We IMAGINE a future where antibiotics work for everyone, also in nursing homes

IMAGINE is an acronym that stands for Improving antibiotic use in long term care facilities by infection prevention and control and antibiotic stewardship​.

IMAGINE project

Excessive and inappropriate use of antibiotics is the main driver of antimicrobial resistance, posing a significant risk, especially for frail older adults in nursing homes who are vulnerable to frequent and severe infections. To address this, the IMAGINE project has supported healthcare professionals across 8 European countries to improve infection prevention and promote appropriate antibiotic use. By implementing a multifaceted intervention, data has been collected before and after to evaluate its impact across all participating facilities. 

%

Reduction in urinary
tract infections after
intervention

Nursing, medical, and care professionals involved

MORE THAN

PEOPLE

%

Reduction in
inappropriate
prescriptions of antibiotic

Annual net savings across Europe

MILLIONS OF EUROS €

%

Increase of available resources
and hygiene measures for staff

Project tools

Hand Hygiene Poster

Awareness poster promoting hand hygiene, encouraging good practices, and featuring a quiz to test hygiene knowledge.

Myths About Gloves

Explains common misconceptions about glove use in healthcare, highlighting their limitations and the need for proper hand hygiene even when wearing gloves.

Preventing UTIs in residents with and without catheter

Explains common misconceptions about glove use in healthcare, highlighting their limitations and the need for proper hand hygiene even when wearing gloves.

Myths about UTI

Debunks 8 myths about UTIs in elderly residents, emphasizing that bacteria in urine doesn’t always mean infection and that unnecessary antibiotic use leads to resistance.

UTI Leaflet for relatives

A guide for relatives on UTI symptoms, diagnosis, and prevention in nursing homes. Warns against misdiagnosis and excessive antibiotic use.

UTI algorithm pocket cards

Diagnostic algorithms for healthcare staff to identify UTIs in residents with and without catheters, avoiding misuse of dipsticks and focusing on specific symptoms.

UTI Algorithm Review for Staff

Provides guidelines for identifying and managing UTIs in healthcare settings, emphasizing symptoms, systemic signs, and physician contact​.

Training Programe

Covers infection prevention in nursing homes through proper hygiene, diaper changes, and bladder management​.

Poster Virus-Bacteria

Educates on antibiotic use, distinguishing between viral and bacterial infections, and highlighting symptom duration​.

Antimicrobial Stewardship Postcards

Short messages about antibiotic use and antimicrobial resistance for everyone.

The aim was to increase the prevention of infections and reduce inappropriate antibiotic use by implementing a multifaceted intervention targeting health care professionals (HCPs) in nursing homes across eight European countries: Greece, Hungary, Lithuania, Poland, Slovakia, Slovenia, Spain, and Denmark.

The project has been structured around a three-phase intervention methodology. It has included two clinical audits, with an in-person multifaceted intervention for healthcare professionals conducted between them.

The audits have been carried out to evaluate both antibiotic prescribing practices, using the APO method, and infection prevention and control (IPC) measures, assessed through the IPC audit tool.

Between these two audits, nursing home healthcare staff have participated in a structured, face-to-face multifaceted intervention aimed at improving clinical practices.

IMAGINE Final Conference

Barcelona, December 12th 2025

The European project IMAGINE will hold its Final Conference on 12 December 2025 in Barcelona. The event will bring together representatives from European institutions, consortium partners, and key stakeholders to present the main results, achievements, and future perspectives of the project.

You may consult the final programme and register by contacting the organisers at [email protected]

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