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Healthcare Associated Infections

Antimicrobial Resistance and Stewardship

Educational resources to support antimicrobial resistance, prescribing and stewardship within NHSScotland.

Antimicrobial Resistance

The scale of the threat of antimicrobial resistance (AMR) and the case for action is set out in the UK Five Year Antimicrobial Resistance Strategy 2019-24 with actions to address the key challenges to AMR. 

In Scotland, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) 2008, made recommendations for improving the use of antimicrobials across all healthcare settings as part of the broader Healthcare Associated Infection (HAI) Delivery Plan. ScotMARAP is led by Scottish Antimicrobial Prescribing Group (SAPG) and NES is represented to support educational developments in all aspects of antimicrobial stewardship for the administration, monitoring and prescribing of antimicrobial drugs.

Read the article on antimicrobial resistance in the 21st century and watch the video to find out more about why antibiotic resistance is becoming a global public health issue and how NES have responded with a range of educational resources to help support healthcare staff.

Health Protection Scotland (HPS) published the Scottish One Health Antimicrobial Use and Antimicrobial Resistance Report 2016. This report includes antimicrobial resistance and antimicrobial use data in humans, and for the first time, antimicrobial resistance data in animals.

Antimicrobial Stewardship

The Scottish Antimicrobial Prescribing Group (SAPG) and NHS Education for Scotland (NES) identified the benefits of involving front line nursing and midwifery staff in stewardship but also identified a possible lack of knowledge and understanding of antimicrobial stewardship amongst nurses and midwives. Read the report from the 2014 survey conducted to explore the role of nurses and midwives in antimicrobial stewardship. Report available to download in pdf and word.

Key educational resources

NES and SAPG have produced a full range of educational resources to support antimicrobial prescribing and stewardship as follows:

Antimicrobial Stewardship is a workbook to support registered nurses and midwives learning around antimicrobial stewardship and support the care of patients with infections. The workbook allows learners to assess their current level of knowledge and identify potential development needs in each topic area.  Further information on the Antimicrobial Stewardship webpage.

The Scottish Reducation in Antimicrobial Prescribing Programme is an educational toolkit to help prescribers reduce unnecessary prescribing of antibiotics and to support NHS Boards in delivery the level 3 HEAT target on antibiotic volume. Further infromation available at ScRAP web page.

Gentamicin and Vancomycin short online modules are available via learnPro, providing the most up-to-date national guidance to support the safe and effective use gentamicin and vancomycin in adults. Further information on the GaV webpage.

Antibiotic Prescribing for Today's Practitioner is an online module aimed at heightening awareness of approaches to antimicrobial management and issues relating to clinical effectiveness, patients safety and the reduction of bacterial resistance. Further information on the module webpage.

Antimicrobials in Clinical Practice is a comprehensive training pack designed for local trainers to support practitioners who are involved in the prescribing, monitoring and administration of antibiotics in the early stages of clinical practice. Further information on the webpage.

Health Protection Scotland also provide a variety of useful resources around antimicrobial resistance. 

If you wish to discuss any of the educational resources please contact the team at 

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