Latest updates on the development of the “Bridge the Gap: Survey to Treat” White paper series and strategic research agenda by the ARCH Network:
Expert consensus on target actions and research gaps:
On 24-25 October, the JPIAMR projects ARCH (bridging the gap between humAn and animal on suRveillance data, antibiotic poliCy, and stewardsHip) and GAP-ON€ (Global Antimicrobial Resistance Platform for ONE Burden Estimates) organised a joint workshop in Verona, bringing together 40 Experts from 18 countries. For the ARCH group, the discussions focused on reaching consensus on target actions on how to link and report surveillance data on resistance and antibiotic usage to antimicrobial stewardship teams in four settings: hospital, outpatient, long-term care facilities, and veterinary, and gaps and limitations to be defined as research priorities. The statements for deliberation had been elaborated prior to the meeting following an extensive review of the literature (189 documents fitting inclusion criteria) and preliminary consensus by means of an on-line survey (RAND-modified Delphi). The two-day meeting allowed experts to consider the proposals in detail as part of panels assigned by working groups and in joint sessions.
White paper manuscripts and Strategic Research Agenda:
Following the meeting, the core research teams of the four working groups collated the results of the face-to-face discussions to draft the final consensus-based target actions and research priorities. These were then sent to all the ARCH group members providing a further opportunity to reconsider the consensus outcomes. Core components of the manuscripts were drafted in the meantime so that the network-approved statements could be flawlessly integrated to create the complete white paper series. Upon review and revisions by all the authors, the white papers manuscripts were submitted for publication on the 27th of April, reaching an important project Milestone.
A downloadable file containing the checklist of targets to serve healthcare facilities of the four settings as a baseline assessment to establish and monitor stewardship activities has also been created, and will be made available through the ARCH website as well as through the JAC website. A template for the Strategic Research agenda based on the identified research priorities is under development to elaborate a road map for future research to improve the applicability of antimicrobial resistance and usage surveillance data for antimicrobial stewardship.
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