Antimicrobial Stewardship in Primary Care: A Workshop to build a Unified Approach in Europe

Workshop
March 25-26, 2025

Location: Hotel Meliá Serrano, Madrid (Spain)

Date: 25-26th March 2025

Organisers:

  • Spanish Agency for Medicines and Medical Devices (AEMPS)
  • Andalusian Health Service (SAS)

Contact info: aemps.jamrai[at]aemps.es

Day 1. 25 March


08:45-09:15 Registration

09:15-09:25. Welcome and Opening Speech (AEMPS, SAS)

09:25 – 10:10 Session 1: Background, context and initiatives.

  • Introduction by moderator
  • AMR: EU Policy initiatives. Velina Pendolovska, DG for Health and Food Safety (European Commission)
  • Antimicrobial consumption in the EU/EEA – surveillance and related activities. Liselotte Diaz Högberg, Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Section, European Centre for Disease Prevention and Control (ECDC)
  • WHO initiatives on antimicrobial stewardship and prudent use in primary care settings. Danilo Lo Fo Wong, Regional Advisor for the Control of Antimicrobial Resistance. Division of Communicable Diseases, Environment and Health (CDE). World Health Organization Regional Office for Europe
  • Q&A

10:10-12:15 Session 2: Good practices and Antimicrobial Stewardship Programmes in Primary Care

  • Introduction by moderator

  • Opening presentation: Assessing the Appropriateness of Antibiotic Prescribing in Primary Care: Metrics and Determinants to inform Policy Responses

Ann Versporten, Laboratory of Medical Microbiology / Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp; and Belgian Antibiotic Coordination Committee

  • Antimicrobial Stewardship Programmes across Europe

Experiences in Primary Care in various healthcare system models

  • Introduction: Organisational models of Primary Care in Europe.

Introducing session and engaging participants through short mentimeter survey. Task leader 6.1

  • Q&A

10:40-11:05 Coffee Break

  • Antimicrobial stewardship in primary care in Norway: experiences from audit-and-feedback programmes in general practice.

Christian Borgen Lindstad, MD, Phd and senior adviser at the Norwegian Directorate of Health.

  • The implementation of Antimicrobial stewardship programmes in Primary Care in Spain.

Antonio López Navas, Head of the Executive Support Unit and coordinator of Spanish National Action Plan on human health, AEMPS

  • Strama, the Swedish strategic programme against antibiotic resistance

Stephan Stenmark, Investigator Infectious Disease Physician, Public Health Agency Unit for Antibiotics and Healthcare Hygiene

  • Guideline for Antimicrobial Stewardship Programmes in Primary Care in Austria

Agnes Wechsler-Fördös, Antibiotic Stewardship Consultant for the Burgenland Hospital Trust on the eastern part of Austria

Ulrike Porsche, Landesapotheke Salzburg Department of Clinical Pharmacy and Drug Information SALK/ PMU

  • Antimicrobial stewardship programmes in Primary Care in France

Dr. Emmanuel Piednoir, Infectious and Tropical Diseases, Member of the High Council of Public Health, National Mission for the Proper Use of Antibiotics PRIMO

12:15 – 12:45 Session 3: Key elements for Antimicrobial Stewardship Programmes in Primary Care.

Introduction by moderator

  • Rapid diagnostic tests as tools to improve decision making in the ambulatory setting. Happy Audit and Happy Patient

Carles Llor, GP and senior researcher. Via Roma Health Centre, Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol, Barcelona.

  • Antimicrobial Therapeutic Guidelines for the management of infectious diseases in the community

Rocío Fernández Urrusuno, Andalusian antimicrobial stewwardship programme coordinator & scientific coordinator of National antimicrobial therapeutic guideline, Junta de Andalucía.

  • Q&A

12:45 – 13:00 Session 4: Primary care-Antimicrobial Stewardship Surveys. Survey report and analyses

  • Survey report and analyses

Jose Luis Trillo Contreras, WP 6.1 task co-leader

PC-NAP

  • Q&A

13:00 – 13:15 Logistic instructions on discussion tables and Family Photo

WP 6.1 Co-leader

13:15 – 14:15 Networking Lunch

14:15 – 16:15 Session 5: Discussion tables. Opportunities and challenges

Breakout sessions

  • Table 1: Governance, leadership commitment and human and technical resources.
  • Table 2: Interventions to optimise antimicrobial use.
  • Table 3: Education and training. Competence development. Patient and Public Involvement.
  • Table 4: Evaluation and certification

In breakout rooms wrap up and highlights of discussion tables

16:00-16:15 Coffee Break

16:15-16:30 Wrap up and closing remarks day 1

AEMPS/SAS

16:30 –17:30 Discussion table chairs, moderators and technical support team to work and elaborate on recap presentation for day 2

19:30 Social dinner

Day 2. 26 March


9:15-09:30 Opening of day 2. Plenary session
AEMPS or SAS, WP 6 Co-leader & WP 6.1 task leader

9:30-11:00 Summary and highlights of the discussion tables. Plenary session

  • Table 1: Governance, leadership commitment and human and technical resources. Discussion Table 1 moderator presentation, plenary discussion and Q&A
  • Table 2: Interventions to optimise antimicrobial use. Discussion Table 2 moderator presentation, plenary discussion and Q&A
  • Table 3: Education and training. Competence development Patient and Public Involvement. Discussion Table 3 moderator presentation, plenary discussion and Q&A
  • Table 4: Evaluation and certification. Discussion Table 4 moderator presentation, plenary discussion and Q&A

11:00-11:30 Coffee break

11:30-11:45 The patient´s perspective

Manuel Arellano, Vicepresident of “Plataforma de Organizaciones de Pacientes” (POP).

11:45-12:00 Antimicrobial Stewardship in primary care. The Team-COACH experience

Cristina Epalza, Pediatric Infectious Diseases Unit, Hospital 12 Octubre, Madrid, Spain

12:00-12:15 Closure of workshop

AEMPS

SAS

12:15 Pack lunch