MSF's activities cover a wide range of activities relating to infectious diseases (HIV, tuberculosis, tropical diseases, antimicrobial resistance). Of all these activities, antibiotic resistance is the most recent. In projects taking care of particularly vulnerable patients with bacterial infections (war wounded, malnourished children, patients with HIV, etc.), MSF is working to provide access to microbiological diagnosis, to rationalize the use of antibiotics and strengthen infection prévention and control (IPC).
In this context, the MSF field infectiologist may be required to:
- Understand practices and identify existing problems in collaboration with the teams on site
- Set up antibiotic stewardship as a priority on projects with microbiology access (burns, trauma, neonatology, malnutrition)
- Rationalize the use of antibiotics by respecting MSF protocols
- Train clinical doctors to optimize antibiotic prescriptions and set up training courses adapted to the specific needs of each project
- Ensure the monitoring of side effects in collaboration as well as the monitoring of the consumption of antibiotics with the pharmacy
- Set up an antibiotic committee including a multidisciplinary team (pharmacist, doctor, surgeons, microbiologists, IPC, and managers)
- Set up a documentation system and participate in data collection
- Audit practices and report ; train national medical teams to carry out this activity
- In close collaboration with medical teams on site, discuss and define short and long-term priorities and objectives concerning the rational use of antibiotics.