Antimicrobial stewardship interventions in primary care: a behaviour change approach

Event Description

Primary care accounts for a substantial proportion of antimicrobial prescribing and presents particular challenges for antimicrobial stewardship, including diagnostic uncertainty, patient expectations and established prescribing behaviours. Understanding these factors is essential to designing interventions that can effectively change practice. This two-day advanced module uses primary care as a key setting to explore the design, implementation and evaluation of antimicrobial stewardship (AMS) interventions through a behaviour change approach. Participants will examine how to identify target behaviours and the factors influencing them, translate these findings into context-specific interventions, and select appropriate measures to evaluate their impact. 

The course combines clinical discussion with practical workshops focused on evidence-based AMS strategies, including audit and feedback and diagnostic stewardship. Although primary care remains an important focus, the principles and methods explored throughout the module are applicable across healthcare settings and will be discussed in the context of the challenges faced by participants in their own institutions. As the final module of the Latin American Certificate in Antimicrobial Stewardship Programmes, the course places particular emphasis on implementation. Participants will apply the concepts discussed during the module to practical intervention-design exercises and to their own institutional AMS projects, with dedicated time for discussion and feedback from faculty and peers.

Intended audience:  

This module is restricted to participants enrolled in the Latin American Certificate in Antimicrobial Stewardship Programmes (ESCMID Foundation / SLIPE): physicians, pharmacists, clinical microbiologists and other healthcare professionals from Latin America involved in antimicrobial stewardship and currently developing an institutional AMS implementation project as part of the certificate.

Objectives: 

• Describe the role of primary care in antimicrobial use and the response to antimicrobial resistance.
• Identify key behaviours and determinants influencing antimicrobial prescribing.
• Apply a behaviour change approach to design context-specific AMS interventions. 
• Select appropriate strategies and measures for implementing and evaluating AMS interventions. 
• Examine evidence-based stewardship approaches, including audit and feedback and diagnostic stewardship.

• Apply intervention-design principles to primary care and other real-world AMS challenges, including their own institutional projects.

Course coordinator: 

Anahí Dresser, Mexico City, Mexico

Organisers:

European Society of Clinical Microbiology and Infectious Diseases (ESCMID)
Latin American Society of Pediatric Infectious Diseases (SLIPE)

Certification: 

Course organisers will monitor attendance. Only participants attending sessions will be able to receive the certification.

Course Venue:

To be confirmed.

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