Sattler Matthew M, Greer Sara, Lockowitz Christine R, Newland Jason G, Facer Evan E, Wolfe Katie
Department of Pediatrics, Division of Infectious Diseases, Washington University in St. Louis, St. Louis, MO, USA.
Department of Pediatrics, Division of Pediatric Critical Care Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Antimicrob Steward Healthc Epidemiol. 2025 Jan 17;5(1):e14. doi: 10.1017/ash.2024.492. eCollection 2025.
Identify essential components of a curriculum on antimicrobial stewardship (AS) for pediatric residents.
Survey.
Academic tertiary care children's hospital.
Pediatric residents and infectious diseases (ID)/AS content experts (CE), including pediatric ID faculty, fellows, nurse practitioners, and pharmacists.
Residents were surveyed to assess prior AS experiences and usefulness of education in different AS domains (e.g., antimicrobial resistance [AMR]). CE was surveyed to identify content to include in an AS curriculum. A specific topic (e.g., resistance in ) achieved consensus if ≥80% of CE identified the topic as "very" or "extremely" important.
Thirty-three of 110 pediatric residents responded to the resident survey (response rate 30%). Spectrum of activity (97%), empiric therapy (94%), and duration of therapy (94%) were the domains identified by the most residents as "very" or "extremely" useful. All CE responded to the CE survey (n=26). Thirty-nine of 105 topics (37%) met the consensus threshold. The domains with most topics achieving consensus were empiric therapy (11/13 topics, 85%) and duration of therapy (5/8 topics, 63%). Only one topic was identified within the domains of antibiotic allergies, diagnostics, and AMR, reflecting 18%, 14%, and 6% of the potential topics within each domain, respectively.
A pediatric AS curriculum focused on empiric therapy and duration of therapy is likely to meet the needs of both learners and CEs.
确定儿科住院医师抗菌药物管理（AS）课程的基本组成部分。
调查。
学术性三级医疗儿童医院。
儿科住院医师以及感染性疾病（ID）/AS内容专家（CE），包括儿科ID教员、研究员、执业护士和药剂师。
对住院医师进行调查，以评估他们之前的AS经历以及不同AS领域（如抗菌药物耐药性[AMR]）教育的实用性。对CE进行调查，以确定AS课程应包含的内容。如果≥80%的CE将某个特定主题（如 中的耐药性）确定为“非常”或“极其”重要，则该主题达成共识。
110名儿科住院医师中有33人回复了住院医师调查问卷（回复率30%）。大多数住院医师将活性谱（97%）、经验性治疗（94%）和治疗持续时间（94%）确定为“非常”或“极其”有用的领域。所有CE都回复了CE调查问卷（n = 26）。105个主题中有39个（37%）达到了共识阈值。达成共识的主题最多的领域是经验性治疗（13个主题中的11个，85%）和治疗持续时间（8个主题中的5个，63%）。在抗生素过敏、诊断和AMR领域中分别仅确定了一个主题，分别占每个领域潜在主题的18%、14%和6%。
专注于经验性治疗和治疗持续时间的儿科AS课程可能满足学习者和CE的需求。
