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国际抗菌药物管理(AMS)团队培训计划清单。

An international inventory of antimicrobial stewardship (AMS) training programmes for AMS teams.

机构信息

University of Tasmania, Hobart, Australia.

Ninewells Hospital and Medical School, Dundee, Scotland, UK.

出版信息

J Antimicrob Chemother. 2021 May 12;76(6):1633-1640. doi: 10.1093/jac/dkab053.

Abstract

BACKGROUND

Healthcare professionals are increasingly expected to lead antimicrobial stewardship (AMS) initiatives. This role in complex healthcare environments requires specialized training.

OBJECTIVES

Little is known about the types of AMS training programmes available to clinicians seeking to play a lead role in AMS. We aimed to identify clinicians' awareness of AMS training programmes, characteristics of AMS training programmes available and potential barriers to participation.

METHODS

AMS training programmes available were identified by members of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) via an online survey and through an online search in 2018. Individual training programme course coordinators were then contacted (September-October 2018) for data on the target audience(s), methods of delivery, intended outcomes and potential barriers to accessing the training programme.

RESULTS

A total of 166/250 ESGAP members (66%) responded to the survey, nominating 48 unique AMS training programmes. An additional 32 training programmes were identified through an online search. AMS training programmes were from around the world. Less than half (44.4%) of respondents were aware of one or more AMS training programmes available, with pharmacists more aware compared with medical doctors and other professionals (73% versus 46% and 25%, respectively). AMS training programmes were most commonly delivered online (59%) and aimed at medical doctors (46%). Training costs and a lack of recognition by health professional societies were the most frequently cited barriers to participation in AMS training programmes.

CONCLUSIONS

The development of a systematic inventory of AMS training programmes around the globe identifies opportunities and limitations to current training available. Improving access and increasing awareness amongst target participants will support improved education in AMS.

摘要

背景

医疗保健专业人员越来越被期望领导抗菌药物管理(AMS)计划。在复杂的医疗环境中,这种角色需要专门的培训。

目的

对于寻求在 AMS 中发挥主导作用的临床医生来说,他们所能获得的 AMS 培训课程类型知之甚少。我们旨在确定临床医生对 AMS 培训课程的了解程度、现有的 AMS 培训课程的特点以及参与的潜在障碍。

方法

ESCMID 抗菌药物管理研究小组(ESGAP)的成员通过在线调查和 2018 年的在线搜索来确定现有的 AMS 培训课程。然后,联系各个培训课程的课程协调员,获取有关目标受众、交付方法、预期结果以及获取培训课程的潜在障碍的数据(2018 年 9 月至 10 月)。

结果

共有 250 名 ESGAP 成员中的 166 名(66%)对调查做出了回应,提名了 48 个独特的 AMS 培训课程。通过在线搜索还确定了另外 32 个培训课程。AMS 培训课程来自世界各地。不到一半(44.4%)的受访者知道一个或多个现有的 AMS 培训课程,药剂师比医生和其他专业人员更了解(分别为 73%、46%和 25%)。AMS 培训课程最常通过在线方式(59%)提供,面向医生(46%)。培训费用和专业医疗协会的认可缺乏是参加 AMS 培训课程的最常被提及的障碍。

结论

在全球范围内开发一个 AMS 培训课程的系统清单,可以确定当前可用培训的机会和局限性。改善目标参与者的参与度和提高认识将支持 AMS 教育的改进。

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