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Anti Microbial
Stewardship
-A Surgeon’s Perspective
Dr Vaibhav Bagaria
Joint Replacement & Trauma Surgeon
Sir HN Reliance Foundation Hospital
Mumbai India
AMS Program
1. Antimicrobials Use
1. Antimicrobial policy
Focused vs Narrow minded
Rationalise vs Restrictive
Selective vs Universal
2.Infection Control
Infection Control
Hand Hygiene
Epidemiology
Outbreak Investigations
Coherting
Active surveillance
3. Environment
3. Environment
Patient Preparation
Use of germicides
Sporicidal drugs for C Difficle
Cleaning Policy & Practice
Surgeon’s Perspective
Surgeons Perspective
Not as individual but as a team member!
Education Education Education
Rationalise not restrictive
Focussed not Narrow minded
Universal not Selective
Antimicrobial stewardship - A surgeon's Perspective

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