Quality Improvement in Antimicrobial Stewardship

Programme Directors

Maurizio CECCONI MD FRCA FFICM MD(Res), Head of Department Anaesthesia and Intensive Care, IRCCS Istituto Clinico Humanitas; Professor of Anaesthesia and Intensive Care; Vice President MEDTEC School, Humanitas University, President ESICM

Jan DE WAELE MD PhD, Professor, Dept. of Critical Care Medicine/ Surgical Intensive Care Unit, Ghent University Hospital, Belgium; Sr. Clinical Investigator – FWO – Research Foundation Flanders; Past Research Committee Chair, ESICM; Past-President, Belgian Society of Intensive Care Medicine

Jeroen SCHOUTEN MD PhD, Intensivist, Radboud University Medical Centre, Nijmegen, The Netherlands; Senior research fellow, IQ Healthcare and chair, Europe’s Study group of Antimicrobial Stewardship (ESGAP)

After enrolling in the training, please ensure you correctly access the dedicated online classroom available on the ESICM Academy. Please note that ONLY selected beneficiaries can access the dedicated classroom.

Health care institutions have adopted antimicrobial stewardship programmes as a mechanism to ensure more appropriate antimicrobial use. Antimicrobial stewardship programmes can significantly impact the ICU, leading to improved antimicrobial use and resistance patterns and decreased infection rates and costs, due to the inherent nature of infections encountered and the high and often inappropriate antibiotic utilization in the ICU setting.

ICU physicians should thus be actively involved in hospital antibiotic stewardship teams. The responsibilities of infectious disease physicians, microbiologists and pharmacists within the ICU should be clearly defined in an antimicrobial stewardship programme. Antibiotic stewardship programmes are an indispensable tool for improving antibiotic prescription in critically ill patients. In the era of increasing antibiotic resistance, the importance of this approach will only increase.

The current training programme has been proposed in line with the contemporary problematics. It aims to develop and provide training on quality and safety in the hospital setting to improve Antimicrobial Stewardship in Critical Care.

The training programme will include three modules that will each open after completion of the previous one. The modules combine self-paced learning using multimedia resources and live interactive sessions. The programme will cover:
MODULE 1: General introduction, basic principles of an Antibiotic Stewardship Program (ASP) in Intensive Care

Self-paced learning content

  • An overview of AMR, antibiotic use and antimicrobial stewardship (ASP)
  • The BASIC requirements of an ASP in Intensive Care, what do I need to get started?
  • The WHAT of ASP: which stewardship activities lead to better outcomes
  • General Aspects of Quality Improvement in Intensive Care (PDSA /IHI)
  • The HOW of ASP: how do I/the stewardship team ensure that antibiotics are used appropriately by professionals?

Live interactive session: February 1st, 2022, from 16:00 to 17:30 CET

Experts & panelists: Maurizio Cecconi, Jan De Waele, Jeroen Schouten, Bojana Beović, Marlies Hulscher, Christian Lanckohr, Nathan Nielsen, José Artur Paiva, Garyphallia Poulakou, Jean François Timsit


MODULE 2: How do I measure the quantity and the quality of Antimicrobial use?

Self-paced learning content

  • Quantity of antimicrobial use: the basics
  • How to deduct Quantitative Measures from a raw database and how to analyse and present data: a 5-step approach
  • Quality Indicators in Antimicrobial Stewardship
  • How to measure the quality of antimicrobial use in Intensive Care

Live interactive session: April 5th, 2022, from 16:00 to 17:30 CEST

Experts & panelists:  Jan De Waele, Jeroen Schouten, Marlies Hulscher, José Artur Paiva, Diamantis Plachouras Paul van der Linden, Vera Vlahovic


MODULE 3: How do I analyse barriers and choose effective interventions?

Self-paced learning content

  • Determinants of Antibiotic use in Intensive Care
  • How to assess barriers and facilitators related to optimal antibiotic use?
  • How do I get from a barrier to a potentially effective intervention?
  • From barriers to an intervention: tools and tricks

Live interactive session: June 7th, 2022, from 16:00 to 17:30 CEST

Experts & panelists: Jan De Waele, Jeroen Schouten, Esmita Charani, Gennaro De Pascale, Pieter Depuydt

A dedicated online classroom has been created to host all the programme content, links to webinars and further details regarding evaluation and certification. Upon registration, please follow all instructions given on how to complete the application form and start the training programme. Full details are available in the online platform.

IMPORTANT! The programme will stay open until further notice. Participants may register any time and complete the programme based on their availability. Live interactive sessions will be recorded and made available in the online platform together with the rest of programme content and resources.

  • Senior intensivists from anywhere around the world
  • Juniors intensivists may also join if they wish. However, they will be informed of the programme level and minimum knowledge and skills requirements to make the best out of the learning experience.

Certificates of achievement with a maximum of 15 CME credits will be provided to those who complete the full training programme.

Supported by an unrestricted educational grant from Pfizer Inc. The programme has not been influenced in any way by its sponsor.