Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes.
Lead Research Organisation:
Imperial College London
Department Name: Infectious Disease
Abstract
Context of the research:
Antibiotics are important to prevent infections after several types of surgery. The growing number of infections that cannot be treated with antibiotics may mean that many basic types of surgeries cannot continue. Around the world a large amount of all antibiotics are used during the surgical process. Antibiotics in surgery are used to prevent infections from happening after surgery (it is called 'prophylaxis') and for the treatment of infections after surgery. Infection after surgery is a growing concern in many countries. 23 million infections after surgery (or 'surgical site infections', SSIs) lead to 2 million deaths every year. Using antibiotics in the right manner is a sure way of preventing infections after surgery. For example, if the right antibiotics are given at the right time before surgery, then up to seven times less antibiotics are needed after surgery because less people get infections.
Aims and objectives:
The care before, during and after surgery (inside and outside of hospital) must include using the right antibiotics at the right time for the correct amount of time, making sure that there are no missed or late doses. The wellbeing of patients including nutrition and ability to move about can also affect how quickly they recover if they do get an infection. To get this care right at each stage, a lot of coordination and communication is needed between all the different health professionals (nurses, surgeons, anaesthetists, pharmacists), patients and carers involved. Because so many key parties are involved in this process, it is an ideal place to do research to understand ways of thinking about the correct use of antibiotics and behaviours such as hand hygiene which can prevent infections from happening in the first place. This study will use social science research to find out what helps individuals, teams and patients to practice safely and use antibiotics in the right way as described above.
The study will research these issues in England and Scotland as they each have different ways of organising and managing surgery. We will also carry out research in countries where there are less resources but they still manage surgery in the same way (India, South Africa and learning from Rwanda). The studies in countries outside of the UK will also tell us how behaviours can be changed when different health professionals are involved, and when antibiotics are less available within hospitals but also available from other sources.
Methods: The study will last four years and will start with an analysis of all factors within and outside of healthcare organisations which may influence how antibiotics are used. The methods we use at the moment to change behaviours of professionals and patients will be evaluated. New methods will also be designed, developed and also evaluated, and may include using new technologies such as computers or smartphones. We may also change the roles and expectations of different professionals within teams or changing the incentives or penalties associated with proper use of antibiotics. Some of these may involve patients and carers taking a more active role.
Potential applications and benefits:
By understanding the full context where surgery occurs, we will cover aspects of care within and beyond healthcare settings. As we will understand factors such as availability of antibiotics, financial pressures, regulation as well as what patients expect of their healthcare system and professionals, the solutions we will propose will be tailored for each setting. As we will be looking at how professionals, patients and carers behave and use antibiotics, it is likely that the new solutions that we propose would become part of routine practice, helping us to keep antibiotics working for much longer.
Antibiotics are important to prevent infections after several types of surgery. The growing number of infections that cannot be treated with antibiotics may mean that many basic types of surgeries cannot continue. Around the world a large amount of all antibiotics are used during the surgical process. Antibiotics in surgery are used to prevent infections from happening after surgery (it is called 'prophylaxis') and for the treatment of infections after surgery. Infection after surgery is a growing concern in many countries. 23 million infections after surgery (or 'surgical site infections', SSIs) lead to 2 million deaths every year. Using antibiotics in the right manner is a sure way of preventing infections after surgery. For example, if the right antibiotics are given at the right time before surgery, then up to seven times less antibiotics are needed after surgery because less people get infections.
Aims and objectives:
The care before, during and after surgery (inside and outside of hospital) must include using the right antibiotics at the right time for the correct amount of time, making sure that there are no missed or late doses. The wellbeing of patients including nutrition and ability to move about can also affect how quickly they recover if they do get an infection. To get this care right at each stage, a lot of coordination and communication is needed between all the different health professionals (nurses, surgeons, anaesthetists, pharmacists), patients and carers involved. Because so many key parties are involved in this process, it is an ideal place to do research to understand ways of thinking about the correct use of antibiotics and behaviours such as hand hygiene which can prevent infections from happening in the first place. This study will use social science research to find out what helps individuals, teams and patients to practice safely and use antibiotics in the right way as described above.
The study will research these issues in England and Scotland as they each have different ways of organising and managing surgery. We will also carry out research in countries where there are less resources but they still manage surgery in the same way (India, South Africa and learning from Rwanda). The studies in countries outside of the UK will also tell us how behaviours can be changed when different health professionals are involved, and when antibiotics are less available within hospitals but also available from other sources.
Methods: The study will last four years and will start with an analysis of all factors within and outside of healthcare organisations which may influence how antibiotics are used. The methods we use at the moment to change behaviours of professionals and patients will be evaluated. New methods will also be designed, developed and also evaluated, and may include using new technologies such as computers or smartphones. We may also change the roles and expectations of different professionals within teams or changing the incentives or penalties associated with proper use of antibiotics. Some of these may involve patients and carers taking a more active role.
Potential applications and benefits:
By understanding the full context where surgery occurs, we will cover aspects of care within and beyond healthcare settings. As we will understand factors such as availability of antibiotics, financial pressures, regulation as well as what patients expect of their healthcare system and professionals, the solutions we will propose will be tailored for each setting. As we will be looking at how professionals, patients and carers behave and use antibiotics, it is likely that the new solutions that we propose would become part of routine practice, helping us to keep antibiotics working for much longer.
Planned Impact
The intended beneficiaries are public/patients/carers, healthcare professionals in primary, community, secondary care and public health, national/international and organisational policy makers, medical, surgical and health professional associations and networks.
The short term benefit to patients will be reduced risks of infection and better recovery after surgery. Patients and carers will be better equipped when preparing for surgery by knowing all the steps that they can take to help prevent infections. These will be about the role of general health and wellbeing as well as specific issues relating to infection control and the role of antibiotics. In the long term, future patients will still have access to surgery (currently threatened by AMR).
In addition, if we are able to streamline the antimicrobial stewardship processes around surgery in all healthcare organisations, then new and advanced forms of surgery can continue to develop. Here, industry and innovators will benefit from this research.
Healthcare professionals will benefit from this enhanced way of working and using efficient behavioural (proven) methods to optimise antibiotic use.
Policy makers will benefit by having access to a user-friendly (transparent) decision tool to look at how previously intangible behavioural effects can be modelled in real settings.
What will be done to ensure that they have the opportunity to benefit from this activity?
Because the research will be conducted in a way that includes co-design with multi-disciplinary professionals, researchers, patients and carers and informed by rich qualitative work, the proposed solutions will be relevant and realistic.
Our detailed plan of pathways to impact (enclosed) shows how this research institute and team and collaborators have a very strong track record in ensuring that research outputs are effectively translated to interventions for practitioners and patients to address antibiotic use. Nationally, the NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College London (Director: Alison Holmes) is an established collaboration with Public Health England, utilising data and expertise across a range of themes and leveraging wider networks for dissemination. To address the global threat of AMR, in 2015 Imperial established the Antimicrobial Research Collaborative (www.imperial.ac.uk/arc/), led by Prof Alison Holmes. ARC is a truly multidisciplinary, cross-College approach to AMR, addressing the complex interlinking biological and societal drivers of this threat. ARC involves over 100 PIs working across the Imperial College Academic Health Science Centre. Through ARC and infrastructure awards such as the NIHR Diagnostic Evidence Cooperative we also have strong industrial networks.
The short term benefit to patients will be reduced risks of infection and better recovery after surgery. Patients and carers will be better equipped when preparing for surgery by knowing all the steps that they can take to help prevent infections. These will be about the role of general health and wellbeing as well as specific issues relating to infection control and the role of antibiotics. In the long term, future patients will still have access to surgery (currently threatened by AMR).
In addition, if we are able to streamline the antimicrobial stewardship processes around surgery in all healthcare organisations, then new and advanced forms of surgery can continue to develop. Here, industry and innovators will benefit from this research.
Healthcare professionals will benefit from this enhanced way of working and using efficient behavioural (proven) methods to optimise antibiotic use.
Policy makers will benefit by having access to a user-friendly (transparent) decision tool to look at how previously intangible behavioural effects can be modelled in real settings.
What will be done to ensure that they have the opportunity to benefit from this activity?
Because the research will be conducted in a way that includes co-design with multi-disciplinary professionals, researchers, patients and carers and informed by rich qualitative work, the proposed solutions will be relevant and realistic.
Our detailed plan of pathways to impact (enclosed) shows how this research institute and team and collaborators have a very strong track record in ensuring that research outputs are effectively translated to interventions for practitioners and patients to address antibiotic use. Nationally, the NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College London (Director: Alison Holmes) is an established collaboration with Public Health England, utilising data and expertise across a range of themes and leveraging wider networks for dissemination. To address the global threat of AMR, in 2015 Imperial established the Antimicrobial Research Collaborative (www.imperial.ac.uk/arc/), led by Prof Alison Holmes. ARC is a truly multidisciplinary, cross-College approach to AMR, addressing the complex interlinking biological and societal drivers of this threat. ARC involves over 100 PIs working across the Imperial College Academic Health Science Centre. Through ARC and infrastructure awards such as the NIHR Diagnostic Evidence Cooperative we also have strong industrial networks.
Organisations
- Imperial College London (Lead Research Organisation)
- UNIVERSITY OF OXFORD (Collaboration)
- Universidade de São Paulo (Collaboration)
- University Teaching Hospital of Butare (Collaboration)
- University of Antwerp (Collaboration)
- UNIVERSITY OF LEICESTER (Collaboration)
- University of Hertfordshire (Collaboration)
- Royal College of Anaesthetists (Collaboration)
- Amrita Vishwa Vidyapeetham University (Collaboration)
- University of Cape Town (Collaboration)
Publications
Duncan EM
(2020)
A behavioural approach to specifying interventions: what insights can be gained for the reporting and implementation of interventions to reduce antibiotic use in hospitals?
in The Journal of antimicrobial chemotherapy
Seward N
(2021)
A guide to systems-level, participatory, theory-informed implementation research in global health.
in BMJ global health
Kyratsis Y
(2019)
A multilevel neo-institutional analysis of infection prevention and control in English hospitals: coerced safety culture change?
in Sociology of health & illness
Al-Hakim L
(2021)
A novel conceptual approach to lean: value, psychological conditions for engagement with work and perceived organizational support in hospital care
in International Journal for Quality in Health Care
Singh S
(2021)
A road-map for addressing antimicrobial resistance in low- and middle-income countries: lessons learnt from the public private participation and co-designed antimicrobial stewardship programme in the State of Kerala, India.
in Antimicrobial resistance and infection control
Mbamalu O
(2023)
A survey of patient and public perceptions and awareness of SARS-CoV-2-related risks among participants in India and South Africa.
in PLOS global public health
McLeod M
(2019)
A whole-health-economy approach to antimicrobial stewardship: Analysis of current models and future direction.
in PLoS medicine
Charani E
(2019)
Antibiotic prescribing in general medical and surgical specialties: a prospective cohort study.
in Antimicrobial resistance and infection control
Lamb G
(2021)
Antibiotic prescribing practices in general surgery: a mixed methods quality improvement project.
in Infection prevention in practice
Charani E
(2019)
Antibiotic Stewardship-Twenty Years in the Making.
in Antibiotics (Basel, Switzerland)
Nina V
(2021)
Applicability of the Disruptions in Surgery Index in the Cardiovascular Management Scenarios - A Marker for Developing Functionally Efficient Teams.
in Brazilian journal of cardiovascular surgery
Castro-Sánchez E
(2020)
Are current infection prevention and control expectations fit for purpose? Interim results from an ethnographic study in South India
in International Journal of Infectious Diseases
Ahmad R
(2018)
Ask not what your health system can do for you .
in Public health
Birgand G
(2020)
Assessment of Air Contamination by SARS-CoV-2 in Hospital Settings
in JAMA Network Open
Veepanattu P
(2020)
Building resilient and responsive research collaborations to tackle antimicrobial resistance-Lessons learnt from India, South Africa, and UK.
in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Birgand G
(2018)
Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries.
in Antimicrobial resistance and infection control
Seward N
(2020)
Contextual equipoise: a novel concept to inform ethical implications for implementation research in low-income and middle-income countries.
in BMJ global health
Legeay C
(2019)
Control strategy for carbapenemase-producing Enterobacteriaceae in nursing homes: perspectives inspired from three outbreaks.
in The Journal of hospital infection
Charani Esmita
(2018)
Culture and team dynamics in the implementation of antibiotic stewardship programmes
Pulcini C
(2019)
Developing core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus approach.
in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
Lorencatto F
(2018)
Driving sustainable change in antimicrobial prescribing practice: how can social and behavioural sciences help?
in The Journal of antimicrobial chemotherapy
White MC
(2022)
Economic Case for Scale-up of the WHO Surgical Safety Checklist at the National Level in Sub-Saharan Africa.
in Annals of surgery
| Title | 20-year journey of Imperial College London on: Improving antibiotic prescribing through behaviour change and use of technology. |
| Description | • Graphic Record: Researchers were asked by the study lead, Dr Charani, to develop a graphic record (poster) to capture the 20-year journey of Imperial College London on: Improving antibiotic prescribing through behaviour change and use of technology. This was an event to showcase the latest UK research on AMR and was hosted by the House of Parliament, London on 25 February 2020. (SA research team) |
| Type Of Art | Artwork |
| Year Produced | 2020 |
| Impact | Presented at POST AMR reception |
| Title | Animation - Amrita |
| Description | Animation developed at Amrita Institute of Medical Sciences for patients undergoing surgery to understand the pathway and the admission process. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2018 |
| Impact | Disseminated at Amrita hospital to patients undergoing surgical procedures. |
| Title | Antibiotic prescribing in hospitals across different countries |
| Description | Summary of findings from a qualitative study depicting interviews carried out in several healthcare settings around the world unearthing the pressing need for global antibiotic management, the current obstacles that stand in its way and the areas in which action is required. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2019 |
| Impact | Animation on youtube, project website and in related publication from this work: https://www.youtube.com/watch?v=3MLvQXCK7bg This animation has been shared widely on multiple social media platforms: LinkdIn, Facebook, Twitter. |
| URL | https://www.youtube.com/watch?v=3MLvQXCK7bg |
| Title | RIPEN - Creative policy making to address AMR |
| Description | briefing paper |
| Type Of Art | Artefact (including digital) |
| Year Produced | 2019 |
| Impact | On Friday 4th October 2019, policy makers, practitioners (including RIPEN participants), educators and researchers met at the RCN headquarters in London. During a 5 hour workshop, we drew on the outputs from the RIPEN workshops, to design innovative policy directives to address AMR. This successful event progressed our aim within RIPEN: to ensure that the nursing contribution to address AMR is fully recognised and leveraged to optimise patient care and safety, both now and into the future. The briefing paper for the event is available here in two versions: one for web viewing and one for print quality download. |
| URL | https://www.ripen.org.uk/outputs.html |
| Title | Visual mapping of team dynamics and communication patterns on surgical ward rounds |
| Description | Visual mapping of team dynamics and communication patterns on surgical ward rounds, as an animation |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2022 |
| Impact | interest in our work |
| URL | https://www.imperial.ac.uk/arc/aspires/patient-involvement-and-engagement/ |
| Description | (1) Our qualitative research to date across India and South Africa has identified a lack of engagement in antimicrobial stewardship with the wider healthcare professionals (PLOS ONE Charani et al 2019), including nurses and pharmacists. We appointed two pharmacists to the ASPIRES research team in India, one of whom is now registered to undertake a PhD at Amrita with supervision from Imperial and University of Cape Town to investigate the contribution of pharmacists to antimicrobial stewardship programmes. We have co-developed theory based innovative solutions for sustained impact on engagement and AMR. Key findings: • Macro-level analysis and ethnographic analysis of data used to identify the key opportunities for intervention across the surgical pathway in India; • Completed scoping literature review on the use of feedback to reduce surgical site infections and used it to shape the intervention; • Successful workshops which generated a long-list and enabled assessment of a short-list of interventions in India taken place with UK team participating via video conferencing. The selected final set of interventions are now being implemented in India and include bespoke patient and carer engagement modules as well as personalised feedback on AS and SSI surveillance to the surgical teams. The surgical teams have dedicated an IC nurse to support these interventions; • Developed a feedback intervention of SSI and AS data according to the scoping review and workshops. A core group of surgical champion, IC and researchers were created in GI and CVTS to lead the intervention. SSI surveillance was added to the agenda of existing surgical monthly meetings. Iterative changes were done to best match with on-site requirement, with macro level data on SSI and AS quarterly meeting, monthly meetings to build a method for weekly quick root cause analysis of all SSI cases. Courses and support were deployed to improve the SSI surveillance; • Developed animation videos for surgical pathways in India to inform and engage patients in IC and AS - currently investigating the impact of this animation on attitudes of patients and carers. • Provided an essential basis for effective interventions to be designed and implemented through understanding contextual factors driving and inhibiting application and facilitators of change, also recommendations for future scale up and sustainment in similar contexts. (2) Investigating the macro level (England, India, South Africa, Rwanda, Scotland) economic, regulatory and policy drivers around infection control and antimicrobial stewardship has identified the gap in current national level situational analyses for addressing AMR and published findings (Ahmad et al 2019 BMJ Global Health). We have completed secondary analysis of the 7 dimensions of a strategic management framework PESTELI - Political, Economic, Sociological, Technological, Ecological, Legislative, Industry, proposing a framework for analysis of the Political and Legislative domains (Birgand et al, 2018 ARIC). We have undertaken and analysed stakeholder interviews to summarise macro-level drivers for sustained efforts against antimicrobial resistance in India (compared with other countries) and South Africa. Key findings: • Identified the gap in current national level situational analyses for addressing AMR and published findings (Ahmad et al 2019 BMJ Global Health). Validates need for a strategic management framework (7 dimensions PESTELI - Political, Economic, Sociological, Technological, Ecological, Legislative, Industry) which is critical for building contingency at the strategic level for agile responses to macro-level environmental influences; • Technological and industry analyses is a notable gap; • Secondary data analysis of indicators across the 7 dimensions completed; • Analysis of stakeholder interviews undertaken is complete and summary of macro-level drivers for sustained efforts against AMR has been produced for India and South Africa (compared with other BRICS countries) further stakeholder interviews were not completed due to COVID-19; indicators within each domain have been synthesised for comparison across countries. • Translated and expanded this methodology to the challenge of COVID-19 with members of the IAB (McKee and Zingg) and additional international collaborators from South Asia, North and South America (Ahmad et al 2020) • Proposed a framework for analysis of the Political and Legislative domains (Birgand et al, 2018 ARIC) which has been cited and progressed by other researchers (Anderson et al, 2019). • Surveyed anaesthesiology capacity for involvement in AS and IC. This survey which is in both French and English is being disseminated globally through our networks. (in progress) • Conducted a global review of the national action plans for AMR investigating where opportunities remain for research to support and align with national policies. (Manuscript submitted) (3) We have completed ethnographic research in India and South Africa investigating cultural norms, roles and responsibilities around Infection Prevention and Antimicrobial stewardship (Singh et al. Clinical Microbiology and Infection) identifying and describing the critical role of cultural and social determinants of patient and carer participation in actions relevant to infection prevention and antimicrobial use in the surgical pathway. The patient and public involvement work in South Africa was developed into a successful National Research Foundation Thuthuka Fellowship for one of our South African Researchers. Key findings: • Completed ethnographic research in India and SA investigating cultural norms, roles and responsibilities (Singh et al. Clinical Microbiology and Infection). This work highlighted the professional boundaries that inhibit wider workforce engagement in AS and IC in surgical team; • Adopted a novel method (sociogram) to investigating the social links and flow of communication in relation to IC and AS across surgical teams. This helped with constructing influence diagram for next steps of intervention co-design as well as the system dynamics modelling approach to evaluation (Bonaconsa et al., BMJ Qual and Saf 2021). The feedback from this work has impacted the efficiency of surgical ICU ward rounds resulting in an overall reduction of 45 minutes; • Further adoption of this research has been demonstrated through it being presented by the UCT ICU consultant at their Annual Anaesthesiology Research Meeting; • Explored patient and carer roles and experiences in the surgical pathway through a scoping review ( Mbamalu et al., IJID 2021), identifying the lack of evidence from low resource setting and missed opportunities for optimised IC and AS related participation and engagement. Work is now underway to address this gap through patient and carer focussed interventions. • Validated findings from this qualitative work at co-design workshops in India, presentations to ID, micro and surgical teams in SA; • Wider validation and input on the key actors, roles, and responsibilities in relation to IC and AS planned with AS, IC and surgical experts in Australia, Norway, Uganda, and SA (Federation of Infectious Diseases Societies of Southern Africa); • Provided extensive training on qualitative methods, research writing and presentation to researchers at the study sites empowering them with ownership and the ability to run the project at the sites. Building on the ASPIRES work ECR Bonaconsa is successfully pursuing a PhD studentship to investigate the role of communication in IC under supervision of PI Mendelson and Co-I Charani, building on the ASPIRES research and transferring and translating the sociogram methodology to the team in India. • Conducted a novel study using sociograms and ethnographic observation of practices in the operating theatres in India - highlighting opportunities for intervention in use of the surgical checklist, measuring interruptions to surgical behaviour, and optimising antibiotic prophylaxis (in progress). It is important to note that this work has been affected by COVID-19 restrictions on travel and site access; • Collected data, responding to the pandemic, via a survey for public and healthcare workers on COVID-19 and IC in India and South Africa, as well as gained additional BSAC funding to replicate this in China. The team is currently analysing the survey responses (850 public and nearly 400 healthcare worker responses); • Developed the patient and public involvement work in South Africa into a successful National Research Foundation Thuthuka Fellowship for Mbamalu, one of the ECRs who will take this forward under supervision from PI Mendelson and Co-I Charani; • Developed a roadmap in India with S.Singh for implementation of AS (Singh et al 2021, ARIC) using the Kerala learning, co-authored with Health Secretary in India; • Planned exit interviews of ASPIRES participants and researchers will aim to capture the long term impact of this research on cross-disciplinary perceptions, behaviours and team dynamics; • Mentorship strategy included 360 degree reviews which provided bi-directional learning between mentors and mentees strengthening team dynamics. We are now writing a reflection piece on the strategy of mentorship we adopted as a model to be applied to other global health researcher projects (4) We have mapped the social links and flow of communication in relation to IPC and AMS across surgical teams was investigated using graphic diagrams (sociograms) and completed a scoping review of patient involvement in surgical pathways and described the role of carers in IPC care in India. One of our project researchers in South Africa has ECR has successfully been awarded a PhD studentship to investigate the role of communication in IPC under supervision of PI Mendelson and Co-I Charani, further building research capacity. (5) We have evaluated the operational and cost effectiveness of existing and new interventions using a systems thinking modelling approach. Quantitative variables of antibiotic prescribing and patient outcomes in surgical pathways in the UK has been described and published (Charani et al, ARIC 2019) and our international survey on drivers of antimicrobial stewardship in different settings has highlighted the gaps in antimicrobial stewardship in surgery (Charani et al, ARIC 2019). Data collection to replicate this study and provide data for the operational cost-effectiveness of interventions is being collected in India (near completion) and is underway in South Africa. This has also allowed the development of a platform and mechanism for measuring the quantitative variables required to monitor antimicrobial stewardship in India and South Africa. Key findings: • Described and published quantitative variables of antibiotic prescribing and patient outcomes in surgical pathways in the UK (Charani et al, ARIC 2019). • Conducted an international survey on drivers of AS in different settings highlighting the gaps in AS in surgery (Charani et al, ARIC 2019). • Completed literature review to establish an exhaustive list of clinical, operational and cost/economic variables to quantify determinants and outcomes relevant to infection and AMR in surgical patients. • Completed a literature review for economic analysis using system dynamics and protocol for economic analysis established. • Completed system dynamics model structure, validated with all key stakeholders, and parameterised for India and SA. Base line scenario simulated for India. • Completed literature review to capture macro and meso level interventions targeted at efficiency in surgery and established causal pathway between efficiency interventions and infection and AMR related outcomes. Manuscript in progress. These findings have enabled both the exchange of existing successful interventions such as the antibiotic medication drug chart from South Africa to Amrita and the translation of lessons from capacity building and workforce models from Amrita to South Africa, as well as the development of a set of new interventions to improve antimicrobial use in surgical pathways. These are now being implemented in India and include bespoke patient and carer engagement modules as well as personalised feedback on antimicrobial stewardship and Surgical Site Infection surveillance to the surgical teams. The findings have also enabled us to develop a roadmap for implementation of Antimicrobial Stewardship using the Kerala learning, co-authored with Health Secretary in India. The findings of this research, on how to use social sciences methods to tackle antimicrobial resistance, have also been developed into e-learning material on a free Massive Open Online Course on Antimicrobial Stewardship and Infection Prevention, which is in its seventh run with over 1800 participants, predominantly from Lower-Middle Income Countries. Finally as a result of this work, significant research capacity in the field has been developed; researchers in each country have been appointed and have received extensive face-to-face training and mentoring within country and at Imperial College gaining essential knowledge and skills as part of this research. As reported elsewhere, this work has lead to successful fellowship applications and paved the way for sustained collaboration between these countries beyond the life of the project. this includes • Successful Fellowship Award to O Mbamalu: National Research Foundation (NRF) for a Thuthuka Grant (post-Phd Track): Infection prevention and control and antimicrobial stewardship in the surgical out-patient pathway: opportunity for patient engagement? UCT HREC approval received (Ref: 320/2021) • Successful Fellowship Award to E Charani: Academy of Medical Sciences Hamied Foundation UK-India AMR Visiting Professor • Successful Fellowship Award to E Charani: Global Health Fellowship with the Office of the Chief Pharmaceutical Officer, UK • PhD registration through Department of Medicine, Faculty of Health Sciences in 2021 (C Bonaconsa) Study title: Investigating team dynamics and infection related communication across patient in-hospital pathways and identifying mechanisms for optimising practice. Obtained HREC approval. UCT HREC approval received (Ref: 532/2021 • PhD registration through department of Health Science Research (Nampoothiri V) Study title: A study on enhancing the role of Clinical Pharmacist in Antimicrobial Stewardship in Kerala vis a vis experiences from South Africa and United Kingdom. Obtained approval of Institutional Review Board at Amrita Institute of Medical Science, Kochi( Ref:IRB-AIMS-2019-011) • PhD offer from University of Melbourne to Surya Surendran - pending scholarship award • Honorary Associate Professor Appointment at University of Cape Town for E Charani • Adjunct Professor Appointment at Amrita Institute of Medical Sciences for E Charani |
| Exploitation Route | some of our methodologies are already been used by other research groups, or are being applied by the existing group to other countries using other additional sources of research funding. We have build significant research capacity in AMR in our partner countries and developed approaches and systems to combat AMR locally. |
| Sectors | Communities and Social Services/Policy,Education,Healthcare |
| URL | http://www.imperial.ac.uk/arc/aspires/ |
| Description | WP1: Investigating the macro level economic, regulatory and policy drivers and constraints which result in prioritisation, competition or integration of Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AS) at each point in the care pathway at the national and organisational level. We have identified the gap in current national level situational analyses for addressing antimicrobial resistance (AMR) and summarised macro-level drivers for sustained efforts against AMR in India (compared with other BRICS countries) with the same analysis underway for South Africa. Such findings can be used to increase the effectiveness of public services and policy and the results of this and other work from this project have allowed us to develop a roadmap for implementation of AMS using the Kerala learning, co-authored with Health Secretary in India. WP2 Characterising cultural norms, established hierarchies, team roles and methods of communication around AS and IPC which operate within specific surgical/healthcare environments. We have completed and published ethnographic research in India and South Africa investigating cultural norms, roles and responsibilities and finalised a patient narrative of surgical journey from observations and interviews which has identified the critical role of cultural and social determinants of patient and carer participation in AMR, IPC and antibiotic use in surgical pathways. These findings were validated at co-design workshops, presentations, input from key actors and surgical experts in Australia, Norway, Uganda, and South Africa. We have described the social links and flow of communication in relation to IPC and AMS across surgical teams using graphic diagrams (sociograms) enabling a successful application to be made for a PhD studentship to investigate the role of communication in IPC. The findings are being used to design appropriate interventions for IPC and AMS (see below). We have also collected data (850 public and nearly 400 healthcare worker responses) via a survey for public and healthcare workers on COVID-19 and IPC in India and South Africa, as well as gaining additional BSAC funding to replicate this in China. This research will enable a greater understanding of the implications of COVID-19 for AMR and antimicrobial stewardship in China and beyond. The team is currently analysing the survey responses. We have made additional significant progress in patient and public involvement through a scoping review of patient involvement in surgical pathways as well as through a description of the role of carers in IPC care in India. Again, these findings have increased the effectiveness of public services and policy, since they have been used to develop a range of interventions for AMS (WP3) WP3, Implementation of Interventions: interventions, designed as a result of this work are now being implemented in India, including bespoke patient and carer engagement modules, personalised feedback on AMS and surgical site Infection surveillance to surgical teams. We have also developed a platform and mechanism for measuring the quantitative variables required to monitor AMS in India and South Africa and there has been an exchange of existing successful interventions such as the antibiotic medication drug chart from University of Cape Town to Amrita, translation of lessons from capacity building and workforce models from Amrita to University of Cape Town. Ultimately this work should improve clinical outcomes thus enhancing the quality of health. The work has also allowed a successful fellowship application to be made, which will further increase research capacity in AMR. WP4 Operational and economic evaluation: System Dynamics Quantitative variables of antibiotic prescribing and patient outcomes in surgical pathways in the UK has been described and published (Charani et al, ARIC 2019). An international survey on drivers of AMS in different settings has been conducted highlighting the gaps in AMS in surgery (Charani et al, ARIC 2019). 2. Data collection to replicate this study and provide data for the operational cost-effectiveness of interventions is being collected in India (near completion) and SA (underway). Again these findings ultimately have the potential to increase the effectiveness of public services and policy, enhancing quality of health. Findings from across WP1-4 have been considered in WP5 and suggestions to enhance relevance to current policy trajectory have been included in work plans. The project benefits from an International Advisory Board which has convened twice a year [Appointed Chair Thomas Weiser from The Lancet Commission on Global Surgery]. Findings from this project have been developed into training modules on AMS as part of a Massive Open Online Course (MOOC). The MOOC has had nearly 1500 learners with beneficiaries from over 88 countries, many of them LMICS. It has now been embedded into the curriculum of a Horizon 202 sonar-global project on AMR (https://sonar-global.eu/) and included in the International Pharmaceutical Federation (FIP) Society AMR workstream that will be launched in September 2020. FIP exists to support global health by enabling the advancement of pharmaceutical practice, sciences and education. Other hospitals and healthcare providers in India have contacted us to discuss our research and potential to expand/replicate work at other hospitals or provide support in advisory capacity to support them undertaking similar work. This may provide the opportunity to engage with government funded healthcare in India which is representative of the majority of healthcare system in the country. All work from this project has the potential to help achieve sustainable development goal 3 Good Health and well-being, since it is helping to address the global challenge of antimicrobial resistance and the design and adoption of contextually fit interventions to improve AMS and IPC should ultimately lead to better clinical outcomes. The work is also relevant to sustainable goal number 4- Quality education: ensure inclusive and equitable quality education and promote lifelong learning opportunities for all. In addition to the education, training and skills development of individuals involved in the research which has helped build AMR research capacity in India, South Africa and the UK, there have been hundreds of other beneficiaries who have accessed the learning from this research via the MOOC. Some highlights of impact arising from this project include: Capacity Building • This grant has enabled us to recruit four researchers in Kerala, India, employed by our research partner on this award, Amrita Institute of Medical Sciences (Amrita). These researchers have backgrounds in pharmacy, epidemiology and anthropology and modelling have undergone an extensive period of training: 6 weeks in India led by Charani; weekly supervision and mentoring from the Early Career Researchers in the UK; funded from the additional Impact Acceleration Grant (above), to attend a capacity building workshop (7th Feb 2019): "Social Science Research Methodologies workshop: tackling Antimicrobial Resistance" http://www3.imperial.ac.uk/newsandeventspggrp/imperialcollege/medicine/arc/eventssummary/event_4-10-2018-13-37-28 This trip was extended to a two-week training programme across the research methodologies. • Supported Vrinda Nampoothiri, Clinical Pharmacist at Amrita, in obtaining competitive funding to attend the "Fresh Perspectives: Social Research on AMR" symposium held at the British Academy in London on 10th September 2018 (Dr Clare Chandler and Antimicrobials In Society (AMIS). Related blog: https://www.imperial.ac.uk/news/189111/practising-antibiotic-stewardship-india-blog-from/. • Early Career Researchers at Imperial (Charani, Birgand, Castro-Sanchez, Ahmad) have developed their research management and supervisory skills through co-leading packages. • Dr Lebcir was promoted to Reader in Management Systems, Dr Raheelah Ahmad promoted to Lecturer. • ECR C Bonaconsa has successfully been awarded a PhD studentship to investigate the role of communication in IPC under supervision of PI Mendelson and Co-I Charani • E Charani was elected to the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial stewardship (ESGAP) executive committee, awarded a Hamied Foundation UK-India AMR Visiting Professorships fellowship and Nominated as a fellow of the Royal Pharmaceutical Society for her distinction in the profession of Pharmacy. • Dr Ahmad became Deputy Chair, The Surveillance and Epidemiology of Drug-resistant Infections Consortium (SEDRIC) • O Mbamalu has developed the patient and public involvement work in South Africa into a successful National Research Foundation Thuthuka Fellowship • PPI and IAB member V Carter was awarded winner of the Community Communications category at the Antibiotic Guardian 2020 Shared Learning event led by Public Health England Other: Dissemination • Project meeting and advisory board meeting in Kerala (October 2018) were followed by a two-day International Conference on Antibiotic Stewardship and Infectious Diseases "No action today, no cure tomorrow" for a wider network of practitioners, policy makers and researchers in India. https://www.imperial.ac.uk/news/188926/international-collaborative-networks-optimise-infection-related/. The timing of these events were to maximise impact, as these coincided with the launch of the Kerala state AMR action plan. • Early Career researchers (Birgand, Ahmad, Charani, Castro-Sanchez) led a workshop on implementation in infection control Nantes France, the first regional event in France. Implementation sciences applied to infection control and antimicrobial stewardship (11th October 2018) International Impact • Early career researchers (UK) invited speakers and participants in a range of national and international scientific meetings and policy conferences including the Grand Challenges Meeting 2018 (Berlin) and the WISH 2018 summit in Qatar. • Dr Charani: scoping visit to Bangladesh visiting Prof Samir Saha's team at the Child Health Research Foundation (CHRF) and Dr Atonu Rabbani, behavioural economist (University of Dhaka), learning about effective surveillance systems for childhood invasive bacterial infections. Bilateral visit planned https://www.imperial.ac.uk/news/187467/dr-esmita-charani-returns-from-research/ • World Antimicrobial Awareness Week 2020, webinar led by the ASPIRES team in collaboration with Public Health England and additional international collaborators from Pakistan and Chile. • Intern G Godwin presented a poster of the qualitative work he conducted at the 3rd UK Implementation Science Research Conference 2020. His blog can be read here. • ASPIRES research has been presented at over 20 international events in LMIC and HICs including: 1) Federation of infectious Diseases Societies of Southern Africa, Johannesburg 2019; 2) National Conference of Surgery and Gastroenterology, Delhi; 3) The 4th Patient Safety Conference, Islamabad, Pakistan Nov 2019 (including IAB member Zingg); 4) Norwegian National Infection Control Society meeting in Stavanger in 2019; 5) Australian stewardship meeting in Sydney; 6) Flinders University Medical School Grand Round, Adelaide; 7) ECCMID 2019, Amsterdam. A number of abstracts for oral and poster presentations were accepted for the 2020 ICID and ECCMID meetings which were subsequently cancelled due to COVID-19. This research has now been presented at international conferences including EuroDURG in Hungary 2020, AMIS 2020 LSHTM, and ESCAIDE 2020 |
| First Year Of Impact | 2018 |
| Sector | Communities and Social Services/Policy,Education,Healthcare |
| Impact Types | Cultural,Societal,Economic,Policy & public services |
| Description | 'Theory of Change' workshops at AMRITA hospital |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | ASPIRES team, Shalini Ahuja and Nathan Peiffer-Smadja conducted two preliminary half day. 'Theory of Change' workshops at AMRITA hospital on 8th and 9th October 2019. All together 45 participants from the hospital attended the workshops. The workshops were aimed at disseminating the findings from the ethnographic study, introducing the 'Theory of Change' approach in co-designing interventions and selecting interventions targeting antibiotic use in surgery. |
| Description | Antimicrobial Resistance and Infection Prevention Implementation, Pakistan |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Antimicrobial Resistance & Infection Prevention Implementation workshop, RIPAH International University, AL-Mizan Campus, Rawalpindi. Faculty from Imperial College and Hopitaux Universitaires Geneve including Walter Zingg, Raheelah Ahmad, Nina Zhu, Enrique Castro Sanchez delivered implementation course in Pakistan. |
| URL | https://icps.riphah.edu.pk/2019/infection-control-antimicrobial-resistance/ |
| Description | Blog: Becoming a patient advocate for antimicrobial resistance |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Patient involvement in research is critical. In this first of a series of blogs on the role of the patient and the public in research, Vanessa Carter, a patient advocate in South Africa and a member of our International Advisory Board to the ASPIRES study shares with us her journey to becoming a patient advocate. |
| URL | https://www.imperial.ac.uk/arc/aspires/patient-involvement-and-engagement/ |
| Description | Call for evidence National Action Plan on AMR |
| Geographic Reach | National |
| Policy Influence Type | Contribution to a national consultation/review |
| Description | Centre for Implementation Science Advice Clinics |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Centre for Implementation Science (King's College London) conducts 'advice clinics' for projects/grants requiring assistance in the implementation science aspects of their work. Nick Sevdalis and Shalini Ahuja regularly participate and deliver support during the advice clinic requests targeting acute care settings. 3 such advice clinics were delivered in 2019. |
| Description | Global Core Standards for hospital Antimicrobial Stewardship Programs |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
| URL | http://www.wish.org.qa/wp-content/uploads/2018/11/IMPJ6078-WISH-2018-LHSN-AMR-181026-1.pdf |
| Description | High level feedback to the Surgical and ICU Leads, UCT/GSH |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Antibiotic Use Across Surgical Pathways - Investigating, Redesigning And Evaluating Systems (ASPIRES Study): Broad overview of early ethnographic findings from Cape Town, South Africa. ASPIRES-SA Surgical leads, ICU lead and consultants, and two representative nurses. |
| Description | Imperial MSc in Public Health, Medical Anthropology module |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Esmita Charani teaches on the Imperial MSc in Public Health on the Medical Anthropology module. International students. |
| Description | Infectious Diseases meeting at the Division of Infectious Diseases and HIV Medicine, University of Cape Town |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | 18th Oct 2019 ID Meeting at the Division of Infectious Diseases and HIV Medicine, University of Cape Town. Clinicians involved in the antibiotic stewardship programme at the University of Cape Town. Reporting early ethnographic findings from Cape Town, South Africa. |
| Description | International Journal of Infectious Diseases paper, Charani et al April 2017 |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| URL | http://dx.doi.org/10.1016/j.ijid.2017.04.020 |
| Description | Leadership Team meeting - Med Res Funded National PhD Training Programme in AMR |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| URL | http://www.rcuk.ac.uk/documents/amr/avison-the-mrf-national-phd-training-programme-in-amr-pdf/ |
| Description | Medical Student supervision at King's College London |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Nick Sevdalis and Shalini Ahuja are supervising Gregory Godwin, a medical student from King's College London. He is an intern with the ASPIRES team since November 2019. As a part of the internship he is working on his MBBS undergraduate dissertation which focuses on 'stages of intervention development in the context of antibiotic optimisation in surgery'. |
| Description | Presentation of work to the Advisory Committee on Antimicrobial Prescribing, Resistance and Healthcare Associated Infection (APRHAI) 2022 |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Description | Primary Healthcare Reforms Project webinar |
| Geographic Reach | Asia |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | R Ahmad gave webinar for primary healthcare reforms project on 'Theoretical frameworks for analysis of provider and user behaviour'. 30 minute talk and then discussion. |
| Description | Research meeting lecture: "Antimicrobial Stewardship must be a behavioural programme" (EC - Portugal) |
| Geographic Reach | Europe |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Scientific Advisor to Science in Parliament Initiative, Spain (ECS) |
| Geographic Reach | Europe |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Description | SoNAR Global - Curriculum for Social Scientists on AMR |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Social Science Research Methodologies Workshop: Tackling AMR |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| URL | https://www.eventbrite.co.uk/e/social-science-research-methodologies-workshop-tackling-antimicrobial... |
| Description | Specialty-specific feedback session to the Cardiothoracic and ICU Teams, UCT/GSH |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Reporting early ethnographic findings from the ASPIRES study to the Cardiothoracic and ICU teams Cape Town, South Africa. Cardiothoracic Surgical Team (surgeons, nurses, interns, students), ICU Team (consultants and nurses). |
| Description | Specialty-specific feedback session to the Gastrointestinal (colorectal and acute) Teams, UCT/GSH |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Reporting early ethnographic findings from the ASPIRES study to the Gastrointestinal (colorectal and acute) teams Cape Town, South Africa. Specialty-specific feedback session to the Gastrointestinal (colorectal and acute) Teams: Gastrointestinal (colorectal and acute) Surgical Team - surgeons, nurses, interns |
| Description | Supporting relaunch and rebranding of All Party Parliamentary Group (APPG) in Patient Safety |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Description | UK Parliament AMR Reception organised by the Parliamentary Office of Science and Technology (POST) |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Improving antibiotic prescribing through behaviour change and use of technology presented to MPs, members of the House of Lords, parliamentary staff, and academics |
| Description | Visit to Khartoum, Sudan (EC - Imperial delegation to Sudan) |
| Geographic Reach | Africa |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Numerous enquiries about internships, studentship support and other related research enquiries. Work in progress and will likely lead to further funding applications, new collaborations and joint publications. |
| Description | WHO Policy Brief - Cultural Contexts of Health and Well-being |
| Geographic Reach | Europe |
| Policy Influence Type | Citation in other policy documents |
| Description | WISH Delphi consensus |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | E Charani has collaborated on a WISH funded international Delphi consensus to develop core elements and checklist items for global hospital antimicrobial stewardship programmes: a consensus apprpoach. |
| Description | Webinar on 'Implementation Science and Global Surgery' for Amrita |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Nick Sevdalis, Shalini Ahuja, Gabriel Birgand conducted a half day webinar on 'Implementation Science and Global Surgery' on 04th Oct 2019 for AMRITA hospital. ASPIRES India team and members of the AMS and IPC teams participated (n=11). |
| Description | Western Cape Provincial Antimicrobial Stewardship Symposium, Bellville, Cape Town |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Antibiotic Use Across Surgical Pathways - Investigating, Redesigning And Evaluating Systems (ASPIRES Study): Reporting early ethnographic findings from Cape Town, South Africa. Western Cape provincial government staff/stakeholders involved in antimicrobial stewardship at various facilities |
| Description | roadmap for implementation of AMS using the Kerala learning, co-authored with Health Secretary in India |
| Geographic Reach | Asia |
| Policy Influence Type | Contribution to a national consultation/review |
| Description | Adoption of guidelines during COVID -19 |
| Amount | $25,000 (USD) |
| Organisation | World Health Organization (WHO) |
| Sector | Public |
| Country | Global |
| Start | 09/2022 |
| End | 02/2023 |
| Description | Antimicrobial Resistance (AMR) Capital Call |
| Amount | £4,047,193 (GBP) |
| Funding ID | NIHR200646 |
| Organisation | National Institute for Health Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 09/2019 |
| End | 08/2021 |
| Description | Applying social sciences research in clinical trials |
| Amount | £150,000 (GBP) |
| Organisation | PENTA Foundation |
| Sector | Academic/University |
| Country | France |
| Start | |
| Description | British Society for Antimicrobial Chemotherapy COVID-19 Grant Call |
| Amount | $100,000 (USD) |
| Funding ID | P89674 |
| Organisation | British Society for Antimicrobial Chemotherapy |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 11/2020 |
| End | 10/2021 |
| Description | Centre for Antimicrobial Optimisation network |
| Amount | £11,000,000 (GBP) |
| Organisation | Wellcome Trust |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 03/2023 |
| End | 02/2026 |
| Description | EIT Health Business Plan 2019 |
| Amount | € 249,875 (EUR) |
| Funding ID | 19205 |
| Organisation | EIT Health e.V. |
| Sector | Private |
| Country | Germany |
| Start | 01/2019 |
| End | 12/2019 |
| Description | ESRC Impact Acceleration Award |
| Amount | £20,000 (GBP) |
| Organisation | Imperial College London |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 01/2018 |
| End | 04/2018 |
| Description | ESRC Theme 4 supplementary award |
| Amount | £82,412 (GBP) |
| Organisation | Economic and Social Research Council |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2018 |
| End | 03/2019 |
| Description | ESRC additional funding (STEP-UP) |
| Amount | £82,412 (GBP) |
| Organisation | Economic and Social Research Council |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2018 |
| Description | Esmita Charani Wellcome Fellowship Investigating the intersectionality of power dynamics, hierarchies, and health-seeking and health-providing behaviours in hospital settings across different cultural boundaries |
| Amount | R17,532,318 (ZAR) |
| Funding ID | 225960/Z/22/Z |
| Organisation | Wellcome Trust |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 03/2023 |
| End | 02/2027 |
| Description | HPRU in HCAI and AMR |
| Amount | £4,313,149 (GBP) |
| Funding ID | NIHR200876 |
| Organisation | National Institute for Health Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2019 |
| End | 03/2024 |
| Description | Medical Research Foundation National PhD Training Programme in Antimicrobial Resistance Research |
| Amount | £189,800 (GBP) |
| Organisation | Medical Research Council (MRC) |
| Department | Medical Research Foundation |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 11/2018 |
| End | 11/2023 |
| Description | NIHR SENIOR NURSE AND MIDWIFE RESEARCH LEADER PROGRAMME |
| Amount | £96,531 (GBP) |
| Funding ID | NIHR4-SNMRL017 |
| Organisation | National Institute for Health Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2019 |
| End | 03/2022 |
| Description | NIHR Senior Investigator Award |
| Amount | £75,000 (GBP) |
| Funding ID | NF-SI-0617-10176 |
| Organisation | National Institute for Health Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2018 |
| End | 03/2023 |
| Description | National Research Foundation Thuthuka Fellowship |
| Amount | R300,000 (ZAR) |
| Funding ID | Reference: TTK200414512997 Grant No: 129755 |
| Organisation | University of Cape Town |
| Sector | Academic/University |
| Country | South Africa |
| Start | 01/2021 |
| End | 12/2023 |
| Description | Patient Safety Culture - evidence synthesis |
| Amount | $25,000 (USD) |
| Organisation | World Health Organization (WHO) |
| Sector | Public |
| Country | Global |
| Start | 12/2021 |
| End | 07/2022 |
| Description | Pfizer Antimicrobial Stewardship grant (n collaboration with University of Cape Town and Makerere University to expand the qualitative methodologies adopted in the ASPIRES project to neurosurgery) |
| Amount | $100,000 (USD) |
| Organisation | Pfizer Ltd |
| Sector | Private |
| Country | United Kingdom |
| Start | 01/2021 |
| End | 01/2021 |
| Description | Research England Global Challenges Research Fund (Internal Support) |
| Amount | £147,723 (GBP) |
| Organisation | Higher Education Funding Council for England |
| Sector | Public |
| Country | United Kingdom |
| Start | 11/2018 |
| End | 07/2019 |
| Description | Strategic Priorities Fund 2020/21 Evidence-based policymaking Antimicrobial Research Collaborative |
| Amount | £25,934 (GBP) |
| Organisation | Wellcome Trust |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 11/2020 |
| End | 03/2021 |
| Description | Strengthening knowledge and skills in vaccine science and safety: co-development of continuing professional development resources relevant to the diverse UK health and social care workforce |
| Amount | £10,000 (GBP) |
| Organisation | Higher Education Innovation Funding (HEIF) |
| Sector | Public |
| Country | United Kingdom |
| Start | 12/2022 |
| End | 07/2023 |
| Description | Towards establishing a consortium for addressing antibiotic shortages |
| Amount | £150,000 (GBP) |
| Organisation | Global Antibiotic Research and Development Partnership |
| Sector | Charity/Non Profit |
| Country | Switzerland |
| Start | |
| Description | Travel Grant Award for Young Investigators to attend 19th International Congress on Infectious Diseases, Kuala Lumpur (VN) |
| Amount | £2,000 (GBP) |
| Organisation | Bill and Melinda Gates Foundation |
| Sector | Charity/Non Profit |
| Country | United States |
| Start | 02/2020 |
| End | 02/2020 |
| Description | UKRI COVID-19 Grant Extension Allocation Kings College London |
| Amount | £28,533 (GBP) |
| Organisation | United Kingdom Research and Innovation |
| Sector | Public |
| Country | United Kingdom |
| Start | 05/2021 |
| End | 09/2021 |
| Description | UKRI, Internal College Scheme- Strategic Priorities Fund |
| Amount | £52,000 (GBP) |
| Organisation | United Kingdom Research and Innovation |
| Sector | Public |
| Country | United Kingdom |
| Start | 12/2019 |
| End | 03/2020 |
| Description | Wellcome Trust Institutional Strategic Support Fund Faculty Fellowship |
| Amount | £21,476 (GBP) |
| Organisation | Imperial College London |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 10/2017 |
| End | 03/2018 |
| Title | framework for analysis of the Political and Legislative domains (Birgand et al, 2018 ARIC) |
| Description | theoretical concepts drawn from the public and health policy literatures were used to help us explore underpinning governance approaches for AMR prevention (emergence and spread) in healthcare across three European countries. By highlighting consistencies/divergences in such governance approaches, the aim is to accelerate learning at the country and also the regional level. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2018 |
| Provided To Others? | Yes |
| Impact | This methodology has been cited and progressed by other researchers (Anderson et al, 2019). This methodology has been translated and expanded to the challenge of COVID-19 by the ASPIRES research team together with members of the IAB (McKee and Zingg) and additional international collaborators from South Asia, North and South America (Ahmad et al 2020). |
| Title | survey for public and healthcare workers on COVID-19 and IPC |
| Description | survey responses on HCW and public attitudes to COVID and IPC was run in India and South Africa, received 850 public and nearly 400 healthcare worker responses. BSAC funding has been awarded which will replicate this in China. T |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2020 |
| Provided To Others? | No |
| Impact | BSAC funding to replicate this in China. |
| Description | Amrita |
| Organisation | Amrita Vishwa Vidyapeetham University |
| Country | India |
| Sector | Academic/University |
| PI Contribution | Imperial College London led successful application to ESRC for grant funding Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. |
| Collaborator Contribution | Collaboration with Dr Sanjeev Singh, Medical Superintendent of large hospital in Kerala, India and Mr Puneet Dhar, surgeon, they bring expertise in hospital management, infection prevention and control and surgery to the project. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | Butare University Teaching Hospital |
| Organisation | University Teaching Hospital of Butare |
| Country | Rwanda |
| Sector | Hospitals |
| PI Contribution | Imperial College London led successful application to ESRC for grant funding Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. |
| Collaborator Contribution | Collaboration with Dr Jules Ndoli Minega and Mr Christian Ngarambe who bring expertise in anaesthesia, surgery and hospital management to the project. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | India Collaborative on Surgical Prophylaxis |
| Organisation | University of Antwerp |
| Country | Belgium |
| Sector | Academic/University |
| PI Contribution | Dr Sanjeev K Singh involved in India Collaborative on Point Prevalence Survey of Surgical Prophylaxis. |
| Collaborator Contribution | Support and participation in this Indian collaborative for PPS in surgical prophylaxis |
| Impact | None yet |
| Start Year | 2018 |
| Description | King's College London |
| Organisation | Universidade de São Paulo |
| Department | Institute of Psychiatry |
| Country | Brazil |
| Sector | Academic/University |
| PI Contribution | Imperial College London led on the successful application to the ESRC for this grant funding. |
| Collaborator Contribution | Profs N Sevdalis, E Ferlie, Mr A Leather are the collaborators from King's College London on this ESRC grant funding. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | Royal College of Anaesthetists |
| Organisation | The Royal College of Anaesthetists |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | Research Partnership with RCoA - Imperial College London led successful application to ESRC for grant funding 'Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes'. |
| Collaborator Contribution | Collaboration with Professor Ramani Moonesinghe, Professor of Perioperative Medicine, UCL, Honorary Consultant in Anaesthesia and Perioperative Medicine, UCLH, Director of the Health Services Research Centre (HSRC) at the Royal College of Anaesthetist (RCoA), and the NIHR funded Surgical Outcomes Research Centre (SOuRCe) at UCL/UCLH. Ramani brings expertise in anaesthetics and surgical outcomes. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | STEP UP, Oxford |
| Organisation | University of Oxford |
| Department | Nuffield Department of Primary Care Health Sciences |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Collaborated with other ESRC AMR Funded Consortium to win additional funding to run a workshop: 'Social Science Research Methodologies workshop: tackling Antimicrobial Resistance'. Event was co-chaired by PIs from each consortium and researchers from both consortiums ran the workshops and presented. |
| Collaborator Contribution | Collaborated with ASPIRES ESRC AMR Funded Consortium to win additional funding to run a workshop: 'Social Science Research Methodologies workshop: tackling Antimicrobial Resistance'. Event was co-chaired by PIs from each consortium and researchers from both consortiums ran the workshops and presented. |
| Impact | Collaborated with other ESRC AMR Funded Consortium to run a workshop: 'Social Science Research Methodologies workshop: tackling Antimicrobial Resistance'. Event was co-chaired by PIs from each consortium and researchers from both consortiums ran the workshops and presented. The event provided introductory training in social science research skills utilised across the current Antimicrobial Resistance (AMR) Theme 4 research programmes that is supported by the Antimicrobial Resistance Cross Council Initiative from the seven research councils in partnership with other funders. The event was multidisciplinary and included expertise in social science, epidemiology, statistics, public health, implementation science, anthropology. |
| Start Year | 2018 |
| Description | University of Cape Town |
| Organisation | University of Cape Town |
| Country | South Africa |
| Sector | Academic/University |
| PI Contribution | Imperial College London led successful application to ESRC for grant funding Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. |
| Collaborator Contribution | Collaboration with Professor Marc Mendelson and Mr Mark Hampton who bring expertise in healthcare management, infection prevention and control and surgery. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | University of Hertfordshire |
| Organisation | University of Hertfordshire |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Imperial College London led successful application to ESRC for grant funding Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. |
| Collaborator Contribution | Collaboration with Dr Reda Lebcir who brings expertise in System Dynamics to the project. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | University of Leicester |
| Organisation | University of Leicester |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Imperial College London led successful application to ESRC for grant funding Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. |
| Collaborator Contribution | Collaboration with Dr Carolyn Tarrant who brings expertise in Health Psychology to the project. |
| Impact | ESRC Grant funding for Optimising antibiotic use along surgical pathways: addressing antimicrobial resistance and improving clinical outcomes. Multi-disciplinary: management science, behavioural research, infection prevention and control, surgery, pharmacy, implementation science, health economics, modelling. |
| Start Year | 2017 |
| Description | "Multidisciplinary approaches to improving infection control and antibiotic use in surgical pathways" talk at the XXIX National Conference of Indian Association of Surgical Gastroenterology (IASG) in Delhi, India |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | The Imperial College Principal Investigator, Professor Alison Holmes was invited to present at the IASCGON 2019 conference by the Indian Association of Surgical Gastroenterology (IASG) to Delhi, India. Delivering speech titled: "Multidisciplinary approaches to improving infection control and antibiotic use in surgical pathways" about our work within the ASPIRES project. This was part of Continuing Medical Education Program (CME) for over 1000 residents, junior and senior consultants, national and foreign faculty as well as industry representatives. Apart from meeting international and mostly Indian colleagues, who are doing excellent work in surgery, this event also helped to forge new and deepen existing LMIC collaborations for both research and clinical work for the whole group. |
| Year(s) Of Engagement Activity | 2019 |
| URL | http://iasgcon2019.org/ |
| Description | "The influence of context on antibiotic presribing across surgical specialties - insights from India, UK and South Africa" presentation by Esmita Charani at the Federation of Infectious Diseases Societies of Southern Africa (FIDSSA) Congress 2019 in Johannesburg |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Dr Esmita Charani was invited by the South African Antibiotic Stewardship Programme (SAASP) as a guest speaker to present to international audience at the FIDSSA 2019 Congress about the ASPIRES project. Dr Charani delivered a talk titled "The influence of context on antibiotic presribing across surgical specialties - insights from India, UK and South Africa". Over 100 national (to South Africa) and international medical professionals have attended the meeting. |
| Year(s) Of Engagement Activity | 2019 |
| URL | http://fidssacongress.co.za/ |
| Description | 3rd International Conference on Clinical Pharmaciy, Karnataka (VN) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Oral Presentation on 21-1-2018 on "Clinical Pharmacist driven Antimicrobial Stewardship program in a tertiary care centre" at 3rd International Conference on Clinical Pharmacy -New Era of Pharmacy Practice: Beyond Traditional Patient Care Kasturba Medical College , Manipal Academy of Higher Education, Karnataka, India. |
| Year(s) Of Engagement Activity | 2018 |
| Description | 61st annual conference of the Operational Research Society |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | 61st annual conference of the Operational Research Society, oral presentation titled: • Exploiting system dynamics to achieve the Sustainable Development Goals: synergistic effects of nutrition and antenatal care on maternal and neonatal health |
| Year(s) Of Engagement Activity | 2019 |
| Description | 61st annual conference of the Operational Research Society |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | 61st annual conference of the Operational Research Society, oral presentation titled: • Antibiotic prescribing decision-making processes in secondary care: a system dynamics approach |
| Year(s) Of Engagement Activity | 2019 |
| Description | 61st annual conference of the Operational Research Society |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Four oral presentations at the 61st annual conference of the Operational Research Society, titled: • System level knowledge mobilisation in healthcare: capturing professional norms, regulative forces and cultural influences |
| Year(s) Of Engagement Activity | 2020 |
| Description | AMR Cross Council Initiative Workshop 2017 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | 2 day Cross-Research Council meeting, specifically on Antimicrobial Resistance (AMR) for award holders, workshop to explore challenges and opportunities. Presented in the 'Research Challenges (UK and global setting) session on 'Clinical, Social, Cultural and Historical Challenges', followed by round table discussion. Day two was an open session. Keynote speaker was Sally Davies, presentations and representation from funders and policy makers. |
| Year(s) Of Engagement Activity | 2017 |
| Description | AMR stewardship educational workshop" at Global AMR Youth Summit |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | • AMR stewardship educational workshop" at Global AMR Youth Summit 2.0 (Nov 2021) (Charani E, Bonaconsa C, Nampoothiri V) |
| Year(s) Of Engagement Activity | 2021 |
| Description | Addressing infection and multimorbidity across surgical pathways - 3rd March 2020 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Organised event 'Addressing infection and multimorbidity across surgical pathways' on 3rd March 2020. There is an increasing focus on multimorbidity as a priority for both national and global public health and research. The aim of this symposium is to highlight the importance of addressing the management of infection and co-morbidities across surgical pathways, considering multidisciplinary approaches, the use of technologies and innovation, and the implications for policy. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Amrita School of Pharmacy invited talk (VN) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited talk on 26-10-2017 on " Roles and Responsibilities of Clinical Pharmacist in Antibiotic Stewardship Program at Amrita School of Pharmacy, Kochi, kerala, India. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Animations of ASPIRES research findings |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Developed a short animation to disseminate our findings (Bonaconsa C, Mbamalu O, Mendelson M, Boutall A, Warden C, Rayamajhi S, et al. Visual mapping of team dynamics and communication patterns on surgical ward rounds. BMJ Quality and Safety 2021). The animation based on sociograms from South Africa highlights how we used sociograms and what it taught us. A separate animation based on our work in India covers research we have conducted including surveys and interviews with patients and their carers. . |
| Year(s) Of Engagement Activity | 2022 |
| Description | Antimicrobial Resistance Students' Conference: Advocating Behavioural Change |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Postgraduate students |
| Results and Impact | All day conference held at collaborator's King's College London, event on advocating behavioural change to tackle AMR run by students, for students. Interesting, broad programme which sparked good discussion. Has led to a number of enquiries about internship opportunities and an abstract being submitted to ECCMID 2018. Further impact will be realised. R Ahmad and E Charani gave lecture 'Behaviour change wheel and Antimicrobial Resistance' and ran workshop 'How to Run a Public Health Campaign'. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Application for surgical prophylaxis in adult CVST |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Dr Sanjeev K Singh presented PDCA- Application for surgical prophylaxis in Adult CVST at Institute of healthcare Improvement,Boston |
| Year(s) Of Engagement Activity | 2017 |
| Description | Australian stewardship meeting in Sydney |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani presented 'Who does the antibiotic prescribing in your hospital? Understanding the cultural determinants of antibiotic prescribing in hospitals' at Australian stewardship meeting in Sydney, Australia 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | BMC Medicine - invited blog - |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Invited blog |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://blogs.biomedcentral.com/blog/author/timothymilesrawson/ |
| Description | CDC International Infection Prevention and Control Lunch and Learn Meeting |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | • Online presentation at CDC International Infection Prevention and Control Lunch and Learn Meeting on : Using qualitative research to understand antimicrobial stewardship and infection prevention and control across surgical pathway. Dec 2021( Nampoothiri V) • Webinar on "Experiences of building a multidisciplinary antimicrobial stewardship team in a resource limited setting- India" at Centre for Disease Control (CDC) International Infection Prevention and Control meeting lunch and learn meeting (July 2021) (Nampoothiri V) |
| Year(s) Of Engagement Activity | 2021 |
| Description | CIDCON, Kerala - presentation from Amrita ICU consultant |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Zubair, ICU Consultant at Amrita Hospital, presented on ASPIRES at Clinical Infectious Diseases Conference (CIDCON), Kerala |
| Year(s) Of Engagement Activity | 2019 |
| Description | Citizen's Jury Panel in the UK with the University of Liverpool |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | • Citizen's Jury Panel in the UK with the University of Liverpool, presenting the findings of the ASPIRES research and implications for AMR (E Charani) |
| Year(s) Of Engagement Activity | 2022 |
| Description | Collaboration meeting on Addressing AMR in North Africa, University of North Sussex (EC) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani speaking at University of North Sussex Collaboration meeting on Addressing AMR in North Africa, Sep 2018, at the Centre for Global Health Policy. |
| Year(s) Of Engagement Activity | 2018 |
| Description | College of Pharmaceutical Science, Kottayam (VN) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Vrinda Nampoothiri, Clinical Pharmacist, Amrita Hospital, India, Invited talk on 25-9-2018 on "Role of clinical pharmacist in Antibiotic Stewardship" at World Pharmacist Day Program conducted by College of Pharmaceutical Science, Kottayam Medical College, Kottayam,Kerala, India |
| Year(s) Of Engagement Activity | 2018 |
| Description | ECCMID 2017 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Conference Posters submitted on the following:(1) Evaluating behaviour change in antimicrobial stewardship interventions: a review of UK state-of-the-art conferences (2) What does a systematic review of clinical decision support systems for antimicrobial management tell us? (3) Demonstrating the effectiveness of sustainable, long-term, bundled interventions to reduce blood culture contamination (4) Mapping decision pathways for acute infection management in UK secondary care: a qualitative study (5) Patient-centred interventions to promote citizen engagement with infection-related decision making (6) Optimizing intermittent vancomycin therapy using C-reactive protein: investigating the role for AUC:EC50 (7) Clinical decision support systems for antimicrobial management: a systematic review of interventions in primary and secondary care (8) Exploring the epidemiology and diversity of fungal isolates in a large tertiary haematology unit in London, UK secondary care |
| Year(s) Of Engagement Activity | 2017 |
| Description | ECCMID 2017 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | following posters accepted to ECCMID Rawson et al. Mapping decision pathways for acute infection management in UK secondary care: a qualitative study Rawson et al. : Patient-centred interventions to promote citizen engagement with infection-related decision making Rawson et al. Evaluating behaviour change in antimicrobial stewardship interventions: a review of UK state-of-the-art conferences Rawson et al. Optimizing intermittent vancomycin therapy using C-reactive protein: investigating the role for AUC:EC50 in secondary care Rawson et al. Clinical decision support systems for antimicrobial management: a systematic review of interventions in primary and secondary care |
| Year(s) Of Engagement Activity | 2017 |
| Description | ECCMID 2018 oral presentation - Gabriel Birgand |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Infection control specialists' perception of antimicrobial resistance in European hospitals: the Percept-R study. G Birgand, N Mutters, E Tacconelli, JC Lucet, A Holmes. Increasing research capacity to tackle AMR internationally and improve the consistency of practices and strategies. |
| Year(s) Of Engagement Activity | 2018 |
| Description | ECCMID 2019, Amsterdam |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | ECCMID 2019, Amsterdam |
| Year(s) Of Engagement Activity | 2019 |
| Description | ECCMID 2020 Accepted abstract: Mini-oral Flash Session (OM) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Oluchi Mbamalu's Accepted abstract: Mini-oral Flash Session: Mapping the roles and responsibilities for infection prevention and antibiotic prescribing along the surgical pathway in India and South Africa: case studies. The 30th European Congress of Clinical Microbiology and Infectious Diseases, ECCMID. NOTE: ECCMID will be online due to COVID-19. |
| Year(s) Of Engagement Activity | 2020 |
| URL | https://www.eccmid.org/ |
| Description | ECCMID 2020: Accepted abstract: Mini-oral Flash Session (CB) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Candice Bonaconsa's Accepted abstract: Mini-oral Flash Session: Exploring social links and networks of communication in relation to infection prevention and control and antibiotic stewardship across surgical specialties in South Africa. 'The 30th European Congress of Clinical Microbiology and Infectious Diseases, ECCMID. NOTE: ECCMID now taking place online. |
| Year(s) Of Engagement Activity | 2020 |
| URL | https://www.eccmid.org/ |
| Description | EUCIC Course HCAIs (GB) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Gabriel Birgand on organising faculty for EUCIC Module: Surveillance and early warning systems of healthcare associated infections. European Committee on Infection Control (EUCIC) of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Title of the module: Surveillance and early warning systems of healthcare-associated infections Title of the presentation: How to use practice and outcome indicators through surveillance: Practical experience from my hospital. Date: Paris, France 4 - 6 July 2018 Audience: 41 persons. IPC, ID and micro physicians from 17 European countries Surveillance and alert systems are key for controlling HAI. They require the use of current and advanced epidemiological methods. This course is designed to provide the tools and methods used in epidemiological surveillance and outbreak detection, as well as major applications in the field. Case studies from the literature and personal experience of faculty members, and actual data from surveillance networks driven by faculty members will be used to illustrate the real-world application of these tools and methods. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Esmita ICID (Buenos Aires) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The study on the International implementation of antibiotic stewardship been accepted as a poster at ICID (Buenos Aires) conference. Presented: Antimicrobial stewardship across the surgical pathways in low and middle income countries |
| Year(s) Of Engagement Activity | 2018 |
| Description | Esmita poster ECCMID, Madrid |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The study on the International implementation of antibiotic stewardship has been accepted as a poster at ECCMID (Madrid) |
| Year(s) Of Engagement Activity | 2018 |
| Description | Federation of infectious Diseases Societies of Southern Africa |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Dissemination of ASPIRES research |
| Year(s) Of Engagement Activity | 2013,2019 |
| Description | Flinders University Medical School Grand Round, Adelaide |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani presented 'Who does the antibiotic prescribing in your hospital?' Understanding the cultural determinants of antibiotic prescribing in hospitals, Grand Round, Flinders University 2019, during academic visit. |
| Year(s) Of Engagement Activity | 2019 |
| Description | French Ministry of Health (GB) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Gabriel Birgand gave presentation to Ministry of Health in November 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | French Society of Infection Control (GB) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Gabriel Birgand gave presentation to French Society of Infection Control in June 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | French congress of antimicrobial chemotherapy (RICAI), Paris, 16-17 December 2019 (NPS) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Nathan Peiffer-Smadja invited as a speaker to the French congress of antimicrobial chemotherapy (RICAI), Paris, 16-17 December 2019 for a talk on "Multidisciplinary management of complex surgical site infections" |
| Year(s) Of Engagement Activity | 2019 |
| Description | Futurum Brochure for World Antimicrobial Awareness Week 2021 |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Schools |
| Results and Impact | Brochure on AMR and interdisciplinary working which highlighted different career paths into AMR Research. The brochure highlighted the work and career paths of the Clinical Research Fellow originally engaged on the i4i award and his work on CDSS and the Research Pharmacist engaged on our ASPIRES award and her work on social sciences and AMR. It also featured HPRU Director and SRI, Prof Alison Holmes |
| Year(s) Of Engagement Activity | 2021 |
| URL | https://www.imperial.ac.uk/news/231960/hpru-partners-with-futurum-careers-showcase/ |
| Description | HIS Don't Panic: Medicine versus surgery - cultural differences in antimicrobial prescribing (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani invited to present at Healthcare Infection Society Don't panic! Conference. Talk: Medicine versus surgery - cultural differences in antimicrobial prescribing |
| Year(s) Of Engagement Activity | 2019 |
| Description | HPB surgery IHPBA conference Conference, Jaipur, India (EC) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani presented ASPIRES work 'Optimising antibiotic prescriptions in surgical pathways' at HPB surgery IHPBA conference in Jaipur, India, February 2019. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Harnessing the role of technology: The gap in technology assessments at the national level |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Harnessing the role of technology: The gap in technology assessments at the national level highlighted in the ASPIRES macro level analysis is the subject of Vanessa Carter's (South African patient representative) blog and twitter chat in collaboration with Antibiotic Guardian SA this year (i.e. SAASP, FIDSSA, NDoH and PHE) on the 22nd November 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | Healthcare Infection Society Foundation Course on Infection Control (RA) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Contribute to teaching on organisational change and policy for effective infection prevention and control. |
| Year(s) Of Engagement Activity | 2018,2019 |
| Description | ICID 2020: Accepted abstract: Oral presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Nina Zhu had Oral presentation accepted at ICID 2020: 'Addressing Antimicrobial resistance in China: progress and challenges in translating political commitment into national action'. 10:30hrs to 12:00hrs, Sunday, February 23, 2020. Whilst not directly related to ASPIRES grant, the opportunity to do the work that resulted in this presentation would likely not have happened without the capacity Nina has built through the ASPIRES grant. NOTE: ICID 2020 Postponed due to COVID-19 |
| Year(s) Of Engagement Activity | 2020 |
| Description | ICID 2020: Accepted abstract: Poster presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster presentation accepted at ICID 2020 - The elephant in the room - The role and experiences of the patient in healthcare and decision-making in relation to antibiotic prescribing in India Authors: V Nampoothiri, S Surendran, E Castro-Sánchez, S Joseph, S Singh, C Tarrant, R Ahmad, A Holmes, E Charani NOTE: ICID 2020 postponed due to COVID-19 |
| Year(s) Of Engagement Activity | 2020 |
| Description | ICID 2020: Accepted abstract: Poster presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | NOTE: ICID Postponed due to COVID-19. Accepted abstract: Poster presentation: A special antibiotic for that virus' - patient understanding and participation in antibiotic and infection-related care in surgical teams 'The 19th International Congress on Infectious Diseases (ICID) |
| Year(s) Of Engagement Activity | 2020 |
| URL | https://www.icid.isid.org/ |
| Description | ICID 2020: Accepted abstract: Poster presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Abstract accepted for poster presentation at ICID 2020: Are current infection prevention and control expectations fit for purpose? Interim results from an ethnographic study in South India Authors: E Castro-Sánchez, S Surendran, V Nampoothiri, S Joseph, S Singh, C Tarrant, A Holmes, E Charani NOTE: ICID 2020 Postponed due to COVID-19 |
| Year(s) Of Engagement Activity | 2020 |
| Description | ICID 2020: Accepted abstract: Poster presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | NOTE: ICID 2020 Postponed due to COVID-19 Accepted abstract: Oral presentation at The 19th International Congress on Infectious Diseases (ICID) Investigating team dynamics and communication in surgical teams in relation to antibtioic prescribing and infection control |
| Year(s) Of Engagement Activity | 2020 |
| URL | https://www.icid.isid.org/ |
| Description | ICID 2020: Accepted abstract: Poster presentation |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Nina Zhu abstract accepted for poster presentation: How can we capture the dynamic nature of implementing antimicrobial stewardship programmes in economic models to inform decision-making? Note: ICID 2020 Postponed due to COVID-19 |
| Year(s) Of Engagement Activity | 2020 |
| Description | ICID 2020: ePOSTER presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Abstract titled ' 'Use of surveillance and audit data to reduce surgical site infections and optimise antimicrobial use in hospitals - a scoping review' was accepted for Unmoderated ePOSTER presentation at the 19th International Congress on Infectious Diseases, which was supposed to be held in Kuala Lumpur on Feb 20-23, 2020. NOTE: ICID Postponed due to COVID-19 |
| Year(s) Of Engagement Activity | 2020 |
| Description | Imperial Global Health Innovation, Global Health Forum |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Imperial Global Health Innovation, Global Health Forum Thursday 21st November, 3pm-5pm Co-organised forum on antimicrobial resistance, speakers included: Alison Holmes, Damien Ming, Jon Otter, Enrique Castro Sanchez, Esmita Charani, Jesus Rodriguez Manzano, Pantelis Georgiou |
| Year(s) Of Engagement Activity | 2019 |
| Description | Imperial delegation to Haggar Foundation, Khartoum, Sudan (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani participated in Imperial College delegation to Khartoum, Sudan, to present on "Tackling Antimicrobial Resistance in Different Healthcare Settings and Capacity Building for Research" |
| Year(s) Of Engagement Activity | 2018 |
| Description | Implementation Scienes applied to infection control and antimicrobial stewardship (GB) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Organised by Gabriel Birgand and colleagues, conference: Implementation Sciences applied to infection control and antimicrobial stewardship, held 11th October 2018, Nantes. Various investigators/researchers from this grant presented. https://www.youtube.com/watch?v=73bg-E3iOxM&feature=youtu.be https://www.youtube.com/watch?v=aW5eTNsqID4&feature=youtu.be https://www.youtube.com/watch?v=qt7kFepRDdg&feature=youtu.be https://www.youtube.com/watch?v=FeHGqE8rqZY&feature=youtu.be https://www.youtube.com/watch?v=F3ZObWB8Hik&feature=youtu.be |
| Year(s) Of Engagement Activity | 2018 |
| Description | Infection Prevention Society 2018 (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Spoke at IPS Conference 24th Sep 2018. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Infectious Lates |
| Form Of Engagement Activity | Participation in an open day or visit at my research institution |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Public/other audiences |
| Results and Impact | Ran a number of activities as part of the 'Imperial Lates' series - this one was on Infections. Large footfall of circa 150 people from various backgrounds. Sparked interesting discussions and interest in research work to largely lay audience. |
| Year(s) Of Engagement Activity | 2018,2019 |
| URL | https://www.imperial.ac.uk/media/imperial-college/be-inspired/festival/public/Infectious-Programme-F... |
| Description | International Conference on Antibiotic Stewardship, Kochi |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | International Conference on Antibiotic Stewardship, 27th-28th Oct 2018, Kochi, India. International meeting organised and hosted by Amrita colleagues. To raise awareness of antimicrobial stewardship activities across India and Internationally, showcase how Amrita and the state of Kerala are leading the way in India in tackling antimicrobial resistance. Generated wide press interest including: 1. Times of India 2. The Hindu 3. New Indian Express 4. Deccan Chronicle 5. Mathrubhumi 6. Malayalam Manorama 7. Veekshanam 8. Chandrika 9. Deepika 10. Deshabhimani 11. Mangalam 12. Siraj Online Links Hindu - Clip 1 https://www.thehindu.com/news/cities/Kochi/experts-warn-against-rampant-use-of-antibiotics/article25340372.ece Hindu - Clip 2 https://www.thehindu.com/news/cities/Kochi/action-plan-for-restricted-antibiotic-use/article25340406.ece Deccan Chronicle https://www.deccanchronicle.com/nation/current-affairs/271018/call-to-rationalise-use-of-antibiotic-medicines-especially-in-kerala.html New Indian Exp. http://www.newindianexpress.com/states/kerala/2018/oct/27/widespread-irrational-use-of-antibiotics-a-cause-of-worry-1890525.html |
| Year(s) Of Engagement Activity | 2018 |
| Description | Kerala State Health Secretary meeting (SS) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Sanjeev Singh (PI from India collaborator, Amrita) met with Kerala State Health Secretary and discussed ASPIRES project and our research collaboration. |
| Year(s) Of Engagement Activity | 2018 |
| Description | King's College London: Doing Multi Disciplinary Research: The Case of the ASPIRES Consortium |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Prof Ewan Ferlie's talk at multidisciplinary research symposium at King's: Doing Multi Disciplinary Research: The Case of the ASPIRES Consortium |
| Year(s) Of Engagement Activity | 2019 |
| Description | King's Global Health Institute (SA) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Shalini Ahuja was invited by the King's Global Health Institute to give a talk on 'integrated care in lower and middle income countries' on 29th January 2020. |
| Year(s) Of Engagement Activity | 2020 |
| Description | King's Global Health Institute Launch (AH) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Participated in panel discussion at launch of Global Health Institute at King's College London, partly in recognition of the international collaborations through this grant which investigators at KCL are also on. Discussion focussed on the role of the Global Health Institute in partnership, collaboration and capacity-building, |
| Year(s) Of Engagement Activity | 2018 |
| Description | Knowledge, Culture and Change in Organizations (RA) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | 18th International Conference on Knowledge, Culture and Change in Organizations, University of Konstanz, Germany, 15th-16th March 2018. |
| Year(s) Of Engagement Activity | 2018 |
| Description | LSHTM 2020 - From global to local: addressing the threat of AMR and STI control |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani presented at LSHTM event 'From global to local: addressing the threat of AMR and STI control' Title of talk: Antimicrobial Stewardship Programmes across different healthcare settings and economies |
| Year(s) Of Engagement Activity | 2020 |
| Description | LSHTM Antimicrobials in Society blog (EC) |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Esmita Charani invited to write a blog on the experience of working in India, following on from being invited to present at their conference |
| Year(s) Of Engagement Activity | 2018 |
| Description | Leading Health Systems Network webinar on Antimicrobial Stewardship across different healthcare economies |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Policy influence by presenting the proceeds of the work in Qatar WISH (World Innovation Summit for health) chaired by Dame Sally Davies. |
| Year(s) Of Engagement Activity | 2008,2018,2019 |
| URL | https://www.youtube.com/watch?v=kg1hE8IywDU |
| Description | MOOC Relaunch |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Our MOOC on social sciences in AMR, which disseminates much of the learning from the ASPIRES project, has been comprehensively updated and was relaunched to coincide with WAAW. A webinar entitled 'Preventing and Managing Antimicrobial Resistance: Why Everyone has a Role' focused on diverse roles in AMR, bringing in new voices from different professions and sectors. It was held on Zoom, on the 8th November 2022 and opened by Alison Holmes with other speakers including Esmita Charani, Raheelah Ahmed and Diane Ashiru-Oredope. |
| Year(s) Of Engagement Activity | 2022 |
| Description | MSF WAAW Edinburgy (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Esmita Charani invited to present at MSF World Antibiotic Awareness Week event in Edinburgh. Presented Addressing the threat of antimicrobial resistance - a social dilemma |
| Year(s) Of Engagement Activity | 2019 |
| Description | MSc Health Management - workshops on innovation and change and measuring quality |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | MSC 1st and 9th Feb 79 PG students at City University on the MSc Health Management - workshops on innovation and change and measuring quality |
| Year(s) Of Engagement Activity | 2023 |
| Description | National Seminar, Cherthala, Kerala (VN) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited talk on 25-1-2018 on "Antibiotic Stewardship-A new arena for clinical pharmacists" at National Seminar on "Emerging trends in Clinical Pharmacy in India-An experience sharing for the aspirants" ,Cherthala, Kerala,India |
| Year(s) Of Engagement Activity | 2018 |
| Description | Norwegian National infection Control Society meeting in Stavanger in 2019 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani presented 'Antimicrobial stewardship - do you know your cultural challenges?' Norwegian Infection Prevention and Control Society's annual meeting Stavanger, 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | Online course "Antimicrobial Stewardship: A competency-based approach" |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Online course "Antimicrobial Stewardship: A competency-based approach" launched on OpenWHO. This course provides a framework for approaching each clinical encounter from the perspective of combating antimicrobial resistance. Using case-based examples the course will highlight how antimicrobial stewardship principles can be applied to common clinical scenarios. |
| Year(s) Of Engagement Activity | 2017,2018 |
| URL | https://openwho.org/courses/AMR-competency |
| Description | Operational Research Society (ORS) 61 Conference |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Stream "OR applications to Healthcare" approved by the organising committee of the Operational Research Society (ORS) 61 Conference taking place at the University of Kent, UK from 3 to 5 September 2019. Description: The stream focuses on the application of Operational Research (OR) methods in the healthcare sector. We would welcome papers covering all areas of OR methods including Optimisation, Stochastic Processes, Simulation Modelling, Systems Thinking and their applications in the different areas of healthcare management and public health. Papers showing how OR methods can help inform the policy and decision making processes to deal with current and future challenges in the health sector are particularly welcomed. Studies taking place in both developed and developing countries will be considered in this stream |
| Year(s) Of Engagement Activity | 2019 |
| URL | https://www.theorsociety.com/Pages/Conferences/OR61/OR61.aspx |
| Description | PSG college of Pharmacy, Coimbatore (VN) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited talk on 22-6-2018 on "Role of clinical pharmacist in Antibiotic Stewardship" at Continuing Pharmacy Education (CPE) conducted by PSG college of Pharmacy, Coimbatore, Tamil Nadu, India |
| Year(s) Of Engagement Activity | 2018 |
| Description | Patient feedback for patient enagement module and engagement with patient rep on steering committee |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | 18 patients were successfully recruited to pilot the PPI/E module. Their feedback was all positive and validated that the tool was appropriate and acceptable to the target audience. 87% of participants reported that they would like to use the module again. The Project's Patient and Public Representative,Fran Husson, the patient representative on our steering group has been involved in the development of a draft manuscript reporting these findings and will be a named author. Fran is also a regular attendee at the research steering Group/Oversight Committees allowing regular updates on the projects progress to be provided. We also updated our wider "potential patient/public panel" writing to them to update them on project progress, and sending electronic copies of two publications which had resulted from the work. Those written to were also offered an incentive to comment further on the patient engagement module, however no further comments were received despite the incentive. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Portuguese Programme on Prevention of Antimicrobial Resistance (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani invited to talk at University of Porto, Portugal, as organiser had been inspired by several of her papers. Spoke to research group on "Antimicrobial Stewardship must be a behavioural programme" to an audience of around 50-70 people. Lectured for around 30 mins with 2-3 commentators invited to discuss the topic and open to audience discussion. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Presentation at University of Portsmouth By Reda Lebcir |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Other audiences |
| Results and Impact | Dr Reda Lebcir, WP4 (System Dynamics) co-lead attended a research seminar on 13 March 2019 at the University of Portsmouth and represented ASPIRES team. The seminar was jointly organised by the University of Portsmouth Logistics, Operational Research, and Analytics group and the Operational Research Society Southern Group. The attendees were academics at the University of Portsmouth and practitioners from health organisations in the south of the UK. The presentation title was "How can Operational Research techniques improve performance of healthcare delivery systems?" |
| Year(s) Of Engagement Activity | 2019 |
| Description | Reda Lebcir - Herts 6th Dec 2017 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Reda Lebcir presented on the project "Health, systems, and health systems: The public health threat of Antimicrobial resistance". 6th Dec 2017, the University of Hertfordshire |
| Year(s) Of Engagement Activity | 2017 |
| Description | Royal Institution: Technology vrs Infectious |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Public/other audiences |
| Results and Impact | Royal Institution: Technology vrs Infectious Diseases summit, took place on 26 September 2017. The summit brought together leaders in academia, industry, NGOs and young entrepreneurs to reveal how the best in UK technology is helping to combat bacterial, viral, parasitic and fungal diseases. Following an afternoon of presentations, the audience enjoyed a showcase of technologies that included EPIC IMPOC (this award) as well as ProMED, an Internet-based reporting system dedicated to rapid global dissemination of information on outbreaks of infectious diseases; POCAST and Target, facilitating navigation, access and use of national antimicrobial guidelines to support clinical prescribing decisions; and Microreact, open data visualisation and sharing for genomic epidemiology. Over 20 people signed up to receive our newsletter/further information about our work. There was also a mention of the event in the Evening Standard newspaper. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Santosh Rath, peer to peer |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Santosh Rath, surgeon, Imperial College London, presented on barriers to implement evidence into practice in India and issues encountered during AMR work. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Social Science Research Methodologies workshop: tackling Antimicrobial Resistance |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The event aimed to provide introductory training in social science research skills utilised across the current Antimicrobial Resistance (AMR) Theme 4 research programmes that is supported by the Antimicrobial Resistance Cross Council Initiative from the seven research councils in partnership with other funders. Chaired by: Professor Ann Sarah Walker (Professor of Medical Statistics and Epidemiology, Modernising Medical Microbiology, University of Oxford) Professor Alison Holmes (Professor of Infectious Diseases, Director of the NIHR Health Protection Research Unit (HPRU) in Healthcare Associated Infection and Antimicrobial Resistance, Imperial College London) Keynote speakers: Professor Helen Lambert (TBC, Professor of Medical Anthropology, University of Bristol) Professor Nick Sevdalis (Professor of Implementation Science & Patient Safety, King's College) Professor Helen Ward (Professor of Public Health, Imperial College) Two parallel crossover workshops: Workshop 1 - Ethnographic methods and face-to-face interviews Workshop 2 - Realist review The goals of the workshops were to provide: insight into current social science research tackling AMR across different healthcare economies, practical recommendations and examples of applying the research methodologies using case studies from England, India and South Africa, and an opportunity for developing new insights into how these methods can be implemented into AMR research. Some of the workshop materials will be incorporated into an e-learning module that will be launched later in 2019. |
| Year(s) Of Engagement Activity | 2019 |
| URL | https://www.eventbrite.co.uk/e/social-science-research-methodologies-workshop-tackling-antimicrobial... |
| Description | Social Science Summer School GCRF funded DARPI Project Consortium at the National Dairy Research Institute, |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Postgraduate students |
| Results and Impact | • Presented a talk about ASPIRES project at 'Social Science Summer School' organised by GCRF funded DARPI Project Consortium at the National Dairy Research Institute, Bangalore (July 2019) (Surendran S) |
| Year(s) Of Engagement Activity | 2021 |
| Description | South African Society of Clinical Pharmacy (SASOCP) (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | South African Society of Clinical Pharmacy (SASOCP) and EXCO of SASOCP, 6th - 8th June 2019 at Lagoon Beach Hotel, Milnerton, South Africa. Esmita Charani presented 'Behaviour change in Antimicrobial Stewardship Programmes' |
| Year(s) Of Engagement Activity | 2019 |
| Description | Speaking at the XXIX National Conference of IASG (IASGCON 2019) in New Delhi, India. Speech given by Professor Alison Holmes on ASPIRES project |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Alison Holmes has been invited by the Organizing Committee of the Indian Association of Surgical Gastroenterology (IASG), as a Faculty member to the XXIX National Conference of IASG (IASGCON 2019) to be held at the All India Institute of Medical Sciences, New Delhi during 9-13 October 2019. The theme of the conference was "Enhancing patient outcomes in GI Surgery". The conference was attended by over 1000 residents, junior and senior consultants, national and foreign faculty as well as industry representatives. The conference started on 9th October 2019 (Wednesday) with a program for trainees and fellows followed by an Operative video workshop on 10th October 2019 (Thursday). On 10th October, there was a number of small group hands on and interactive workshops. On 11th October 2019 (Friday) the Continuing Medical Education program was taking place, while the Main conference was on 12th-13th October 2019 (Saturday & Sunday). The event generated much discussion on the ASPIRES project as well as strengthened collaborative possibilities with India. |
| Year(s) Of Engagement Activity | 2019 |
| URL | http://iasgcon2019.org/ |
| Description | Stop Superbugs Africa AMR Young Writers and Creators Programme |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | • Stop Superbugs Africa AMR Young Writers and Creators Programme, panelist and judge and presented the work of ASPIRES researchers as motivation for the candidates to write on AMR (E Charani) |
| Year(s) Of Engagement Activity | 2022 |
| Description | Students for Global Health Cambridge/King's College London (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Postgraduate students |
| Results and Impact | As a result of student AMR event at KCL, Esmita Charani, Research Pharmacist, invited to give presentations at Cambs and KCL on societal impact of AMR covering both HIC and LMIC activity. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Technical Solutions to Support Infection Management and Address Antimicrobial Resistance (RA) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Public and Patient Perceptions and Involvement Dr Raheelah Ahmad, Health management Programme Lead and NIHR Knowledge Mobilisation Research Fellow, Department of Medicine, Imperial College London Audience of around 100 Good discussion of subject |
| Year(s) Of Engagement Activity | 2019 |
| Description | The 4th Patient Safety Conference, Islamabad, Pakistan, November 2019 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | ASPIRES research presented at the 4th Patient Safety Conference, Islamabad, Pakistan Nov 2019 |
| Year(s) Of Engagement Activity | 2019 |
| Description | Theory and practice in optimising antibiotic use in hospitals internationally (CT/EC) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Interdisciplinary Workshop on Theory and practice in optimising antibiotic use in hospitals internationally organised and held at University of Leicester, 4th-5th Oct 2018. Featured national and international speakers and included sessions on policy, stewardship and practice, and, social theory. |
| Year(s) Of Engagement Activity | 2018 |
| Description | UKCPA masterclass (EC) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented at UKCPA masterclass (National Meeting of Clinical Pharmacists UK), Oct 2018 |
| Year(s) Of Engagement Activity | 2018 |
| Description | Vanderbilt University Medical Centre presentation (EC) |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani invited to present to infectionologists, microbiologists and pharmacists on the role of behaviour in prescribing at VUMC, Jan 2019. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Vanessa Carter winner of the Community Communications category at the Antibiotic Guardian 2020 Shared Learning event led by Public Health England. |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | The award recognised Vanessa's powerful social media campaign promoting antibiotic resistance advocacy and stewardship |
| Year(s) Of Engagement Activity | 2020 |
| URL | https://antibioticguardian.com/shared-learning-and-awards-2020/ |
| Description | Webinars 2020-21 on role of Pharmacists |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | • Webinar on "Role of clinical pharmacist in Antibiotic Stewardship" at Nirmala College, Chalakudy (October 2020) • Webinar on "Pharm D- A global perspective" at St. Joseph's college of Pharmacy (October 2020) (Nampoothiri V) • Webinar on Role of clinical pharmacist in Antibiotic Stewardship" Virtual Mobility program between Amrita School of Pharmacy and Ulster University, UK under the UK-India Education and Research Initiative (UKIERI). February 2021.(Nampoothiri V) ebinar on "Experiences of building a multidisciplinary antimicrobial stewardship team in a resource limited setting- India" at Centre for Disease Control (CDC) International Infection Prevention and Control meeting lunch and learn meeting (July 2021) (Nampoothiri V) • Webinar on Implementation of antimicrobial stewardship program in a tertiary care centre at Faculty Development Program organized by Acharya and BR Reddy College of Pharmacy, Bangalore (July 2021) (Nampoothiri V) • Online presentation on Importance of Developing a Multi-disciplinary Antimicrobial Stewardship Approach: Experience in India at ID week. October 2021. (Nampoothiri V) • Webinar on Pharmacist's role in medication management at Pharmacy week celebration organised by Kerala Private Pharmacists Association (Nov 2021) (Nampoothiri V) • Webinar on Implementing a clinical pharmacist driven antimicrobial stewardship program at Valedictory ceremony of National Pharmacy Week organised by Indian Pharmaceutical Association (Kerala branch) (Nov 2021) (Nampoothiri V) |
| Year(s) Of Engagement Activity | 2020,2021 |
| Description | Workshop on how to successfully implement behaviour change interventions in IP and AMS, ICID Buenos Aires |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | E Castro Sanchez and E Charani held a work shop for international attendees at ICID Buenos Aires on how to successfully implement behaviour change interventions in infection prevention and stewardship in hospitals |
| Year(s) Of Engagement Activity | 2018 |
| Description | World Antimicrobial Awareness Week 2021 |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | • Contributed a graphic poster to the 'ESCMID World Antibiotic Awareness Week 'Our World and AMR' - an interactive map. (Mbamalu O, Nampoothiri V & Bonaconsa C) • Contributed to blog for ISID World Antibiotic Awareness Week (WAAW) on the need for patient and public engagement in antimicrobial stewardship and antimicrobial resistance campaigns. (Surendran S, Mbamalu O) • Contribution to the New Scientist Special Issue on WAAW focusing on social inequities and AMR (E Charani) • Contributed to touchINFECTIOUS DISEASES campaign to raise awareness about AMR amongst the public with a video blog (E Charani) • ASPIRES team contributed to content on 'My World and AMR' campaign for ECCMID providing content from around the world on the impact of AMR on healthcare professionals • Wellcome Call to AMR - sessions chairs and speakers ASPIRES Team |
| Year(s) Of Engagement Activity | 2021 |
| URL | https://isid.org/2021-world-antibiotic-awareness-week-waaw-blog-post-from-isid-emerging-leader-esmit... |
| Description | World Antimicrobial Awareness Week Webinar- United to Preserve Antimicrobials 2021 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Undergraduate students |
| Results and Impact | 2021: Programme of speakers on range of international research around AMR. Programme was attended by over 70 people from around the world including UK, India, Pakistan, South Africa, Nepal, Chile |
| Year(s) Of Engagement Activity | 2021 |
| URL | https://www.imperial.ac.uk/news/211533/raising-awareness-amr-during-lockdown/ |
| Description | World Extreme Medicine (WEM), Edinburgh (EC) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Esmita Charani invited to present at WEM Edinburgh Conference - presented on Antimicrobial Stewardship Programmes across different healthcare settings and economies |
| Year(s) Of Engagement Activity | 2019 |
| Description | World antimicrobial awareness week 2020 |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | • Contributed as a panel guest (https://twitter.com/hcsmSA/status/1331326737641320449/photo/1) to a Twitter chat (https://www.hcsmsa.co.za/antimicrobial-resistance-collective-action/) for the World Antibiotic Awareness Week on: Why does "ubuntu" matter to antimicrobial resistance in South Africa? Nov 2020.(Mbamalu, O) • Contributed to the World Antibiotic Awareness Week webinar hosted by Imperial College London: United to preserve antimicrobials. Nov 2020. (Mbamalu, O;Nampoothiri V) |
| Year(s) Of Engagement Activity | 2020 |
| Description | XVI Jornadas Nacionais de Infectiologia Pediatitia da SIP-SPP, Braga, Portugal |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Gabriel Birgand gave presentation 'What can we do about antimicrobial resistance?' at XVI Jornadas Nacionais de Infectiologia Pediatitia da SIP-SPP, Braga, Portugal 30th May 2019 |
| Year(s) Of Engagement Activity | 2019 |
| URL | https://www.spp.pt/UserFiles/file/Eventos_Nacionais_2019/xvijornadassip19_17042019.pdf |
| Description | cross-partner research presentations 2019-20 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | series of talks between research partners, on findings and research • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Overview of the study presented at HPRU Research team meeting at Imperial College, London. February 2019. (Nampoothiri V) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Reporting early ethnographic findings (WP2) from the University of Cape Town, South Africa. Peer-to-peer (Postgraduate students/researchers) session at the HPRU, Imperial College, London, 10 October 2019. (SA research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Reporting early ethnographic findings from Cape Town, South Africa. ID Meeting at the Division of Infectious Diseases and HIV Medicine, University of Cape Town (presented to clinicians involved in the antibiotic stewardship programme), 18 October 2019. (SA research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Early findings from ethnographic data collection presented at ASPIRES co design intervention workshop at AIMS Kochi. October 2019. (India research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Reporting early ethnographic findings from Cape Town, South Africa. ASPIRES Research Symposium. Presentation to ASPIRES International Advisory Board, 12 November 2019. (SA research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Reporting early ethnographic findings from Cape Town, South Africa. Western Cape Provincial AS Symposium in Bellville, Cape Town. Western Cape provincial government staff/stakeholders involved in antimicrobial stewardship at various facilities. 18 November 2019. (SA research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Broad overview of early ethnographic findings from Cape Town, South Africa. High level feedback to the Surgical and ICU Leads. ASPIRES-SA Surgical leads, ICU lead and consultants, and two representative nurses. 28 January 2020. (SA research team) • Reporting early ethnographic findings from the ASPIRES study to the GSH Cardiothoracic and ICU teams. Specialty-specific feedback to the Cardiothoracic and ICU Teams. Specialty-specific feedback session to the Cardiothoracic and ICU Teams. Cardiothoracic Surgical Team (surgeons, nurses, interns, students), ICU Team (consultants and nurses). 13 March 2020. (SA research team) • Reporting early ethnographic findings from the ASPIRES study to the GSH Gastrointestinal (colorectal and acute) teams. Specialty-specific feedback session to the Gastrointestinal (colorectal and acute) Teams. Gastrointestinal (colorectal and acute) Surgical Team (surgeons, nurses, interns). 17 March 2020. (SA research team) • Invited talk on Qualitative Research in Healthcare settings at Believers Church Medical College Hospital, Kerala, India. August 2020. (Nampoothiri V) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Summary of findings presented to GI surgical and ICU team. September 2021. (India research team) • Antibiotic Use Across Surgical Pathways - Investigating, Redesigning and Evaluating Systems (ASPIRES Study): Summary of findings presented to CVTS surgical and ICU team. September 2021. (India research team) • Contributed to online presentation to the SAPPHIRE Research Team (based at the University of Leicester, London) on: Visual mapping of team dynamics and communication patterns on surgical ward rounds: an ethnographic study. March 2021. (Bonaconsa C) • Online presentation to research teams at Imperial College London's Centre for Medication Safety and Service Quality (CMSSQ) and the Health Protection Research Unit (HPRU) on: Exploring patient roles in infection-related care in surgical pathways. March 2021. (Mbamalu O) |
| Year(s) Of Engagement Activity | 2019,2020 |
| Description | e-learning module based on social science methods to tackle AMR |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Knowledge exchange/mobilisation: The ASPIRES research team (including the junior researchers in SA and India, and patient representatives) have been involved in developing an e-learning module based on the research focusing on knowledge exchange of using social science methods to tackle AMR using the surgical pathway as an example. The free course will be launched during antibiotic awareness week (18th November 2019) to a global audience, we already have over 300 learners signed up. The course is being promoted by the British Society for Antimicrobial Chemotherapy and will be available as an educational resource on JAC AMR Journal. |
| Year(s) Of Engagement Activity | 2010,2019 |
| Description | lecture on the Leading Change module @City |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | lecture on the Leading Change module @City |
| Year(s) Of Engagement Activity | 2020 |
| Description | • ECCMID Summer School on AS |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | • ECCMID Summer School on AS |
| Year(s) Of Engagement Activity | 2021 |