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Training future antimicrobial stewards in the ESCMID AMS certificate training programme: from knowledge to action.

Suzanne M E Kuijpers1, Marlies E J L Hulscher2, Jan M Prins1

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Summary

The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Antimicrobial Stewardship (AMS) Certificate programme effectively trains healthcare professionals. The program demonstrated significant improvements in knowledge, skills, and led to impactful local AMS projects.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Medical Education

Background:

  • Antimicrobial resistance necessitates specialized training for healthcare professionals in Antimicrobial Stewardship (AMS).
  • The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) developed an AMS Certificate programme to address this need.
  • Evaluating the effectiveness of such training programmes is crucial for optimizing antimicrobial use globally.

Purpose of the Study:

  • To assess the effectiveness of the ESCMID AMS Certificate programme.
  • To measure the impact of the training on participants' knowledge, skills, and practical application of AMS principles.
  • To evaluate the tangible results of local AMS projects implemented by participants.

Main Methods:

  • An observational cohort study design was employed, including participants of the first ESCMID AMS Certificate programme.
  • The programme comprised online and live courses, alongside a mandatory local AMS project with pre- and post-intervention analysis.
  • Data collection utilized surveys, exams, and mandatory reports, analyzed across Kirkpatrick's four levels of evaluation (reaction, learning, behavior, results).

Main Results:

  • Forty participants from 22 countries completed the programme, with high satisfaction and successful exam completion.
  • 88% of participants submitted AMS project reports, with 84% demonstrating positive impacts on process, quantity, or patient outcomes.
  • Key improvements included enhanced guideline adherence, reduced broad-spectrum antibiotic use, and shorter patient length of stay.

Conclusions:

  • The ESCMID AMS Certificate programme is effective in transferring knowledge and skills for developing Antimicrobial Stewardship Programmes (ASPs).
  • The training successfully prompted the implementation of local AMS projects with measurable positive effects on antibiotic use.
  • This programme contributes to enhancing global capacity for effective antimicrobial stewardship in diverse clinical settings.