Antimicrobial Stewardship at Scale in Southern Africa: Low-hanging Fruit Model

Updated: Jul 4, 2019

This webinar explores ways in which Netcare Hospital Group, the largest healthcare provider in Africa and the largest private hospital group in the UK handled the challenge to build out an already successful AMS program. Netcare had already proven it’s worth in a low resource setting, but needed to move past low hanging fruit and provide a world class stewardship program in a highly sophisticated multi-hospital environment. Not only were more advanced interventions desirable, but a way to compensate for a lack of ID physicians was needed. This required an organizational framework to institutionalize the program and scale it up across 54 hospitals distributed over a large geographic area. One of the many challenges was to improve communication across the multidisciplinary AMS team and provide centralized, supervisory oversight. Speakers will discuss various challenges Netcare has overcome over the last 6 years and share lessons that might be valuable for other hospitals irrespective of size or available clinical resources.

This webinar is geared towards (1) the whole hospital antimicrobial stewardship team, but especially pharmacists, ID physicians and Ward Managers, and (2) managers of hospitals and healthcare groups

Key Takeaways:

- Learn how Netcare optimized scarce clinical resources to implement a world class ASP across a large, national organization.

- Gain an understand the benefit of a fully integrated AMS and infection control solution.

- Grasp better the benefits of a Cloud-based solution

- Get acquainted with the AMS metrics chosen at Netcare.

- Learn how a supervisory module can help standardise care across a large group with a diversity of professional expertise


Angeliki Messina, MPharm, Quality Systems and Innovation Manager: Antimicrobial Stewardship, Netcare Hospitals Ltd, Cape Town, South Africa. Angeliki Messina leads the management and implementation of the antibiotic stewardship program across 56 Netcare hospitals in South Africa. She obtained a BPharm (with disBncBon) in 2009 and MPharm in 2018. Angeliki has authored numerous publications in peer- reviewed journals on various successful alternative models for antibiotic stewardship implementation in infectious disease resource limited settings. In recognition of her work done in this field, she won the “Best Care Always!” Health systems Improvement Award in both 2014 and 2015, the Academy of Pharmaceutical Sciences of South Africa Young Scientist Award in 2016 and, the Institut Merieux and Federation of Infectious Diseases Societies of Southern Africa Young Investigator Award in 2017. She is also a working group member of the South African Antibiotic Stewardship Program and in 2017 she was appointed honorary lecturer at the University of the Witwatersrand, Faculty of Health Sciences.

Darryl G Vine, MBChB, FRCSC, Medical Director, Bluebird, Capetown, South Africa.

Dr. Vine's lifetime passion has been the development of systems that improve clinical efficiency and patient safety. As a Canadian/South African OBGYN and Member of the Royal College of Surgeons of Canada , he has multiple academic papers and prizes focused on clinical metrics and improving clinical efficiency.

In 1993, Dr. Vine designed and implemented an EMR, which is still in daily use. In 1995. Dr. Vine designed and implemented one of the world's first clinical data hubs allowing the secure transmission of lab results to medical practices. On the back of that success was invited to present to the American College of Family Practitioners in 2008 in Dallas. In 1999, he became Founder and CEO of Intelligent Medical Systems Ltd - the company behind Bluebird. In 2007, Dr. Vine designed and implemented one of the first integrated RIS / PACS systems. Since 2011, his time has been dedicated to finding solutions to antimicrobial resistance in medical facilities. Those efforts resulted in Bluebird, a standardized, cloud based, integrated, infection control and antimicrobial stewardship system now used in more than 70 large hospitals and more than 150 ICU's, including the largest in the Southern Hemisphere. He tweets about Infection Control and Stewardship @EasyASP.

Sonya Kolman, B.Pharm, MSc, Clinical Pharmacist, Nelson Mandela Children Hospital (NMCH), Johannesburg, South Africa

Sonya started her antimicrobial stewardship journey at Netcare in 2011. At Nelson Mandela Children's Hospital, a new pediatric hospital in Johannesburg. She is responsible for antimicrobial stewardship implementation and is chairperson of the antimicrobial stewardship committee. She is a member of the Gauteng provincial antimicrobial stewardship committee and national vice chairperson of the South African Society of Clinical pharmacy ( SASOCP) . Sonya obtained her B.Pharm degree from Wits university in 1990 and a MSc Med in clinical pharmacy from Medunsa University in 1997.