Establishing core competencies for antimicrobial stewardship teams: a consensus development using the modified Delphi...

Area of Science:

• Medical Sciences
• Public Health
• Infectious Diseases

Background:

• Antimicrobial resistance (AMR) necessitates robust antimicrobial stewardship (AMS) programs.
• Standardized competencies for AMS teams are crucial for effective program implementation and training.
• Existing frameworks may lack comprehensive, globally recognized standards for AMS professionals.

Purpose of the Study:

• To identify and develop a standardized set of core competencies for members of antimicrobial stewardship (AMS) teams.
• To establish a consensus-based list of essential skills and knowledge for effective AMS practice.
• To provide a foundation for developing and optimizing AMS training and programs worldwide.

Main Methods:

• A modified Delphi technique was employed, utilizing surveys distributed to a panel of international experts in AMS.
• Consensus was established among 58 experts through iterative survey rounds.
• The process focused on defining and agreeing upon critical competencies for AMS team members.

Main Results:

• A comprehensive list of 88 competencies was identified, categorized into 15 distinct domains.
• Strong expert agreement was achieved across all identified domains.
• The domains encompass objectives of AMS, infection management, diagnostics, pharmacology, stewardship interventions, special settings, surveillance, communication, infection control, quality management, IT, patient communication, and governance.

Conclusions:

• The developed list of 88 competencies provides a standardized tool for planning AMS training initiatives.
• These competencies can be instrumental in the development and optimization of AMS programs globally.
• Implementation of these standards will enhance the effectiveness and reach of antimicrobial stewardship efforts.