Location: City Hotel, Ljubljana (Slovenia)
Date: 13th-14th May, 2025
Organisers: Spanish Agency for Medicines and Medical Devices (AEMPS), Andalusian Health Service (SAS), University Medical Centre Ljubljana, University Medical Centre Maribor
Day 1. 13th May
08.00 – 09.00 Registration
09.00 – 09.05 Welcome and Introduction
Bojana Beovic, University Medical Centre Ljubljana (UMCL)
09.05 – 10.15 Session 1:
Understanding the Landscape of AMS in Long-Term Care Facilities. Background, context and iniciatives
Moderators: Tatjana Lejko (UMCL) and Blanca Bradley (FCSAI-AEMPS)
AMR: EU Policy initiatives in LTCF
Ms. Sigrid Weiland, Deputy Head of Unit A1 at DG SANTE
ECDC Initiatives in LTCF
Diamantis Plachouras, ECDC – AMR and Healthcare Associated Infections Group Leader Healthcare-Associated Infections
Global initiatives in healthcare and AMR/AMS in LTCF
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
Opening presentation: Antimicrobial use in European Long-Term Care Facilities. Results of HALT 4: Point Prevalence survey of healthcare-associated infections and antimicrobial use in European long-term care facilities 2023-2024, ECDC.
Tommi Kärki, European Centre for Disease Prevention and Control
10.15 – 10.45 Coffee Break
10:45-12:15 Session 2:
Key elements for AMS in Long-Term Care Facilities for the Elderly (LTCFe). Presentations and group discussion
Introduction by moderators: Rita Murri and Lucy Catteau (ESCMID ESGAP Executive Committee members)
Choice of antimicrobial therapy in elderly patients according to antimicrobial stewardship considerations
Marco Falcone, University of Pisa, Italy. Member of the Executive Committee of the ESCMID Study Group for Infections in the Elderly (ESGIE) and ISAC
Diagnosis of UTIs in LTCF. Results from the IMAGINE Project
Carl Llor, GP and senior researcher. Primary Care Research Institute Jordi Gol, Barcelona, Spain
Davorina Petek. Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Slovenia.
Interventions to improve antibiotic use in LTCFe
Gabriel Birgand, University Hospital, France. Clinical Coordinator of EUCIC at ESCMID
12.15 – 12.30 Session 3:
LTCFe Antimicrobial Stewardship Programmes Survey. Survey report and analyses
Rocío Fernández Urrusuno,SAS and Bojana Beovic, UMCL
12.30 – 12.45 Logistic instructions on discussion sessions
Bojana Beovic, UMCL
12.45 – 13.45 Lunch and Family Photo
13.45 – 17.30 Session 4: Discussion sessions. Opportunities and challenges. In break-out rooms
Discussion session 1: Organizational Models of LTCFe in EU. Scope of the framework for AMS programmes in LTCFe
Presenter: Florine Croquete, Commission belge de coordination de la politique antibiotique. Santé Publique, Belgium
Discussion session 2: Data sources, collection and monitoring systems. Indicators to be considered
Presenter: Spela Vidovic, National Institute of Public Health, Slovenia
Discussion session 3: AMS good practices and interventions implemented in LTCFe. Barriers and enablers.
Presenter: Sergi Hernandez- Baeza, ICO-VinCat, Spain
Discussion session 4: AMS programmes in LTCFe Governance. National approaches. Building an AMS team.
Presenter: Lucy Cateau, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
13.45 – 14.00 Introduction to discussion sessions
By presenters in break-out rooms
14.00 – 15.30 First discussion session
15.30 – 16.00 Break
16.00 – 17.30 Second discussion session
17.30 – 17.40 Wrap up and closing remarks Day 1
Tatjana Lejko, UMCL
19.30 Social dinner
Day 2. 14th May
9.00-10.00 Session 5:
Good practices and Antimicrobial Stewardship Programmes in LTCFe
Moderators: Rita Murri and Lucy Catteau (ESCMID ESGAP Executive Committee members)
Antimicrobial Stewardship Programmes in LTCFe in Norway
Sigurd Hoye, Associate professor, General Practitioner, Head of the Antibiotic Centre for Primary Care, Department of General Practice, University of Oslo, Norway.
Antimicrobial Stewardship policy and programmes in LTCFs in France
Celine Pulcini, Université de Lorraine & Nancy University Hospital, Nancy, France.
9.50 – 10.00 Q&A
10.00 – 10.30 Session 6. Long-term care: an overlap of social care and healthcare
- Moderator: Antonio López-Navas (Head of the Executive Support Unit and coordinator of Spanish National Action Plan on human health, AEMPS)
- Manuel Veguin, Head of International Relations and Iberoamerica, IMSERSO, Spanish Ministry of Social Rights, Consumer Affairs and Agenda 2030, Spain.
- Vesna Zupančič, MoH Slovenia, Slovenian Ministry of Health, Slovenia
10.30 – 11.00 Coffee break
11.00 – 12.30 Session 7: Summary and highlights of the discussion sessions. Plenary session:
- Discussion session 1. Florine Croquete, Commission belge de coordination de la politique antibiotique. Santé Publique, Belgium
- Discussion session 2. Spela Vidovic, National Institute of Public Health, Slovenia
- Discussion session 3. Sergi Hernandez- Baeza, ICO-VinCat, Spain
- Discussion session 4. Lucy Cateau, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
10.00 – 10.30 Presentation: Ethical dilemmas in antimicrobial use in elderly
Dafna Yahav, Infectious Diseases Unit, Sheba Medical Center, Ramat-Gan, Israel. ESCMID subgroup for infections in the elderly (ESGIE); ESCMID ethics advisory committee (EEAC)
12.30 – 12.45 Wrap up and closing remarks of the workshop
UMCL, AEMPS, SAS