{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:51:28Z","timestamp":1791496288200,"version":"4.3.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"unspecified","delay-in-days":130,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Antimicrobial stewardship programs (ASPs) optimize antimicrobial use to ensure the best patient outcomes from infections. Since the initial publication of this guidance in 2014, accreditation standards have bolstered antimicrobial stewardship requirements in various healthcare settings, and antibiotic use and resistance data reporting requirements have further increased the scope and resource needs of ASPs. The purpose of this guidance is to outline and update the knowledge and skills necessary to lead ASPs, organized by basic, intermediate, and advanced skills recommended for stewards practicing in acute care, outpatient care, and long-term care settings. This update was developed by a multidisciplinary group of antimicrobial stewardship experts from key organizations and with diverse backgrounds engaged in advancing the practice of antimicrobial stewardship. It does not specifically address healthcare resources, staffing models, reporting structures, or percentage of full-time equivalents needed to conduct this work, which will be addressed by future multi-society publications.<\/jats:p>","DOI":"10.1017\/ash.2026.10344","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T10:40:03Z","timestamp":1778496003000},"source":"Crossref","is-referenced-by-count":1,"title":["Guidance for the Knowledge and Skills required for Antimicrobial Stewardship Leaders: an update from the Society for Healthcare Epidemiology of America, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, and the Society of Infectious Diseases Pharmacists"],"prefix":"10.1017","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7585-1809","authenticated-orcid":false,"given":"Marisa","family":"Holubar","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03mtd9a03","id-type":"ROR","asserted-by":"publisher"}],"name":"Stanford University School of Medicine"},{"name":"Stanford Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1074-5034","authenticated-orcid":false,"given":"Tanaya","family":"Bhowmick","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9505-2572","authenticated-orcid":false,"given":"Whitney R.","family":"Buckel","sequence":"additional","affiliation":[{"name":"Intermountain Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9458-4331","authenticated-orcid":false,"given":"Sara E.","family":"Cosgrove","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9276-5067","authenticated-orcid":false,"given":"Christopher","family":"Evans","sequence":"additional","affiliation":[{"name":"Tennessee Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6080-467X","authenticated-orcid":false,"suffix":"Jr.","given":"Thomas M.","family":"File","sequence":"additional","affiliation":[{"name":"Summa Health"},{"name":"Northeast Ohio Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1919-9238","authenticated-orcid":false,"given":"Margaret","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"VA Eastern Colorado Health Care System"},{"name":"University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Leung","sequence":"additional","affiliation":[{"name":"Unity Health Toronto"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7526-5618","authenticated-orcid":false,"given":"Anurag N.","family":"Malani","sequence":"additional","affiliation":[{"name":"Trinity Health Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6759-4986","authenticated-orcid":false,"given":"Ana","family":"Rios","sequence":"additional","affiliation":[{"name":"Cook Children\u2019s Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3991-067X","authenticated-orcid":false,"given":"Jenna","family":"Preusker","sequence":"additional","affiliation":[{"name":"Nebraska Medicine"},{"name":"Nebraska Department of Health and Human Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Nori","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"S2732494X26103441_ref1","unstructured":"1. Infectious Diseases Society of America (IDSA). Core Antimicrobial Stewardship Curriculum for Fellows IDSA Academy. [Internet]. https:\/\/academy.idsociety.org\/course-catalog-list?f%5B0%5D=field_course_format%3A19. Published 2021. Accessed September 19, 2025."},{"key":"S2732494X26103441_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofad116"},{"key":"S2732494X26103441_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.6248"},{"key":"S2732494X26103441_ref16","first-page":"e217","article-title":"Navigating performance measures for ambulatory Antimicrobial Stewardship: a review of HEDIS\u00ae and other metrics the steward should know","volume":"4","author":"Arena","year":"2024","journal-title":"Antimicrob Steward Healthc Epidemiol ASHE"},{"key":"S2732494X26103441_ref18","unstructured":"18. Agency for Healthcare Research and Quality. Antibiotic Stewardship Toolkits [Internet]. https:\/\/www.ahrq.gov\/antibiotic-use\/index.html. Published 2025. 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