Cited by 115Antibiotic Use and ResistanceInfection Control in HealthcareAntibiotic Resistance in Bacteria

How to start an antimicrobial stewardship programme in a hospital

Open access
Mendelson, M., Morris, A.M., Thursky, K., Pulcini, C.·2020·Clinical Microbiology and Infection

Abstract

Background Antimicrobial stewardship (AMS) describes a coherent set of actions that ensure optimal use of antimicrobials to improve patient outcomes, while limiting the risk of adverse events (including antimicrobial resistance (AMR)). Introduction of AMS programmes in hospitals is part of most national action plans to mitigate AMR, yet the optimal components and actions of such a programme remain undetermined.Objectives To describe how health-care professionals can start an AMS programme in their hospital, the components of such a programme and the evidence base for its implementation.Sources National and society-led guidelines on AMS, peer-reviewed publications and experience of AMS experts conducting AMS programmes.Content We provide a step-by-step pragmatic guide to setting up and implementing a hospital AMS programme in high-income or low-and-middle-income countries.Implications Antimicrobial stewardship programmes in hospitals are a vital component of national action plans for AMR, and have been shown to significantly reduce AMR, particularly when coupled with infection prevention and control interventions. This step-by-step guide of 'how to' set up an AMS programme will help health-care professionals involved in AMS to optimally design and implement their actions.

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Crossref · 10.1016/j.cmi.2019.08.007

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Authors
Mendelson, M., Morris, A. M., Thursky, K., & Pulcini, C.
Affiliations
  • University of Cape Town (ZA)
  • University Health Network (CA)
  • The Royal Melbourne Hospital (AU)
  • Centre Hospitalier Régional et Universitaire de Nancy (FR)
Corresponding author
Pulcini, C.
Venue
Clinical Microbiology and Infection
Publisher
Elsevier BV
Published
2020-04
Volume
26
Issue
4
Pages
447-453
ISSN
1198-743X (ISSN-L)
OpenAlex
W2969691897
Cited by
115
References
46
Citations by year
2026: 11 · 2025: 25 · 2024: 36 · 2023: 25 · 2022: 4 · 2021: 8 · 2020: 6
FWCI
0.50
Type
journal article
Language
en
Open access
Locations
  • Clinical Microbiology and Infection (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
  • Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
Keywords
antimicrobial stewardship, antimicrobial resistance, program implementation, infection control, national action plans, low- and middle-income countries
MeSH terms
Antimicrobial Stewardship, Anti-Infective Agents, Health Personnel, Health Plan Implementation, Hospitals, Humans, Poverty, Socioeconomic Factors

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