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

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How to start an antimicrobial stewardship programme in a hospital

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

DOI 10.1016/j.cmi.2019.08.007

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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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Elias, C., Ha, N. T., Sengvilaipaserth, O., Phaychith, A., Chansamouth, V., Phongsavath, V., Keohavong, B., Detleuxay, K., Maniphone, P., Soukhaseum, T., et al. (2024) · Research Square · doi:10.21203/rs.3.rs-4002898/v1
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eLife Assessment: Dimer-monomer transition defines a novel hyper-thermostable peptidoglycan hydrolase mined from bacterial proteome
Kana, B. D. (2024) · eLife · doi:10.7554/elife.98266.1.sa2
Reviewer #1 (Public Review): Dimer-monomer transition defines a novel hyper-thermostable peptidoglycan hydrolase mined from bacterial proteome
(2024) · eLife · doi:10.7554/elife.98266.1.sa1
Reviewer #2 (Public Review): Dimer-monomer transition defines a novel hyper-thermostable peptidoglycan hydrolase mined from bacterial proteome
(2024) · eLife · doi:10.7554/elife.98266.1.sa0

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.
ORCID: Mendelson, M.
Morris, A.M.
Thursky, K.
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)
DOI: 10.1016/j.cmi.2019.08.007
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 366 d)
Locations: Clinical Microbiology and Infection (publishedVersion)
PubMed (publishedVersion)
HAL (submittedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Health Sciences › Medicine › Microbiology (medical) › 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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How to start an antimicrobial stewardship programme in a hospital

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