Course catalogue doctoral education - VT18

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Title Hospital acquired infections and antibiotic resistance in high endemic setting
Course number 2929
Program Infektionsbiologi och global hälsa (BIGH)
Language English
Credits 3.0
Date 2017-09-25 -- 2017-10-06
Responsible KI department Institutionen för folkhälsovetenskap
Specific entry requirements
Purpose of the course To enable doctoral students in the field of global health and/or infectious diseases and infection control or with a genuine interest in these areas to acquire good knowledge about: antibiotic resistance development in community and hospital and the impact on patient care, transmission of hospital acquired infections of (HAI), the burden of HAI including excess morbidity, mortality and costs as well as strategies to prevent selection of antibiotic resistance and HAI through surveillance, screening, infection control and antibiotic stewardship as well as HAI case management.
Learning outcomes - To understand the development of antibiotic resistance development and the impact of antibiotic selective pressure on bacteria
- To understand the factors influencing antibiotic resistance and including health seeking pattern, health system, antibiotic use in community and hospital, economic incentives and perception of health and treatment in the population.
- To understand the risk factors and transmission of HAI in high endemic settings.
- To understand surveillance of HAI in health care facilities, the diagnostic criteria, diagnostics, treatment and follow up.
- To understand the burden of HAI including excess morbidity, mortality and costs due to HAI
- To understand measures to prevent HAI including infection control measures and antibiotic stewardship.
Contents of the course Risk factors for antibiotic resistance development including health seeking pattern, health system, antibiotic use in community and hospital, economic incentives and perception of health and treatment in the population as well as agricultural use of antibiotics and how antibiotics and antibiotic resistance is spread in the environment. Transmission of Hospital Acquired G- Infections, especially carabapenem resistant strains of Klebsiella Pneumonia, Acinetobacter Baumannii, Pseudomonas Aeruginosa and how it effects critical care as well as measures to prevent spread as Surveillance, Screening, Infection Control and Antibiotic Stewardship .
Teaching and learning activities - There will be one introduction lecture at Karolinska Institutet prior to departure. - Lectures (might be spread out during the course) in total two days focusing on the learning outcomes. - Two days in a provincial setting to understand the living conditions and selective pressure for resistance development including animal and humans use of antibiotics and how it is spread in the environment. - Bed side teaching at tertiary referral hospitals to get an understanding regarding the prevalence and spread of G- infections, as well as measures to prevent spread as Surveillance, Screening, Infection Control and Antibiotic Stewardship. - Group work, e.g family visit and patient cases that are presented and discussed.
Compulsory elements All the course activities are mandatory. Absence might be compensated for through assignments in agreement with the course leader.
Examination Formative assessment during group work presentations and discussion. Summative written examination at Karolinska Institutet
Literature and other teaching material Recommended literature: Guidance for Control of Carbapenem-resistant Enterobacteriaceae (CRE), Center for Disease Control (CDC), 2012. Relevant research articles about Tropical Medicine and Infections will be distributed latest at the time of the introductory lecture.
Number of students 8 - 20
Selection of students Selection will be based on 1) the relevance of the course syllabus for the applicant's doctoral project (according to written motivation), 2) date for registration as a doctoral student (priority given to earlier registration date)
More information The course is taught in Hanoi, Vietnam, by Karolinska Institutet Public Health Sciences and Linköping University and Prof. Håkan Hanberger in collaboration with Hanoi Medical University and major hospitals including Vietnam National Children's Hospital, Bach Mai Hospital and National Hospital for Tropical Diseases within the Training and Research Academic Collaboration (TRAC) Sweden Vietnam. The course is taught in Vietnam and will have a mix of Swedish and Vietnamese students, the Vietnamese students will get the credit points from their university. The Swedish students will have to cover travel and accommodation with own funds, however some support for the travel and hotel costs can be arranged.
Additional course leader Prof. Håkan Hanberger, Linköping University; Dr. Le Kien Ngai, Head of Infection Control, Vietnam National Children's Hospital.
Earlier evaluation of the course Not available
Course responsible Mattias Larsson
Institutionen för folkhälsovetenskap
0852483382
Mattias.Larsson@ki.se
Contact person -