Exercise 1

World airline travel routes 2014. Photo credit Jpatokal/Wikimedia (CC BY-SA 2.5)

Microsoft Teams Exercise

This simulation exercise was organised by ECDC with the cooperation of the Italian Ministry of Health.
The Exercise sought to bring two themes together, the emergence of a pandrug resistant bacteria in a healthcare setting as a cross-border threat to heath.
The exercise provided an opportunity for countries to share knowledge, capabilities, experiences and best practices on how to respond individually and collectively to the challenges of this type of threat.

Each student has been assigned to a group (EU country) in a separate virtual classroom:
- Group 1: Spain
- Group 2: Italy
- Group 3: Greece
Information on an outbreak will be posted in the Virtual classroom group chat; with questions for discussion. You should already find the first posting in your group classroom
Discussion of questions should preferably be discussed through the chat feature; or if using live audio discussion, post your responses in the chat after discussion
Every 5 minutes information will be updated with a new posting update about the epidemic.
An instructor will monitor the discussion and provide possible suggestions, try to answer answer any possible questions, ask follow-up questions etc.
At the finish of the exercise (30-45 min) we return to the main classroom for a wrap-up and discussion of our findings

The goal is not provide the "correct" answer
Information will be incomplete as you try to answer questions or provide recommendations....clarifying information later may come in subsequent postings and could change your recommendations
The objectives of this exercise are to illustrate how a cross-border epidemic of antibiotic resistance unfolds, and the risks that must be weighed with regards to decisions to prevent the infection spread.

Russo and Marr. Clinical Microbiology Reviews 2019

Cellulitis, necrotizing fasciitis

endophthalmitis

meningitis, vasculitis, stroke,

brain abscess

Hepatosplenic abscess

Hypermucoviscous phenotype seen in Klebsiella pneumoniae -

an indicator of hypervirulence