The DOI matches its Crossref record; 45 of the 46 references it cites were found in a registry or an index.
How to start an antimicrobial stewardship programme in a hospital
Open accessAbstract
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Citations
Cites
Michie, S., van Stralen, M. M., & West, R. (2011) · Implementation Science · doi:10.1186/1748-5908-6-42 · Cited by 13,697
Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485
Barlam, T. F., Cosgrove, S. E., Abbo, L. M., MacDougall, C., Schuetz, A. N., Septimus, E. J., Srinivasan, A., Dellit, T. H., Falck-Ytter, Y. T., Fishman, N. O., et al. (2016) · Clinical Infectious Diseases · doi:10.1093/cid/ciw118 · Cited by 3,214
Interventions to improve antibiotic prescribing practices for hospital inpatients
Davey, P. G., Brown, E. M., Charani, E., Fenelon, L. E., Gould, I. M., Holmes, A. H., Ramsay, C. R., Wiffen, P. J., & Wilcox, M. A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003543.pub3 · Cited by 1,893
Flottorp, S. A., Oxman, A. D., Krause, J., Musila, N. R., Wensing, M., Godycki-Cwirko, M., Baker, R., & Eccles, M. P. (2013) · Implementation Science · doi:10.1186/1748-5908-8-35 · Cited by 1,138
Interventions to improve antibiotic prescribing practices for hospital inpatients
Davey, P., Marwick, C. A., Scott, C. L., Charani, E., McNeil, K., Brown, E., Gould, I. M., Ramsay, C. R., & Michie, S. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003543.pub4 · Cited by 1,068
What is antimicrobial stewardship?
Dyar, O. J., Huttner, B., Schouten, J., & Pulcini, C. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.08.026 · Cited by 870
Personal paper: Beliefs and evidence in changing clinical practice
Grol, R. P. T. M. (1997) · BMJ · doi:10.1136/bmj.315.7105.418 · Cited by 826
Antibiotic stewardship in low- and middle-income countries: the same but different?
Cox, J. A., Vlieghe, E., Mendelson, M., Wertheim, H., Ndegwa, L., Villegas, M. V., Gould, I., & Levy Hara, G. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.07.010 · Cited by 529
Switch: How to Change Things When Change Is Hard
Malone, P. (2011) · The Journal of Applied Management and Entrepreneurship · Cited by 303
Flagged first, then by citations
1 of the 46 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Items 101–115 of 115
Zhang, L., Hu, F., Zhao, Z., Li, X., Zhong, M., He, J., Yao, F., Zhang, X., Mao, Y., Wei, H., et al. (2024) · eLife · doi:10.7554/elife.98266.1
Impacto clínico e econômico do Antimicrobial Stewardship Program em um hospital escola no Brasil
Brondani, L. E. B., Schneider, A. P. H., Krummenauer, E. C., Renner, J. D. P., Carneiro, M., & Menezes, R. M. (2024) · Saúde (Santa Maria) · doi:10.5902/2236583467943
A multicenter audit of 1295 daptomycin prescriptions in the Auvergne-Rhône-Alpes region
Cras, R. L., Solomovici, B., Lesprit, P., Foroni, L., Ameye, T., Baud, O., Boden, S., Bourget, S., Bricca, R., Chatron, C., et al. (2025) · Infectious Diseases Now · doi:10.1016/j.idnow.2025.105106
Pulling teeth or pulling together? Time to improve antibiotic prescribing in dentistry
Yii, D. Y. C., Zhou, Y. P., & Chung, S. J. (2025) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.2025167
Chizimu, J. Y., Mudenda, S., Daka, V., Mufwambi, W., Muhimba, Z., Yamba, K., Shawa, M., Mwangilwa, K., Hangoma, J. M., Fwoloshi, S., et al. (2025) · Antibiotics · doi:10.3390/antibiotics14111125 · Cited by 1
Elias, C., Ha, N. T., Sengvilaipaserth, O., Phaychith, A., Chansamouth, V., Phongsavath, V., Keohavong, B., Detleuxay, K., Maniphonh, P., Soukhaseum, T., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26629112
The hidden toll of war: long-term health risks at Europe’s doorstep
Siniscalchi, C., Imbalzano, E., & Micco, P. D. (2025) · Italian Journal of Medicine · doi:10.4081/itjm.2025.2403
Antimicrobial stewardship in Ireland (2010–2021): a scoping review
Barry, F., Murphy, O., Fitzgerald, A. P., O’Reilly, É. J., & Smiddy, M. P. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14498-y
Almaghrabi, R. H. D., Alhusain, F., Alfahad, W. A., Alabdulsalam, A., AlNakhli, F., Ben-Akresh, A., Algeer, A., Kheir, A., Alqahtani, K., & Almutairi, A. (2026) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2026.103309
Ansari, T., Zehra, A., Jabbar, S., Fatima, M., Syed, B., Shah, S. S. A. M., Ahmed, A. S., Hamid, A., & Ashafaq, H. (2026) · medRxiv · doi:10.64898/2026.07.16.26358229
Meschiari, M., Onorato, L., Albertini, M., Fontana, B., Menozzi, V., Cantergiani, S., Simion, M., Santoro, A., Franceschini, E., Orlando, G., et al. (2026) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlag148
Karunaratne, M., Athapattu, P. L., Jayawardena, M. N., Gunasekera, C., Arachchi, D. A., Karunanayake, L., Jayatilleke, K., Samarakoon, S., Wickramasinghe, K., Wijewickrama, A., et al. (2026) · The Lancet Regional Health - Southeast Asia · doi:10.1016/j.lansea.2026.100826
Elshenawy, R. A., Cernaliu, A., Abe, O. M., Dsouza, R., & Chowdhury, S. M. (2026) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2026.09.020
Miagostovich, A., Willemsen, I., Jansen, T. H., & de Vet, E. (2026) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2026.10534
Zelelie, T. Z., Endewunetu, E., Temesgen, Y., Shenkute, D., Sahle, Z., Mekonnen, B., Aydagnuhm, G. B., Berihun, A., & Yitayew, B. (2026) · Health Science Reports · doi:10.1002/hsr2.73346
Metadata
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review