The course is based upon the Antibiotic Drug Guidelines (3rd Edition, 2011), formulated by Fiji's Ministry of Health. The guidelines essentially represent an attempt to rationalize the use of antibiotics available on Fiji's Essential Drugs Formulary (EMF), and to establish pharmacological consistency in the treatment of various infectious diseases. All recommended therapies are either evidence-based or universally accepted. However, it should be noted that treatments may vary according to individual clinical features presenting for a patient, and therefore, should be modified to suit local conditions and environment.
The main aim of the course is to present the existing information (Antibiotic Drug Guidelines) in a more user-friendly manner through the breakdown of information into easy to manage modules. Moreover, in order to enhance the learning experience of the user (health worker/student), and to ensure a superior visual experience, relevant infographics and images related to disease conditions have been added where possible.
Module - 1: Introduction to Antimicrobials
Module 1 provides a general introduction to antimicrobials (antibacterial, antiviral, and antifungal agents), available on Fiji's Essential Drugs Formulary.
Module - 2: Antibiotics Use - General Guidelines
Module 2 provides general guidelines for
the responsible use of antibiotic drugs. You will also learn about the prudent use principles for antibiotics, treatment guidelines and prophylactic use of antibiotics.
Module - 3: Cardiovascular System Infections
Module 3 discusses the bacterial/infective endocarditis. Moreover, empirical therapy, specific therapy, and monitoring of antibiotic therapies associated with endocarditis are discussed.
Module - 5: Gastrointestinal & Intra-abdominal Infections
Module 5 explores the infections like candidial esophagitis, diarrheal diseases, bacterial infections, parasitic infections, antibiotic-associated diarrhea, typhoid/paratyphoid fever, intra-abdominal infections, Helicobacter pylori Infections, and worms (helminths).
Module - 6: Central Nervous System (CNS) Infections
This module considers acute bacterial meningitis, brain abscess, epidural abscess, herpes simplex encephalitis, and toxoplasma encephalitis.
Module - 7: Urinary Tract Infections
The main purpose of this module is to focus on the urinary infections like lower and upper urinary tract infections, recurrent urinary tract infections, catheter-associated urinary tract infection. Module 7 also provides information about asymptomatic bacteriuria, chronic bacterial prostatitis, acute epididymo-orchitis, and candiduria.
Module - 9: Non-Surgical (Medical) Antibiotic Prophylaxis
In module 9, you will learn about immunization of hepatitis B, HIV post needle-stick injury prophylaxis, meningococcal and Hemophilus influenzae meningitis. This module will also briefly describe the prevention of recurrence of rheumatic fever, prevention of infective endocarditis and post-splenectomy prophylaxis.
Module - 11: Female Genital Tract and Obstetric Infections
Module 11 focuses on female genital tract and obstetric infections. The infections discussed in this module include pelvic inflammatory disease (PID), Bartholin's abscess, infections that may arise from sexual assaults and infections in obstetric practice.
Module - 12: Sexually Transmitted Infections (STIs)
In module 12, you will study the diagnosis and treatment of sexually-transmitted infections such as gonococcal infection, chlamydial infection, syphilis, herpes simplex virus (HSV) infection, trichomoniasis, vulvovaginal candidiasis, bacterial vaginosis, genital warts, chancroid and lymphogranuloma venereum (LGV).
Module - 13: Surgical Antibiotic Prophylaxis
Module 13 covers antibiotic prophylaxis for various surgical procedures such as, orthopedics, genitourinary surgery, cesarean sections, elective gynecological surgery, elective gastroduodenal and biliary surgery, appendicectomy and colorectal surgery, neurological surgery, oropharyngeal and thoracic surgery, vascular surgery, lower limb amputation, and prophylaxis for patients at risk of infective endocarditis.
Module - 14: Skin, Muscle and Bone Infections
Module 14 considers all types of major infections related to skin, muscles and bones. Other topics discussed in this module are soft tissue infections, septic arthritis and osteomyelitis.
Module - 15: Eye Infections
Module 15 discusses acute bacterial conjunctivitis, trachoma, eyelid infections, corneal infections, dendritic corneal ulceration, ocular injuries, orbital cellulitis and ophthalmia neonatorum.
Module - 16: Dental Infections
In this module, you will learn about dental infections such as acute dentoalveolar infections, pericoronitis, acute necrotizing ulcerative gingivitis, oral ulcers, candidiasis, facial fractures (involving mucus membranes), dentoalveolar surgery and alveolitis (dry socket).
Module - 17: Infections in Children
Module 17 will teach you about the prescription of antimicrobial drugs for the children. All the children-associated cardiovascular system infections, respiratory system infections, gastrointestinal infections, central nervous system infections, urinary tract infections, skin, muscle and bone infections, as well as infant immunization schedules are discussed in this module.
Module - 18: Special Infections
In module 18, you are going to learn about some special infections, such as methicillin-resistant staphylococci (MRSA) infections, and leptospirosis.
Module - 19: Treatment of Tuberculosis
This module has been designed to provide general information on tuberculosis in light of the worldwide emergency declared by WHO in 1993. You will be provided with some important information about standard short course therapy for tuberculosis, treatment of extrapulmonary tuberculosis, treatment regimens in special situations and tuberculosis in children.
Module - 20: Opportunistic Infections in HIV
Module 20 focuses on conditions such as, Pneumocystis jiroveci pneumonia, cerebral toxoplasmosis, cryptococcal meningitis, herpes simplex virus (HSV) infections, herpes zoster (also called varicella-zoster virus or VZV infections), fungal skin infections, HIV-related diarrhea, and treatment of Mycobacterium tuberculosis 'associated infections'.