS in emergency medicine, acute elderly care and ICU (Jacobien Hoogerwerf)
15.30-16.00 Public education and campaigns (Enny Das)
16.00-18.00 Group work: finalizing group project
20.00-21.30 Fire-side conversation: “the Ethics of antimicrobial prescribing” Babette Rump (Physician and Philosopher)
Morning: Grande Finale
10.00-12.00 “Grande Finale”: presentation of personal / team projects to the complete group of experts & discussion (Jeroen Schouten, Marlies Hulscher, Jaap ten Oever, Reinout van Crevel, Heiman Wertheim, Inge Gyssens, BJ Kullberg)
12.00-13.00 Certificate ceremony
13.00-14.00 Lunch and Farewell
After the course, one dedicated tutor-coach will keep I contact with the group until 6 months after the course. In this period a regular Skype meeting (one month and 6 months after the course) and (if so required) a local visit to the participants’ center can be organized.