eBUG A European school education project concerning hygiene and antibiotics

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e-BUGA European school education project
concerning hygiene and antibiotics

• Good and bad micro organisms
• Infection spread hand, respiratory and food
  hygiene
• Prevention of infections vaccinations
• Treatment of infections self limitation of
  infections, appropriate antibiotic use,
  development of resistances and their danger
• http//www.e-bug.eu

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Background

• Antimicrobial resistance remains a serious
  problem
• Heterogeneity in different countries can partly
  be explained by cultural differences
• In many European countries antibiotic
  prescription rates are highest in children
• Respiratory and gastrointestinal infections are
  frequent among school children
• Poor respiratory and hand hygiene increase
  infection spread
• Decrease of school absenteeism have been observed
  after hand hygiene campaigns AJIC 200331364-70
  J Sch Nurs.2001 Oct17(5)258-65 White J Sch
  Nurs 2004 Jun20(3)161-7 Morton Fam Med 2000
  Oct32(9)633-8 Dyer Am J Infec Control2000
  Oct28(5)340-6 Hammond Pediatrics 2005
  Sep116(3)587-94 SandoraFam Med 1997
  May29(5)336-9 Master Am J Infec Control1998
  Jun26(3)263-9 Early Lancet 2005 366225-233
  Karachi Pakistan Effect of handwashing in child
  health
• Various campaigns have been launched in European
  countries and long term actions are necessary for
  sustainability of results. EJCP 2005 National
  campaigns to improve antibiotic use Goossens

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..from a local project to a European project

• Pilot study in the Gloucestershire, UK, 253
  schools, age group 10 -11 years. Lead by Dr
  Cliodna McNulty, Health Protection Agency, RU.
  Evaluation knowledge improve
• Extended to high antibiotic prescribing
  countries in Europe (DG Sanco grant, Programme of
  Community Action in the field of Public Health
  2003 2008 Priority Area 2 Health Threats
  Action 2.5 Antimicrobial Resistance. Global
  Contribution de la CE 1 120 000 maximum 60)

10 Associated partners
8 Collaborating partners
Cover 76 of the European population
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Objectives

• Develop and disseminate across Europe an
  antibiotic and hygiene teaching resource for 9
  11 and 13 - 15 years old (pack and accompanying
  website)
• All children will leave school with knowledge of
  prudent antibiotic use and how to reduce spread
  of infections for themselves and their future
  young children
• Knowledge increase concerning approached themes
• Reinforce awareness of the benefits of
  antibiotics, the importance of appropriate use
  and the dangers of antibiotic misuse and
  development of resistances
• Decrease of infection spread.
• Teachers and parents

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7 Work packages
3.Evaluation UK, Tchèque Republique,
France 01-06 08
2. Dissemination
1. Coordination
7. Translation, pack reviewing implementation
7 WP
4. Background research 10 AP countries 02 07
6.Development and design of web site 11 07 UK
5. Development and design of packs UK 11 07
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Background research in AP countries WP 4

• School curriculum, science curriculum, teaching
  resources, IT resources in schools
• National and local campaigns, messages
• Antibiotic prescription patterns, attitudes and
  behaviour of prescribers and patients
• Identify and approach stakeholders including MoE
  and MoH
• 5. Identify obstacles

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Results from Background Research WP4

• School structure - defined age groups
• Science curriculum most often covers hygiene
• Few countries include prudent antibiotic use and
  bacterial resistance
• Limited teaching resources
• Computers gt 75 of schools
• Campaigns in several countries

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Associate and Collaborating Countries
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Examples
10
Hand Washing Visuals
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IT Information
()
()


Mostly dial up connection () Information
unknown
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Pack Development WP6

• UK
• Based on
• Background research
• Teachers focus groups
• Learning outcomes defined in European meeting
  with AP and CP 18 countries
• Translation
• Pack reviewing adaptation to each countries socio
  cultural context

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Evaluation WP3

• Intervention study conducted 01 06 2008 in 3
  evaluating countries
• Knowledge and Attitude questionnaire (pre post
  and retention) in intervention and control
  groups.
• Teachers and students satisfaction
• Aim final modifications and improvements
• Implemention 2008/2009

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CONCLUSION
Young age more receptive
School natural learning context
Number
Interest of a school education project
Dissemination through children
Sustainability, if included in school curriculum
Homogeneous knowledge level in health
education across Europe
Long term perspective European guide-lines
EUROPEENNES
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Acknowledgment

• Developmental Team
• Project Lead Cliodna McNulty
• Pack Developer Donna Lecky
• Web Lead Patty Kostkova
• Web Developer David Farrell
• Administrator Diane Stallabrass
• Evaluation lead Julius Weinberg
• Associate Partners
• Belgium Herman Goossens
• Stjin De Corte
• Czech Republic Jiri Benes
• Tereza Koprivová
  Herotová
• Denmark Jette Holt
• Marianne Noer
• France Pierre Dellamonica
• Pia Touboul
• Greece Jenny Kremastinou
• Koula Merakou

Collaborating Partners Croatia
Arjana Tambic Andrasevic Finland
Pentti Huovinen Hungary
Gabor Ternak Ireland Robert
Cunney Latvia Sandra
Berzina Lithuania Rolanda
Valinteliene Slovakia Tomá
Tesar Slovenia Marko Pokorn
French Partners Ministry of Health Ministry of
Education and local school authorities in Nice
and Bordeaux National Institute of Health
Education National Health Insurance Science
teachers association