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PHO Grand Rounds: Antimicrobial Stewardship in Long-Term Care: From Evidence to Practice
Tuesday, January 29, 2019 12:00 pm to 01:00 pm
Venue: 480 University Ave. Suite 300, Toronto ON, M5G 1V2 - Boardroom 350
Infectious Diseases
City: Toronto
Type: PHO Grand Rounds
Format: In Person; Webinar

Please note: This is an open invitation and may be forwarded to interested parties.

Antibiotic overuse contributes to increasing rates of antimicrobial resistance. Fifty percent of antibiotics used in long-term care homes (LTCHs) are not needed. Residents in homes with higher antibiotic use experience a  greater risk of antibiotic-related harm.
Presenters will share the results of a systematic review evaluating activities to improve the appropriateness of antibiotic use in LTCHs, provide an overview of antibiotic use patterns across LTCHs in the province and share practical resources to help implementation of antibiotic stewardship in this setting.

By the end of this session, participants will be able to:

  • Identify common reasons for antibiotic misuse in long-term care and barriers to appropriate antibiotic use;
  • Understand the impact of antibiotic overuse in long-term care with regards to outcomes to the resident and the population;
  • Explain the evidence supporting antimicrobial stewardship initiatives in long-term care;
  • Identify opportunities to use shorter durations of therapy for common infections in long-term care;
  • Describe key quality improvement steps involved in building an antimicrobial stewardship program in long-term care.

Presenters: Julie HC Wu, Dr. Nick Daneman, Bradley Langford

Julie is a Research Coordinator in the Infection Prevention and Control Research team at Public Health Ontario (PHO). Her work at PHO is mainly focused on antimicrobial stewardship initiatives. Prior to joining PHO in 2014, she worked at Cochrane - Effective Practice and Organisation of Care Group and Ottawa Hospital Research Institute.

Dr. Nick Daneman is a Clinician Scientist in the Division of Infectious Diseases in the Department of Medicine at Sunnybrook Health Sciences Centre at the University of Toronto, and an Adjunct Scientist at the Institute for Clinical Evaluative Sciences. His research program is focused on optimizing the prevention and treatment of health care associated infections, with particular interest in C. difficile infections, infections of critical care, surgical site infections, and antibiotic stewardship.

Bradley is a Pharmacist Consultant with Public Health Ontario's Antimicrobial Stewardship Program. He is also the lead antimicrobial stewardship pharmacist at St. Joseph’s Health Centre (Toronto), where he helped to build an antimicrobial stewardship program. His research and practice focus on implementation and evaluation of antibiotic stewardship initiatives across all healthcare sectors.

Please note that you will receive details on how to join the webinar after registering for this event.


Public Health Ontario Rounds are approved for continuing medical education from the Royal College of Physicians and Surgeons. PHO Grand Rounds are also approved by Council of Professional Experience for professional development hours (PDHs) for members of the Canadian Institute of Public Health Inspectors (CIPHI). For more information, contact


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If you have submissions, or questions or comments about the items above, send them to
Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100 or

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