How to start an antimicrobial stewardship programme in a hospital
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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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While the composition of the IPC and AMS teams varies across different settings, emerging studies from LMICs support multidisciplinary AMS teams in general, as well as being specific to paediatric departments.
“While the composition of the IPC and AMS teams varies across different settings, emerging studies from LMICs support multidisciplinary AMS teams in general, as well as being specific to paediatric departments.5,28,30–33”
From Rationalizing irrational prescribing—infection-related attitudes and practices across paediatric surgery specialties in a hospital in South India (2024) · cites this paper as [28]
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Man vs Microbes – The Race of the Century
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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
- bronze
- doi.org
- Licence
- 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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