RCPCH Grand Round: Antimicrobial resistance in children | with Dr Sanjay Patel, Dr Kelly Brown and Dr Charlotte Fuller

In this webinar, Dr Sanjay Patel, Dr Kelly Brown and Dr Charlotte Fuller discuss the growing challenge of antimicrobial resistance in children and explore practical approaches to antimicrobial stewardship. From reducing unnecessary antibiotic use and improving neonatal infection management to supporting safe IV-to-oral antibiotic switching and developing regional stewardship networks, they share the latest evidence and initiatives aimed at improving outcomes for children while tackling antibiotic resistance.

Speakers

  • Dr Sanjay Patel
  • Dr Kelly Brown
  • Dr Charlotte Fuller

Date of Recording

July 17, 2026

Available Until

July 16, 2027

The content of this webinar represents the expertise and views of the speaker and does not represent formal College position or policy, and is intended to provide an opportunity for informed discussion and shared learning on topics that continue to generate interest and debate.

Useful resources

UK-PAS

Access national empirical antimicrobial prescribing guidance, recorded webinars and link to registration

https://uk-pas.co.uk/

Common infection pathways (paediatrics)

https://bsac.org.uk/paediatricpathways/

IV to oral switch decision aid for paediatrics

https://assets.publishing.service.gov.uk/media/66795c88a7a18c1aa1a00f20/paeds-iv-to-oral-switch-decision-aid-1.pdf

Quality improvement: enhancing antibiotic stewardship for suspected early onset neonatal infection by refining use of the Kaiser Permanente screening tool and using a CRP threshold of 20 mg/L

https://bmjpaedsopen.bmj.com/content/10/1/e004654 

Switch from intravenous-to-oral antibiotics in neonatal probable and proven early-onset infection: a prospective population-based real-life multicentre cohort study

https://pubmed.ncbi.nlm.nih.gov/37369601/

Individualised duration of antibiotic treatment in culture-negative early-onset sepsis in late-preterm and term-born neonates in Denmark (DURATION): a multicentre, open-label, randomised, controlled, non-inferiority trial

https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00118-5/fulltext

Reduced Antibiotic Exposure by Serial Physical Examinations in Term Neonates at Risk of Early-onset Sepsis

https://pubmed.ncbi.nlm.nih.gov/32301920/

Related resources

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Speakers

  • Dr Sanjay Patel

    Consultant in Paediatric Infectious Diseases and Immunology, Southampton Children’s Hospital. Clinical lead for Paediatric AMS, NHSE

    Dr Sanjay Patel is a paediatric infectious diseases and immunology consultant working at Southampton Children’s Hospital, UK. His main areas of interest are antimicrobial stewardship and outpatient parenteral antimicrobial therapy (OPAT). He is the officer for women and children for the British Society of Antimicrobial Chemotherapy (BSAC) and chairs the paediatric network of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) as well as the ESPID/ESGAP paediatric AMS network. He chairs the paediatric common infections working group that developed national clinical pathways for common infections in children (https://bsac.org.uk/paediatricpathways/) and leads the Keep Antimicrobials Working programme which supports undergraduate education on AMR (KAW Resources – Keep Antimicrobials Working Forum & Resources). He is also chairs the UK-PAS network (Home | Paediatric Antimicrobial Stewardship - UK) and has recently been appointed as national clinical advisor for paediatric AMS at NHSE.

  • Dr Kelly Brown

    Consultant Neonatologist, University Hospital Southampton

    Dr Kelly Brown is a Consultant Neonatologist working at University Hospital Dorset. She focuses on Neonatal Early Onset Infection, where clinicians must balance the potentially catastrophic consequences of missing a rare case of neonatal sepsis against the risks of treating large numbers of uninfected babies with broad-spectrum antibiotics. Her quality-improvement work - refined use of the Kaiser Permanente neonatal sepsis screening approach and using a higher CRP of 20 to aid decision-making, with the aim of reducing unnecessary antibiotic exposure while maintaining safety.

  • Dr Charlotte Fuller

    Clinical Fellow in Paediatric Infectious Diseases and Immunology

    Dr Fuller is a Clinical Fellow in Paediatric Infectious Diseases and Immunology at Leeds Children’s Hospital and an Antimicrobial Stewardship Scholar with the British Society for Antimicrobial Chemotherapy. Dr Fuller has established the South Yorkshire Paediatric Antimicrobial Stewardship Regional Network in 2023; leads development of a national paediatric AMS education programme for district hospitals; is associated with the Brain Infection and Inflammation Group at the University of Liverpool and co-leads, with Dr Patel, an NHS England-funded paediatric AMS network project, initially piloted across four English regions.

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