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Key objective of this workshop is to sensitize participants to the ethical dilemmas related to the care for people carrying antimicrobial resistant pathogens. Second objective of the workshop is to support ethical reflection skills of professionals in relation to their national prevention guidelines. Antimicrobial resistance (AMR) has been described as one of the major threats to individual and population health in the present century. Many countries have specific AMR prevention guidelines in order to prevent further introduction and spread of AMR in healthcare facilities. These guidelines may in many ways affect the lives of carriers of antimicrobial resistant pathogens. This is for instance the case with isolation and quarantine treatment; restrictions in the workplace; refusal of access to important activities; requests to abandon one’s pet animal that is colonized with a resistant pathogen; or contact restrictions at the farm of one’s family. These situations all result in complex ethical dilemmas. In practice, however, the ethical component of this dilemma remains largely implicit. An important feature of AMR-dilemmas is that they involve conflicts between the interest of the individuals that carry AMR on the one hand, and the interests of society as a whole, on the other. Such conflicts are at the heart of this workshop: how to balance the public and institutional interests to prevent spread of AMR against the wellbeing and freedom of infected individuals? Key element of this workshop will be a moderated group discussion. We will first present real-life ethical dilemmas from Dutch and UK practice. We will than introduce values and principle such as Solidarity, Justice and the principle of The Least Intrusive Means. Finally, we will give the floor to the audience: how do other European countries approach comparable AMR dilemmas? The group discussion will be moderated by Aura Timen, Head of the Dutch National Coordination Centre for Communicable Disease Control and Peter Schröder-Bäck, president of the EUPHA section ethics in Public Health. Also Marlies Hulscher will be present to make the connection between ethics and quality of care.

7.K. Skills building seminar: Tackling Antimicrobial Resistance: case studies and ethical reflection