Table 4.

Leadership commitment, accountability and antimicrobial stewardship team

Participants in the antimicrobial stewardship team
1.1. Essential	All hospitals should establish a multidisciplinary antimicrobial stewardship team. The core members should always include an antibiotic prescriber and a pharmacist trained in infection management, antimicrobial usage and antimicrobial resistance or another professional with a similar role.
1.2. Desirable	The antimicrobial stewardship team should have core members comprising an infectious disease specialist and/or a clinical microbiologist, and an infection control professional trained in antimicrobial usage and resistance.
1.3. Desirable	Include additional figures in the core group according to the setting, resources and type of intervention (i.e. other specialists from target wards, infection control nurses, clinical psychologists and IT experts).
Institutional support for organization and management of antimicrobial stewardship programmes: legal framework
1.4. Essential	Regulate and promote antimicrobial stewardship activities at every level of the healthcare organization with well-defined roles and responsibilities and a clear governance structure.
Institutional support for the organization and management of antimicrobial stewardship programmes: staffing personnel
1.5. Essential	Include dedicated time and specific salary support for antimicrobial stewardship activities as part of antimicrobial stewardship programmes.
1.6. Essential	Allocate full-time equivalents according to national requirements for the different settings and level of intervention, where available.