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Massive Online Course on Antimicrobial Stewardship and Infection Prevention and Control

Developed by Amrita Institute of Medical Sciences, Faridabad, Haryana, Platform for publication of the course- Amrita AHEAD

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    About

    The Online Certificate Course on Antimicrobial Stewardship and Infection Prevention and Control is developed by Amrita Institute of Medical Sciences in Faridabad, Haryana, and is available on the Amrita AHEAD platform. This comprehensive course is designed to provide healthcare professionals with the latest evidence-based knowledge on Antimicrobial Stewardship (AMS) and Infection Prevention and Control (IPC).

    The program consists of two modules: the Basic Module for medical, pharmacy, and nursing students, as well as healthcare professionals in primary and secondary care, and the Advanced Module for healthcare professionals in tertiary care hospitals. The course combines theoretical learning with practical strategies for implementation in healthcare settings, particularly in low- and middle-income countries, and is aimed at improving patient safety and healthcare outcomes.

    Attention Please !

    Amrita Vishwa Vidyapeetham has not appointed any agent or third-party representative within India for admissions to any programme. Students residing in India are advised not to make payments or seat reservation advances to any individual or organization claiming to offer admission assistance for Amrita campuses.

    For international admissions, the University may work with authorized overseas representatives in select countries. International applicants are advised to verify the credentials of such representatives through official Amrita communication channels before proceeding with applications or payments.
    – Issued in Public Interest by Directorate of Admissions and Academic Outreach

    Eligibility

    Eligibility

    Basic Module:

    • Final-year medical, pharmacy, and nursing students
    • Healthcare professionals from primary and secondary care hospitals
    • Early-career specialists from tertiary care hospitals

    Advanced Module:

    • Healthcare professionals from tertiary care hospitals
    • Those who have completed the Basic Module or have equivalent experience in AMS and IPC

    Course Duration

    Basic Course:

    • Duration: Three months from the day of first accessing the course
    • One contact session at Amrita Hospital, Faridabad (Optional)

    Advanced Course:

    • Duration: Three months from the day of first accessing the course
    • One contact session at Amrita Hospital, Faridabad (Optional)

    Highlights

    registration

    Basic Module

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    Advance Module

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    For Payment Scan the QR Code

    Basic module

    Key Objectives of the Course

    • Deliver up-to-date, evidence-based, high-quality education on AMS and IPC practices
    • Share evidence about the various AMS and IPC strategies, practicalities of implementing these interventions in a healthcare setting in a low- and middle- income country and how their outcomes can be measured and presented

    The course includes key national and international experts who would cover basics of microbiology, pharmacology, infectious diseases management, Antimicrobial Stewardship (AMS) and Infection Prevention & Control (IPC) practices. Sessions would be conducted virtually and registered participants will have the opportunity to receive one week hands-on- training at Amrita Hospital, Faridabad, Haryana

    Target Audience

    • Medical students
    • Pharmacy students
    • Nursing students
    • Healthcare professionals from primary and secondary care hospitals
    • Early career specialists from tertiary hospitals

    Course Fee : INR 2500

    Team

    Basics of Microbiology

    Dr. Meher Rizvi

    Associate Professor, Department of Microbiology and Immunology, Sultan Qaboos University, Oman

    Interpretation of Laboratory data

    Dr. Anil kumar

    Professor and HOD, Department of Microbiology, Amrita Hospital, Kochi, Keralam

    Introduction to Pharmacology ( Part I)
    Kinetics

    Dr. Grace Mary John

    Infectious Diseases Clinical Specialist and Chief Clinical Pharmacist at Believers Church Medical College Hospital , Thiruvalla, Keralam

    Introduction to Pharmacology ( Part II)
    Dynamics

    Dr. Subhrojyoti Bhowmick

     Professor Of Pharmacology, KPC Medical College, Kolkata

    Introduction to AMR ( The human microbiome, definition and mechanisms of AMR)

    Dr. Kiranjeet Kaur

    Associate Professor, Chitkara University, Chandigarh

    Strategies to prevent and control AMR

    Prof Marc Mendelson

    Professor, Department of Infectious Diseases, University of Cape Town, South Africa

    Introduction to AMSP

    Dr. Zubair Umer Mohammed

    Associate Professor, Anesthesiology and Critical Care, Amrita Hospital, Kochi, Keralam

    Principles of AMSP with examples

    Dr. Priscilla Rupali

    Sr. Professor & Head, Department of Infectious Diseases, Christian Medical College, Vellore

    Importance of multidisciplinary AMS team and how to create a team based on available resources (interview)

    Dr. Kamini Walia

    Senior Scientist, Indian Council of Medical Research

    Importance of multidisciplinary AMS team and how to create a team based on available resources (interview)

    Dr. Payal Patel

    Associate Professor and System wide Medical Director of Antimicrobial Stewardship at Intermountain Health, USA

    Introduction to various Antimicrobial Stewardship (AMS) Strategies

    Dr. Mohammed Hisham

    Lead Clinical Pharmacist at Cleveland Clinic Abu Dhabi

    Upper and Lower Respiratory Tract infections and  Sepsis

    Dr. Ramasubramanian V

    Senior Consultant, Infectious Disease, Apollo Hospital, Chennai

    Intra abdominal infections

    Dr. Adarsh A K

    Associate Consultant & Head, Infectious Diseases, Adult Immunization & Travel Medicine, Aster MIMS, Kannur & Calicut

    Central nervous system infections

    Dr. Akshatha R

    Assistant Professor, Department of Infectious Diseases, KMC Manipal

    Bone and Joint infections

    Dr. Rajalakshmi A

    Senior Consultant and Coordinator, Infectious Diseases Group Lead – HIC and ASP, KIMSHEALTH, Trivandrum, Keralam

    Skin and Soft tissue infections

    Dr. Aparna Chakravarthy

    Professor, Department of Pediatric Infectious Diseases, Amrita Hospital, Faridabad, Haryana

    Bacteremia

    Dr. Sumanth Gandra

    Associate Professor of Medicine, Washington University Infectious Diseases

    Urinary tract infections and Infective Endocarditis 

    Dr. Tanu Singhal

    Consultant, Paediatrics and Infectious Disease, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India

    Surgical prophylaxis

    Dr. Ashish Katewa

    HOD & Professor, Pediatric CVTS, Amrita Hospital, Faridabad, Haryana

    Overview of surveillance for Healthcare-Associated Infections

    Dr. Purva Mathur

    Professor, Laboratory Medicine JPN Apex Trauma Center All India Institute Of Medical Sciences, New Delhi

    Surveillance of surgical site infections and ventilator associated pneumonia

    Dr Manisha Biswal

    Professor, Department of Medical Microbiology, Postgraduate Institute of Medical education and Research, Chandigarh

    Surveillance of bloodstream infections and urinary tract infections

     Dr Bijayini Behera

    Professor, Department of microbiology All India Institute of Medical Sciences, Bhubaneswar, Odisha

    Standard precautions

    Dr. Arya S Kumar

    Project Scientist -III, Amrita Hospital, Kochi, Keralam

    Antimicrobial stewardship: Outcomes metrics

    Ms Fabia Edathadathil

    Quantitative Researcher, Amrita Hospital, Kochi, Keralam

    Transmission based precautions, outbreak management

    Dr. Poornima B

     Additional Associate Professor and Infection Control Ocer Department of Microbiology and Infection Control, Amrita Hospital, Kochi, Keralam

    Dr. Ashutosh Sharma

    Medical Superintendent, Amrita Hospital, Faridabad

    Dr-Prem-Kumar-Nair_Dean-Medical-Director--Professor_Gastroenterology_medicine_amritauniversity_kochi2

    Dr. Prem Nair

    Group Medical Director, Amrita Hospitals

    Swami Nijamritananda Puri

    Administrative Director, Amrita Hospital, Faridabad

    Dr. Sanjeev K. Singh

    Medical Director, Amrita Institute of Medical Sciences, Faridabad, Haryana

    Course Director

    Dr. Vrinda Nampoothiri

    Post Doctoral Researcher, Amrita Institute of Medical Science Faridabad, Haryana, India

    Dr. Kusum Rani

    Post Dotoral Researcher

    Amrita Institute of Medical Sciences Faridabad, Haryana, India

    Dr. Arya S. Kumar

    Project Scientist – III

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Ms. Fabia Edathadathil

    Quantitative Researcher

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Meera Susan John

    Clinical Pharmacist

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Sherya H

    Clinical Pharmacist

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Aleena Issac

    Senior Research Fellow

    Amrita Institute of Medical Sciences Faridabad, Haryana, India

    Dr Sathyanarayana Reddy

    Clinical Pharmacist

    Amrita Institute of Medical Sciences, Faridabad, Haryana, India

    Dr Vidhi Shukla

    Clinical Pharmacist & Researcher, Amrita Institute of Medical Sciences and Research Centre, Faridabad, Haryana

    Mr Anandu Hari

    Data Manager, Amrita Institute of Medical Sciences and Research Centre, Faridabad, Haryana

    Dr. Sanjeev K. Singh

    Medical Director, Amrita Institute of Medical Sciences, Faridabad, Haryana

    Course Director

    Dr. Sathyanarayana Reddy B.

    Clinical Pharmacist, Amrita Institute of Medical Sciences, Faridabad, Haryana, India

    Cheif Course Co-Ordinator

    Dr. Vrinda Nampoothiri

    Post Doctoral Researcher, Amrita Institute of Medical Science Faridabad, Haryana, India

    Dr. Kusum Rani

    Post Dotoral Researcher

    Amrita Institute of Medical Sciences Faridabad, Haryana, India

    Dr. Arya S. Kumar

    Project Scientist – III

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Ms. Fabia Edathadathil

    Quantitative Researcher

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Meera Susan John

    Clinical Pharmacist

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Sherya H

    Clinical Pharmacist

    Amrita Institute of Medical Sciences Kochi, Keralam, India

    Dr. Aleena Issac

    Senior Research Fellow

    Amrita Institute of Medical Sciences Faridabad, Haryana, India

    program overview

    Evaluation

    Basic Course:

    • Participants will take a quiz at the end of each module.

    Advanced Course:

    • Participants will take a quiz at the end of each module.
    • A short project must be completed in their institution, applying the principles discussed in the course.
    Course Outcomes

    Basic Course:
    Participants will:

    • Gain high-quality education on AMS and IPC practices.
    • Learn about various AMS and IPC strategies and how to implement them in healthcare settings.
    • Understand the practicalities of applying these interventions in low- and middle-income countries and how to measure and present the outcomes.

    Advanced Course:
    Participants will:

    • Expand their scope of AMS and IPC interventions in their healthcare setting.
    • Receive training on non-clinical aspects of AMS and IPC, improving the design and delivery of these interventions in their institutions.
    Course Overview
    25AMIP101A Antimicrobial Stewardship and Infection Prevention and Control-Basic CourseP/F
    Topic Speakers
    Introduction to the course Alison Holmes, Professor in Infectious Diseases, Imperial College London, UK
    Basics of Microbiology Dr. Meher Rizvi,Associate Professor, Department of Microbiology and Immunology, Sultan Qaboos University, Oman
    Interpretation of Laboratory data Dr. Anilkumar, Professor, Department of Microbiology, Amrita Hospital, Kochi, Keralam
    Introduction to Pharmacology ( Part I) Kinetics

    1. Systematic approach in selection of antibiotic regimen
    2. MIC and MBC
    3. ABTIBIOTICS CLASSIFICATION
    Dr. Grace Mary John, Infectious Diseases Clinical Specialist and Chief Clinical Pharmacist at Believers Church Medical College Hospital , Thiruvalla, Keralam
    Introduction to Pharmacology ( Part II) Dynamics

    1. Basic pharmacodynamic concepts with clinical correlation
    2. Drug Receptors – Brief overview · Drug Potency and Efficacy
    3. Dose Response Relationship
    4. Concentration Dependent / Time Dependent Antibiotics
    5. Plasma Concentration to drug effect at receptor sites
    6. Factors considered in drug dosing
    7. Factors modifying drug action
    8. Therapeutic drug monitoring
    Dr. Subrajyoti Bhowmik,Associate Professor of Pharmacology at KPC Medical College, Kolkata
    Introduction to AMR( causes and spread -one health concept & burden)

    1. Human microbiome, definition of AMR/ABR
    2. Mechanisms of AMR Causes and spread of AMR
    3. One health concept Burden of AMR – global, India
    4. Healthcare, economic aspects; future scenario
    Dr. Kiranjeet Kaur,Assistant Professor, Chitkara University, Patiala
    How to develop and implement a one health approach to AMR Prof. Karin Thursky Director of the National Centre for Antimicrobial Stewardship (NCAS), Australia
    Strategies to prevent and control (policies, GAP, NAP)

    1. Objectives
    2. Interventions
    3. Output Policies National Policy on AMR Containment
    4. National programme on antimicrobial stewardship programme of infection and control (ASPIC) by ICMR
    5. Schedule H1 category
    6. Redline medical campaign
    7. Draft standards of antibiotic reduce in pharmaceutical industrial effluent and common effluent treatment plans developed by central pollution control board
    8. 3 DECLARATIONS – Jaipur, Chennai, Delhi Declarations
    Dr. Marc Mendelson, Professor, Department of Infectious Diseases, University of Cape Town, South Africa
    Introduction to AMSP Dr. Zubair Umer Mohammed, Associate Professor, Anesthesiology and Critical Care, Amrita Hospital, Kochi, Keralam
    Principles of AMSP with examples Dr. Priscilla Rupali, Sr. Professor & Head of the Department of Infectious Diseases at Christian Medical College Vellore
    Importance of multidisciplinary AMS team and how to create a team based on available resources Dr. Kamini Walia, Senior Scientist, Indian Council of Medical Research &DrPayal Patel,Systemwide Medical Director of Antimicrobial Stewardship at Intermountain Health, USA
    AMS strategies

    • How to evaluate the inappropriateness in antimicrobial prescription and select strategies accordingly, for e.g., use of PPS
    • The importance of implementing an AMS strategy based on the available resources
    • Introduction to various AMS strategies in brief
    • Back end strategy- prospective audit and feedback with examples
    • Supplemental strategies- e.g TDM (removed— already covered in intro to pharmacology)
    • How to select low hanging fruits AMS strategy in resource limited settings
    Dr. Mohammed Hisham, Lead Clinical Pharmacist at Cleveland Clinic Abu Dhabi
    Common clinical indication – 2 focus (session I) – URTI & LRTI , Sepsis Dr. Ram Subrahmaniam, Infectious Disease specialist, Apollo Hospitals Chennai, Tamil Nadu
    Common clinical indication – 2 focus (Session II) – Intra abdominal , CNS, Bacteremia Carlos Palos,physician in Intensive Medicine and Internal Medicine and coordinator of the group of infection control and resistance to antimicrobials of Luz Saúde and Hospital Beatriz Ângelo, Portugal
    Common clinical indication – 2 focus (Session III) – Skin and Soft tissue, Bone and Joint infections DrSubrahmaniamSwaminathan, Director of Infectious Diseases at the Gleneagles Global Hospita, Chennai, Tamil Nadu
    Common clinical indication – 2 focus (Session IV) – Urinary tract infections, Infective Endocarditis DrTanusinghal,Consultant, Paediatrics and Infectious Disease, KokilabenDhirubhaiAmbani Hospital, Mumbai, Maharashtra, India
    Surgical prophylaxis

    1. Selection of agent (characteristics, efficacy, safety, allergies etc)
    2. Time of administration
    3. Duration
    4. How to do surveillance of HAI and reporting
    DrPuneetDhar, Head, Gastrointestinal Surgery, Amrita Hospital, Faridabad, Haryana
    How to do surveillance of HAI and reporting

    1. Understand the purpose of surveillance for healthcare-
    2. Associated infections (HAIs)
    3. Describe key terms and case definitions used in HAI
    4. Surveillance
    5. Complete bloodstream infection (BSI) and urinary tract
    6. Infection (UTI), Ventilator Associated Pneumonia
    7. (VAP) and Surgical site Infection
    8. Case report forms and denominator forms
    9. Conduct basic analysis of HAI surveillance data
    DrPurvaMathur, Professor, All India Institute of Medical Sciences, New Delhi
    Standard precautions

    1. Definition
    2. Hand hygiene
    3. PPE
    4. Respiratory Hygiene & Cough etiquette
    5. Safe injection practices
    6. Disinfection &sterilisation of medical equipment
    7. Biomedical waste management
    8. Handling of blood & body fluids
    Dr Arya S Kumar, Project Scientist, Amrita Hospital, Kochi, Keralam
    Transmission based precautions, outbreak management

    1. Airborne precaution
    2. Contact
    3. Droplet outbreak management in hospital setting
    DrPoornima B, Assistant Professor at the Department of Microbiology, Amrita Hosptial, Kochi, Keralam
    Data reporting and analytics (AMSP and IPC) Types of metrices Surveillance metrices-structural, process, consumption AMR metrices- regulatory requirements Ms Fabia ET, Quantitative Researcher, Amrita Hospital, Kochi, Keralam
    25AMIP111A Antimicrobial Stewardship and Infection Prevention and Control-Advance course P/F
    Introduction to advanced MOOC Alison Holmes, Professor in Infectious Diseases, Imperial College London, UK
    Preparation of antibiogram and antibiotic policy

    1. What is a Hospital antibiogram (cumulative antibiogram) Definition, Why is it required?, Who is likely to use it?
    2. How to prepare Hospital antibiogram/CA
    3. Enhanced CA
    4. Interpreting & presenting antibiogram
    5. Hospital & department specific antibiotic policy
    Dr. Anita Sharma, Fortis Mohali
    Diagnostic Stewardship

    • Definition
    • Objectives of microbiological diagnostic stewardship
      • Discuss the role of the diagnostic microbiology in ASP
      • Develop antibiotic susceptibility reporting format which should be consistent with CLSI/EUCAST recommendations (Section 2)
      • Identifying and incorporating promising developments in diagnostic testing
      • Deciding on how and what should be incorporated into ASP efforts
      • Diagnostic stewardship(DSP), Infection prevention & control(IPC) and Antimicrobial stewardship (ASP) – DIA
    Dr. Sharmila Sengupta, Senior Consultant, Department of Microbiology, Amrita Hospital, Faridabad
    Appropriate selection of antibiotics based on phenotypic and molecular diagnostics Dr. Balaji, Professor, Department of Clinical Microbiology, CMC Vellor
    PK/PD

    • List different PK/PD parameters associated with efficacy for various antimicrobial classes
    • Describe how it is determined if an organism is “susceptible” at various minimum inhibitory concentration (MIC) values
    • Discuss how different PK/PD parameters for efficacy mandate different dosing strategies for different antimicrobial classes
    • Describe strategies for implementing PK/PD into antimicrobial stewardship programs and the impact it can have on outcomes
    Nusrat Shafiq, Professor, Department of Pharmacology at the Postgraduate Institute of Medical Education and Research, Chandigarh, India
    Comprehensive strategic approach to ASP

    • Developing multidisciplinary team
    • Identifying priority area for intervention
    • Implementing AMS activities
    Dr. Twisha Patel, CDC, USA &DrPayal Patel, System wide Medical Director of Antimicrobial Stewardship at Intermountain Health, USA
    AMS in special setting – based on case scenarios

    • Oncology and hematology
    • Liver and Kidney transplantation
    • Sepsis
    • Fungal infections Pediatric/neonatal Emergency setting
    Dr. AnupWarrier, Senior Consultant – Infectious Diseases, Aster Medcity, Kochi, Keralam
    Antifungal Stewardship

    • Introduction
    • Overview on emerging antifungal resistance
    • Economic and health impacts of invasive fungal infections
    • Antifungal stewardship Principles and Core elements
    • Antifungal Stewardship interventions with examples
    • Antifungal Stewardship in immunocompromised patients Fungal diagnostic testing (culture and non-culture based tests)
    • Use of metrics in Antifungal Stewardship (Process and outcome),
    • Conclusion
    Arunaloke Chakrabarti
    Professor, Postgraduate Institute of Medical Education and Research, Chandigarh
    Antitubercular Stewardship Dr. Camilla Rodrigues, Senior consultant microbiologist and the Chair of the Infection Control Committee, P.D. Hinduja Hospital, Mumbai, Maharashtra
    Application of IT in ASP E.g Role of CDSS in ASP

    • Role of CDSS
    • Types
    • Applications and use
    Dr. Nathan PeifferSmadja, Honorary Clinical Research Fellow
    Department of Infectious Disease, Imperial College London, UK
    Role of patient and public in ASP and IPC

    • What role do patients and public play?
    • Mechanisms by which patient/public role can be improved in IPC and antimicrobial decision making
    • How do we inculcate their role into policies and guidelines
    Dr. Oluch iMbamalu, Senior Lecturer in the Global Surgery Division, University of Cape Town, South Africa
    Understanding of site context and the role of social science in AMS and IPC

    1. Understandings from Social Science perspective- Hierarchy, the type of patients the hospital caters to, engagement from hospital administration with example of findings from social science study
    2. Different methods used in social science
      • Observations
      • Ward round observations
        • Focused observations
        • Case studies
        • Sociograms
        • Interviews and focus group discussions
    3. Qualitative Data analysis
    4. Ethics, data triangulation, and reflexivity in qualitative studies
    Dr. EsmitaCharani, Associate Professor, University of Cape Town, South Africa; Ms Candice Bonaconsa, Nurse Researcher and PhD candidate, University of Cape Town, South Africa
    Implementation science

    • Principles
    • Application
    • Defining metrices/outputs
    Dr. Raheelah Ahmed, Reader, University of London, UK
    Advanced IPC – Implementation of improvement science Dr. Daniel Vanderende, Medical Officer at CDC, USA
    how to incorporate AMS and IPC to hospital costing models Nina Zhu, Research Lead for Population Health and Policy, Imperial College London, UK
    How to create a present a data dashboard Bernard Hernandez, post-doctoral research associate at the Centre for Bio-Inspired Technology at Imperial College London.

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