doi: 10.1016/j.cmi.2025.04.035.
Epub 2025 May 8.
Establishing core competencies for antimicrobial stewardship teams: a consensus development using the modified Delphi technique-an European Society of Clinical Microbiology and Infectious Diseases Study Group for Antimicrobial Stewardship position paper
Joana Alves
1
, Jeroen Schouten
2
, Karin Thursky
3
, Ran Nir Paz
4
, Jordi Rello
5
, David Chien Lye
6
, Tomislav Kostyanev
7
, Jacob Strahilevitz
4
, Katja de With
8
, Aleksandra Barac
9
, Ezgi Gülten
10
, Diane Ashiru-Oredope
11
, Giorgia Caruana
12
, Nathan Peiffer-Smadja
13
, Rita Murri
14
, Lucy Catteau
15
, Bojana Beović
16
; AMS Competencies Study Group
Collaborators,
Affiliations
Collaborators
-
AMS Competencies Study Group:
Philippe Lesprit 17 , Reza Soleimani 18 , Franky Buyle 19 , Osman Sezer Cirit 20 , Yuri Corrales-Higuera 21 , José Artur Paiva 22 , Ines Zollner-Schwetz 23 , Kristoffer Endresen 24 , Edmond Puca 25 , Brita Skodvin 26 , Stefan Hagel 27 , Danguole Vaznaisiene 28 , Nikolaos Spernovasilis 29 , Johan Van Laethem 30 , Dulce Pascoalinho 31 , Monta Madelane 32 , Lior Nesher 33 , Pierre Tattevin 34 , Mari Kanerva 35 , Sabrina Van Lerssel 36 , Diana Huis In't Veld 37 , Raimonda Matulionyte 38 , Julie Descy 39 , Inese Jansone 40 , Christian Lanckohr 41 , Aija Vilde 42 , Anastasia Antoniadou 43 , Ernestina Repetto 44 , Agnes Wechsler-Fördös 45 , Nina Ank 46 , Peter Messiaen 47 , Hilde Fjeld 48 , Mark Gilchrist 49 , Kasper Klein 50 , Raquel Duro 51 , Samclide Mbikayi Mutindu 52 , Jean Luc Kabeya Cibangu 53 , Jacqueline Sneddon 54 , Birutė Zablockienė 55 , Nuno Rocha Pereira 56 , Yeliz Tanriverdi Cayci 57 , Frederik Boetius Hertz 58 , Serge Alfandari 59 , Jorge Cortés 60 , Vanina Meyssonnier 61 , Anine Bernhoft 26 , Elias Iosifidis 62 , Claudia Beltran-Arroyave 63 , Maya Korem 64 , Tuba Müderris 65 , James Hatcher 66 , Michal Katzir 67 , Panagiotis Papastergiou 68 , Andrew Seaton 69 , Ilvana Çaklovica Küçükkaya 70 , Mohammadreza Salehi 71 , Ana Catarina Conceição 72 , Hamid Solgi 73
Affiliations
- 1 Department of Infectious Diseases, Hospital de Braga, Braga, Portugal; Local Unit of the Program for Prevention and Control of Infection and Antimicrobial Resistance, Hospital de Braga, Braga, Portugal.
- 2 Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
- 3 Victorian Infectious Diseases Service and National Health and Medical Research Council Centre of Clinical Research Excellence in Infectious Diseases, Royal Melbourne Hospital, Melbourne, Australia.
- 4 Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
- 5 Clinical Research/Innovation in Pneumonia & Sepsis (CRIPS) Research Group, Vall d'Hebron Institute of Research, Barcelona, Spain; Formation, Recherche, Evaluation, Centre Hospitalier Universitaire (CHU) Nîmes, Nîmes, France; Centro de investigación biomédica en Red de Enfermedades respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
- 6 National Centre for Infectious Diseases, Tan Tock Seng Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
- 7 Department of Clinical Microbiology, University Hospital of Southern Denmark - South-West Jutland, Esbjerg, Denmark.
- 8 Institute of Infectious Diseases, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany.
- 9 Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Infectious and Tropical Diseases, University Clinical Center of Serbia, Belgrade, Serbia.
- 10 Ankara University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
- 11 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; UK Health Security Agency, London, UK; School of Pharmacy, University College London, London, UK.
- 12 Cantonal Hospital of Sion and Institut Central des Hôpitaux, Infectious Diseases Service, Sion, Switzerland; Institute of Microbiology, Department of Laboratory Medicine and Pathology, Lausanne University Hospital, Lausanne, Switzerland.
- 13 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Université de Paris, Infection Antimicrobials Modelling Evolution (IAME), National Institute of Health and Medical Research (INSERM), Paris, France; Infectious and Tropical Diseases Department, Bichat-Claude Bernard Hospital, AP-HP, Paris, France; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College, London, UK.
- 14 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Dipartimento di Sicurezza e Bioetica, Sezione di Malattie Infettive, Università Cattolica del Sacro Cuore, Rome, Italy; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A Gemelli Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Rome, Italy.
- 15 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium; Faculty of Medicine and Pharmacy, Université de Mons, Mons, Belgium.
- 16 Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. Electronic address: bojana.beovic@kclj.si.
- 17 University Grenoble Alpes, Service de Maladies Infectieuses, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
- 18 Microbiology Service, Department of Clinical Laboratory, Centre Hospitalier Universitaire HELORA, Mons-Nimy, Belgium.
- 19 Pharmacyi, University Hospital Ghent, Ghent, Belgium.
- 20 Microbiology Laboratory, Gaziantep City Hospital, Gaziantep, Turkey.
- 21 Infectious Diseases Department, Hospital Auxilio Mutuo & Pavia Santurce, San Juan, Puerto Rico.
- 22 Intensive Care Medicine Service, Unidade Local de Saúde São João, Portugal; Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal; Infection & Sepsis ID Group, Porto, Portugal.
- 23 Division of Infectious Diseases, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
- 24 Department of Microbiology, Nordland Hospital Trust, Bodø, Norway.
- 25 Service of Infectious Disease, University Hospital Center "Mother Teresa", Tirane, Albania.
- 26 The Norwegian Centre for Antibiotic Use in Hospitals, Department of Research and Development, Haukeland University Hospital, Bergen, Norway.
- 27 Institute for Infectious Diseases and Infection Control, Jena University Hospital-Friedrich Schiller University Jena, Jena, Germany.
- 28 Department of Infectious Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania.
- 29 Department of Infectious Diseases, German Medical Institute, Limassol, Cyprus.
- 30 Infectology Department, Universitair Ziekenhuis Brussel Brussels, Belgium; Vitality Research Group, Vrije Universiteit Brussel, Laarbeeklaan Brussels, Belgium.
- 31 Intensive Medicine Department, Unidade Local de Ssaúde do Litoral Alentejano, Santiago do Cacém, Portugal; Infection Prevention and Control and Antimicrobial Stewardship Unit, Unidade Local de Ssaúde do Litoral Alentejano, Santiago do Cacém, Portugal.
- 32 Riga East University Hospital, Department of Infection Surveillance, Riga, Latvia; Riga Stradins University, Department of Infectious Diseases, Riga, Latvia.
- 33 Infectious Diseases Institute, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheba, Israel.
- 34 Infectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes, France.
- 35 Infectious Diseases and Infection Control Unit, Turku University Hospital, The Wellbeing Services County of Southwest Finland, Finland.
- 36 Department of General Internal Medicine, Infectious Diseases and Tropical Medicine, University Hospital Antwerp, Antwerp, Belgium.
- 37 Department of Internal Medicine and Infectious Diseases, University Hospital Ghent, Ghent, Belgium.
- 38 Vilnius University, Faculty of Medicine, Institute of Clinical Medicine, Clinic of Infectious Diseases and Dermatovenerology, Vilnius, Lithuania; Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
- 39 Clinical laboratory, Clinique André Renard, Herstal, Belgium.
- 40 Joint Laboratory, Pauls Stradiņš Clinical University Hospital, Riga, Latvia.
- 41 Antibiotic Stewardship Team, Institute of Hygiene, University Hospital Muenster, Muenster, Germany.
- 42 Department of Infectious Diseases and Hospital Epidemiology, Pauls Stradins Clinical University Hospital, Riga, Latvia; Faculty of Medicine, University of Latvia, Riga, Latvia.
- 43 University of Cyprus Medical School, Nicosia, Cyprus.
- 44 Infectious Diseases Department, Université Libre de Bruxelles (ULB), CHU Saint-Pierre, Brussels, Belgium.
- 45 Antimicrobial Stewardship, Gesundheit Burgenland Hospital Trust, Eisenstadt, Austria.
- 46 Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
- 47 Department of Infectious Diseases and Immunity, Jessa Hospital, Hasselt, Belgium; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
- 48 Department of Infection Prevention and Department of Pharmacology, Regional Medicine and Pharmacovigilance Centre (RELIS), Oslo University Hospital, Oslo, Norway.
- 49 Department of Pharmacy/ Infection, Imperial College Healthcare NHS Trust, London, UK; Department of Infectious Diseases, Imperial College London, UK.
- 50 Deparment of Clinical Microbiology, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Microbiololgy, University of Southern Denmark, Denmark.
- 51 Infectious Diseases Department, Infection Prevention and Control and Antimicrobial Stewardship Unit, Unidade Local de Saúde Tâmega e Sousa, Penafiel, Portugal.
- 52 Infectious Diseases Department, Centre Hospitalier Monkole, Kinshasa, Democratic Republic of the Congo.
- 53 Pharmacy Department, Centre Hospitalier Monkole, Kinshasa, Democratic Republic of the Congo.
- 54 British Society for Antimicrobial Chemotherapy, Birmingham, UK.
- 55 Clinic of Infectious Diseases and Dermatovenerology, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, 01513 Vilnius, Lithuania; Centre of Infectious Diseases, Vilnius University Hospital Santaros klinikos, 08661 Vilnius, Lithuania.
- 56 Infection and Antimicrobial Resistance Control and Prevention Unit, Hospital Epidemiology Centre, Unidade Local de Saúde São João, Porto, Portugal; Department of Medicine, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
- 57 Department of Medical Microbiology, Medicine Faculty, Ondokuz Mayis University, Samsun, Turkey.
- 58 Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark; Department of Immunology & Microbiology, University of Copenhagen, Copenhagen, Denmark.
- 59 Service de Réanimation et Maladies Infectieuses, CH Dron, Tourcoing, France.
- 60 Department of Internal Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.
- 61 Infectious Diseases Department, Universitary Hospital of Geneva, Geneva, Switzerland; AMS groupe, Infectious Disease French Society, France.
- 62 3rd Pediatric Department, Aristotle University of Thessaloniki, Hippokration Hospital of Thessaloniki, Thessaloniki, Greece.
- 63 Faculty of medicine, Universidad de Antioquia, Medellin, Colombia; Pediatric Infectious Diseases, Clínica El Rosario, Antioquia, Medellín, Colombia; Pediatric Infectious Diseases, Clínica del Prado. Antioquia, Medellín, Colombia.
- 64 Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
- 65 Faculty of Medicine, Department of Medical Microbiology, İzmir Katip Çelebi University, İzmir, Türkiye.
- 66 Department of Microbiology/Virology, Great Ormond Street Hospital for Children, London, UK; Department of Infection, Inflammation, and Immunity (III) Department, University College London, London, UK.
- 67 Infectious disease unit, Meir MC, Kfar-Saba, Israel; Gray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
- 68 Microbiology Department, Limassol General Hospital, State Health Services Organisation, Cyprus.
- 69 Department of Infectious Diseases, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK; Healthcare Improvement Scotland, Scottish Antimicrobial Prescribing Group, Glasgow, UK.
- 70 Istanbul University Istanbul Faculty of Medicine, Department of Medical Microbiology, Istanbul, Turkey; Istanbul University Institute of Graduate Studies in Health Sciences, Department of Medical Microbiology, Istanbul, Turkey.
- 71 Research Center for Antibiotic Stewardship & Antimicrobial Resistance, Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
- 72 Intensive Care Department, Unidade Local de Saúde Lisboa Ocidental, Lisbon, Portugal; Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
- 73 Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
- PMID: 40345620
- DOI: 10.1016/j.cmi.2025.04.035
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Establishing core competencies for antimicrobial stewardship teams: a consensus development using the modified Delphi technique-an European Society of Clinical Microbiology and Infectious Diseases Study Group for Antimicrobial Stewardship position paper
Joana Alves et al.
Clin Microbiol Infect.
2025 Aug.
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doi: 10.1016/j.cmi.2025.04.035.
Epub 2025 May 8.
Authors
Joana Alves
1
, Jeroen Schouten
2
, Karin Thursky
3
, Ran Nir Paz
4
, Jordi Rello
5
, David Chien Lye
6
, Tomislav Kostyanev
7
, Jacob Strahilevitz
4
, Katja de With
8
, Aleksandra Barac
9
, Ezgi Gülten
10
, Diane Ashiru-Oredope
11
, Giorgia Caruana
12
, Nathan Peiffer-Smadja
13
, Rita Murri
14
, Lucy Catteau
15
, Bojana Beović
16
; AMS Competencies Study Group
Collaborators
-
AMS Competencies Study Group:
Philippe Lesprit 17 , Reza Soleimani 18 , Franky Buyle 19 , Osman Sezer Cirit 20 , Yuri Corrales-Higuera 21 , José Artur Paiva 22 , Ines Zollner-Schwetz 23 , Kristoffer Endresen 24 , Edmond Puca 25 , Brita Skodvin 26 , Stefan Hagel 27 , Danguole Vaznaisiene 28 , Nikolaos Spernovasilis 29 , Johan Van Laethem 30 , Dulce Pascoalinho 31 , Monta Madelane 32 , Lior Nesher 33 , Pierre Tattevin 34 , Mari Kanerva 35 , Sabrina Van Lerssel 36 , Diana Huis In't Veld 37 , Raimonda Matulionyte 38 , Julie Descy 39 , Inese Jansone 40 , Christian Lanckohr 41 , Aija Vilde 42 , Anastasia Antoniadou 43 , Ernestina Repetto 44 , Agnes Wechsler-Fördös 45 , Nina Ank 46 , Peter Messiaen 47 , Hilde Fjeld 48 , Mark Gilchrist 49 , Kasper Klein 50 , Raquel Duro 51 , Samclide Mbikayi Mutindu 52 , Jean Luc Kabeya Cibangu 53 , Jacqueline Sneddon 54 , Birutė Zablockienė 55 , Nuno Rocha Pereira 56 , Yeliz Tanriverdi Cayci 57 , Frederik Boetius Hertz 58 , Serge Alfandari 59 , Jorge Cortés 60 , Vanina Meyssonnier 61 , Anine Bernhoft 26 , Elias Iosifidis 62 , Claudia Beltran-Arroyave 63 , Maya Korem 64 , Tuba Müderris 65 , James Hatcher 66 , Michal Katzir 67 , Panagiotis Papastergiou 68 , Andrew Seaton 69 , Ilvana Çaklovica Küçükkaya 70 , Mohammadreza Salehi 71 , Ana Catarina Conceição 72 , Hamid Solgi 73
Affiliations
- 1 Department of Infectious Diseases, Hospital de Braga, Braga, Portugal; Local Unit of the Program for Prevention and Control of Infection and Antimicrobial Resistance, Hospital de Braga, Braga, Portugal.
- 2 Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
- 3 Victorian Infectious Diseases Service and National Health and Medical Research Council Centre of Clinical Research Excellence in Infectious Diseases, Royal Melbourne Hospital, Melbourne, Australia.
- 4 Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
- 5 Clinical Research/Innovation in Pneumonia & Sepsis (CRIPS) Research Group, Vall d'Hebron Institute of Research, Barcelona, Spain; Formation, Recherche, Evaluation, Centre Hospitalier Universitaire (CHU) Nîmes, Nîmes, France; Centro de investigación biomédica en Red de Enfermedades respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
- 6 National Centre for Infectious Diseases, Tan Tock Seng Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
- 7 Department of Clinical Microbiology, University Hospital of Southern Denmark - South-West Jutland, Esbjerg, Denmark.
- 8 Institute of Infectious Diseases, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany.
- 9 Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Infectious and Tropical Diseases, University Clinical Center of Serbia, Belgrade, Serbia.
- 10 Ankara University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
- 11 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; UK Health Security Agency, London, UK; School of Pharmacy, University College London, London, UK.
- 12 Cantonal Hospital of Sion and Institut Central des Hôpitaux, Infectious Diseases Service, Sion, Switzerland; Institute of Microbiology, Department of Laboratory Medicine and Pathology, Lausanne University Hospital, Lausanne, Switzerland.
- 13 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Université de Paris, Infection Antimicrobials Modelling Evolution (IAME), National Institute of Health and Medical Research (INSERM), Paris, France; Infectious and Tropical Diseases Department, Bichat-Claude Bernard Hospital, AP-HP, Paris, France; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College, London, UK.
- 14 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Dipartimento di Sicurezza e Bioetica, Sezione di Malattie Infettive, Università Cattolica del Sacro Cuore, Rome, Italy; Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A Gemelli Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Rome, Italy.
- 15 European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Antimicrobial Stewardship (ESGAP) Executive Committee, ESCMID, Basel, Switzerland; Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium; Faculty of Medicine and Pharmacy, Université de Mons, Mons, Belgium.
- 16 Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. Electronic address: bojana.beovic@kclj.si.
- 17 University Grenoble Alpes, Service de Maladies Infectieuses, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
- 18 Microbiology Service, Department of Clinical Laboratory, Centre Hospitalier Universitaire HELORA, Mons-Nimy, Belgium.
- 19 Pharmacyi, University Hospital Ghent, Ghent, Belgium.
- 20 Microbiology Laboratory, Gaziantep City Hospital, Gaziantep, Turkey.
- 21 Infectious Diseases Department, Hospital Auxilio Mutuo & Pavia Santurce, San Juan, Puerto Rico.
- 22 Intensive Care Medicine Service, Unidade Local de Saúde São João, Portugal; Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal; Infection & Sepsis ID Group, Porto, Portugal.
- 23 Division of Infectious Diseases, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
- 24 Department of Microbiology, Nordland Hospital Trust, Bodø, Norway.
- 25 Service of Infectious Disease, University Hospital Center "Mother Teresa", Tirane, Albania.
- 26 The Norwegian Centre for Antibiotic Use in Hospitals, Department of Research and Development, Haukeland University Hospital, Bergen, Norway.
- 27 Institute for Infectious Diseases and Infection Control, Jena University Hospital-Friedrich Schiller University Jena, Jena, Germany.
- 28 Department of Infectious Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania.
- 29 Department of Infectious Diseases, German Medical Institute, Limassol, Cyprus.
- 30 Infectology Department, Universitair Ziekenhuis Brussel Brussels, Belgium; Vitality Research Group, Vrije Universiteit Brussel, Laarbeeklaan Brussels, Belgium.
- 31 Intensive Medicine Department, Unidade Local de Ssaúde do Litoral Alentejano, Santiago do Cacém, Portugal; Infection Prevention and Control and Antimicrobial Stewardship Unit, Unidade Local de Ssaúde do Litoral Alentejano, Santiago do Cacém, Portugal.
- 32 Riga East University Hospital, Department of Infection Surveillance, Riga, Latvia; Riga Stradins University, Department of Infectious Diseases, Riga, Latvia.
- 33 Infectious Diseases Institute, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheba, Israel.
- 34 Infectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes, France.
- 35 Infectious Diseases and Infection Control Unit, Turku University Hospital, The Wellbeing Services County of Southwest Finland, Finland.
- 36 Department of General Internal Medicine, Infectious Diseases and Tropical Medicine, University Hospital Antwerp, Antwerp, Belgium.
- 37 Department of Internal Medicine and Infectious Diseases, University Hospital Ghent, Ghent, Belgium.
- 38 Vilnius University, Faculty of Medicine, Institute of Clinical Medicine, Clinic of Infectious Diseases and Dermatovenerology, Vilnius, Lithuania; Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
- 39 Clinical laboratory, Clinique André Renard, Herstal, Belgium.
- 40 Joint Laboratory, Pauls Stradiņš Clinical University Hospital, Riga, Latvia.
- 41 Antibiotic Stewardship Team, Institute of Hygiene, University Hospital Muenster, Muenster, Germany.
- 42 Department of Infectious Diseases and Hospital Epidemiology, Pauls Stradins Clinical University Hospital, Riga, Latvia; Faculty of Medicine, University of Latvia, Riga, Latvia.
- 43 University of Cyprus Medical School, Nicosia, Cyprus.
- 44 Infectious Diseases Department, Université Libre de Bruxelles (ULB), CHU Saint-Pierre, Brussels, Belgium.
- 45 Antimicrobial Stewardship, Gesundheit Burgenland Hospital Trust, Eisenstadt, Austria.
- 46 Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
- 47 Department of Infectious Diseases and Immunity, Jessa Hospital, Hasselt, Belgium; Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
- 48 Department of Infection Prevention and Department of Pharmacology, Regional Medicine and Pharmacovigilance Centre (RELIS), Oslo University Hospital, Oslo, Norway.
- 49 Department of Pharmacy/ Infection, Imperial College Healthcare NHS Trust, London, UK; Department of Infectious Diseases, Imperial College London, UK.
- 50 Deparment of Clinical Microbiology, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Microbiololgy, University of Southern Denmark, Denmark.
- 51 Infectious Diseases Department, Infection Prevention and Control and Antimicrobial Stewardship Unit, Unidade Local de Saúde Tâmega e Sousa, Penafiel, Portugal.
- 52 Infectious Diseases Department, Centre Hospitalier Monkole, Kinshasa, Democratic Republic of the Congo.
- 53 Pharmacy Department, Centre Hospitalier Monkole, Kinshasa, Democratic Republic of the Congo.
- 54 British Society for Antimicrobial Chemotherapy, Birmingham, UK.
- 55 Clinic of Infectious Diseases and Dermatovenerology, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, 01513 Vilnius, Lithuania; Centre of Infectious Diseases, Vilnius University Hospital Santaros klinikos, 08661 Vilnius, Lithuania.
- 56 Infection and Antimicrobial Resistance Control and Prevention Unit, Hospital Epidemiology Centre, Unidade Local de Saúde São João, Porto, Portugal; Department of Medicine, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
- 57 Department of Medical Microbiology, Medicine Faculty, Ondokuz Mayis University, Samsun, Turkey.
- 58 Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark; Department of Immunology & Microbiology, University of Copenhagen, Copenhagen, Denmark.
- 59 Service de Réanimation et Maladies Infectieuses, CH Dron, Tourcoing, France.
- 60 Department of Internal Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.
- 61 Infectious Diseases Department, Universitary Hospital of Geneva, Geneva, Switzerland; AMS groupe, Infectious Disease French Society, France.
- 62 3rd Pediatric Department, Aristotle University of Thessaloniki, Hippokration Hospital of Thessaloniki, Thessaloniki, Greece.
- 63 Faculty of medicine, Universidad de Antioquia, Medellin, Colombia; Pediatric Infectious Diseases, Clínica El Rosario, Antioquia, Medellín, Colombia; Pediatric Infectious Diseases, Clínica del Prado. Antioquia, Medellín, Colombia.
- 64 Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
- 65 Faculty of Medicine, Department of Medical Microbiology, İzmir Katip Çelebi University, İzmir, Türkiye.
- 66 Department of Microbiology/Virology, Great Ormond Street Hospital for Children, London, UK; Department of Infection, Inflammation, and Immunity (III) Department, University College London, London, UK.
- 67 Infectious disease unit, Meir MC, Kfar-Saba, Israel; Gray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
- 68 Microbiology Department, Limassol General Hospital, State Health Services Organisation, Cyprus.
- 69 Department of Infectious Diseases, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK; Healthcare Improvement Scotland, Scottish Antimicrobial Prescribing Group, Glasgow, UK.
- 70 Istanbul University Istanbul Faculty of Medicine, Department of Medical Microbiology, Istanbul, Turkey; Istanbul University Institute of Graduate Studies in Health Sciences, Department of Medical Microbiology, Istanbul, Turkey.
- 71 Research Center for Antibiotic Stewardship & Antimicrobial Resistance, Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
- 72 Intensive Care Department, Unidade Local de Saúde Lisboa Ocidental, Lisbon, Portugal; Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
- 73 Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
- PMID: 40345620
- DOI: 10.1016/j.cmi.2025.04.035
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Abstract
Objectives: This study aimed to identify and develop a standard set of competencies needed for members of an antimicrobial stewardship (AMS) team.
Methods: A panel of experts in AMS utilized a survey based on a modified Delphi technique to establish consensus on AMS competencies.
Results: The authors identified 88 competencies covering 15 domains with strong agreement by 58 international experts. The identified domains were: the objectives of AMS; management of infection; microbiology diagnostics; pharmacology of antimicrobial agents; general principles of antibiotic use; the structure and the position of AMS; antimicrobial stewardship interventions; AMS in special settings; surveillance and monitoring; behaviour change and communication; infection prevention and control; quality management and patient safety; information technology (IT) support; communication with patients and general public and governance/policy framework. The consensus-based list of competencies was ratified by the European Study Group for Antimicrobial Stewardship Executive Committee.
Conclusions: The identified competencies can be used as a tool in planning of AMS training and to develop and optimize AMS programmes worldwide.
Keywords: Antimicrobial prescription; Antimicrobial stewardship; Competencies; Delphi process; Healthcare professionals.
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