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
Switch: How to Change Things When Change Is Hard
Heath, C., & Heath, D. (2010) · Cited by 286
Antimicrobial Stewardship: How the Microbiology Laboratory Can Right the Ship
Morency-Potvin, P., Schwartz, D. N., & Weinstein, R. A. (2017) · Clinical Microbiology Reviews · doi:10.1128/cmr.00066-16 · Cited by 230
The Three Faces of Performance Measurement: Improvement, Accountability, and Research
Solberg, L. I., Mosser, G., & McDonald, S. (1997) · The Joint Commission Journal on Quality Improvement · doi:10.1016/s1070-3241(16)30305-4 · Cited by 227
de With, K., Allerberger, F. J., Amann, S., Apfalter, P., Brodt, H.-R., Eckmanns, T., Fellhauer, M., Geiss, H. K., Janata, O., Krause, R. G. E., et al. (2016) · Infection · doi:10.1007/s15010-016-0885-z · Cited by 217
Pulcini, C., Binda, F., Lamkang, A. S., Trett, A., Charani, E., Goff, D. A., Harbarth, S., Hinrichsen, S. L., Levy-Hara, G., Mendelson, M., et al. (2018) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2018.03.033 · Cited by 215
Tamma, P. D., Avdic, E., Keenan, J. F., Zhao, Y., Anand, G. S., Cooper, J., Dezube, R., Hsu, S., & Cosgrove, S. E. (2016) · Clinical Infectious Diseases · doi:10.1093/cid/ciw780 · Cited by 189
Measuring Appropriate Antimicrobial Use: Attempts at Opening the Black Box
Spivak, E. S., Cosgrove, S. E., & Srinivasan, A. (2016) · Clinical Infectious Diseases · doi:10.1093/cid/ciw658 · Cited by 170
Benić, M. S., Milanič, R., Monnier, A. A., Gyssens, I. C., Adriaenssens, N., Versporten, A., Zanichelli, V., Maréchal, M. L., Huttner, B. D., Tebano, G., et al. (2018) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dky118 · Cited by 152
Antibiotic stewardship: does it work in hospital practice? A review of the evidence base
Hulscher, M., & Prins, J. M. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.07.017 · Cited by 151
Charani, E., Smith, I., Skodvin, B., Perozziello, A., Lucet, J.-C., Lescure, F.-X., Birgand, G., Poda, A., Ahmad, R., Singh, S., et al. (2019) · PLOS ONE · doi:10.1371/journal.pone.0209847 · Cited by 139
Maréchal, M. L., Tebano, G., Monnier, A. A., Adriaenssens, N., Gyssens, I. C., Huttner, B. D., Milanič, R., Schouten, J. A., Benić, M. S., Versporten, A., et al. (2018) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dky117 · Cited by 112
Baysari, M. T., Lehnbom, E. C., Li, L., Hargreaves, A., Day, R. O., & Westbrook, J. I. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.04.008 · Cited by 107
Human resources estimates and funding for antibiotic stewardship teams are urgently needed
Pulcini, C., Morel, C. M., Tacconelli, E., Beovič, B., de With, K., Goossens, H., Harbarth, S., Holmes, A. H., Howard, P., Morris, A. M., et al. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.07.013 · Cited by 99
The impact of infectious disease specialists on antibiotic prescribing in hospitals
Pulcini, C., Botelho-Nevers, É., Dyar, O. J., & Harbarth, S. (2014) · Clinical Microbiology and Infection · doi:10.1111/1469-0691.12751 · Cited by 93
James, R. S., Upjohn, L., Cotta, M. O., Luu, S., Marshall, C. L., Buising, K. L., & Thursky, K. (2015) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkv047 · Cited by 91
The Role of Behavior Change in Antimicrobial Stewardship
Charani, E., Castro‐Sánchez, E., & Holmes, A. (2014) · Infectious Disease Clinics of North America · doi:10.1016/j.idc.2014.01.004 · Cited by 90
Stenehjem, E. A., Hersh, A. L., Buckel, W. R., Jones, P., Sheng, X., Evans, R. S., Burke, J. P., Lopansri, B. K., Srivastava, R., Greene, T., et al. (2018) · Clinical Infectious Diseases · doi:10.1093/cid/ciy155 · Cited by 78
Monnier, A. A., Schouten, J. A., Maréchal, M. L., Tebano, G., Pulcini, C., Benić, M. S., Vlahović–Palčevski, V., Milanič, R., Adriaenssens, N., Versporten, A., et al. (2018) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dky116 · Cited by 78
Hall, A. E., Bryant, J., Sanson‐Fisher, R., Fradgley, E. A., Proietto, A. M., & Roos, I. A. G. (2018) · Health Expectations · doi:10.1111/hex.12665 · Cited by 75
Guideline for the optimal use of blood cultures
Ntusi, N., Aubin, L., Oliver, S., Whitelaw, A. C., & Mendelson, M. (2010) · South African Medical Journal · doi:10.7196/samj.4217 · Cited by 73
Guidance for the Knowledge and Skills Required for Antimicrobial Stewardship Leaders
Cosgrove, S. E., Hermsen, E. D., Rybak, M. J., File, T. M., Parker, S. K., & Barlam, T. F. (2014) · Infection Control and Hospital Epidemiology · doi:10.1086/678592 · Cited by 64
How to Pitch an Antibiotic Stewardship Program to the Hospital C-Suite
Spellberg, B. J., Bartlett, J. G., & Gilbert, D. N. (2016) · Open Forum Infectious Diseases · doi:10.1093/ofid/ofw210 · Cited by 51
Echevarria, K. L., Groppi, J. A., Kelly, A. A., Morreale, A. P., Neuhauser, M. M., & Roselle, G. A. (2017) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp160825 · Cited by 49
Broom, A. F., Broom, J. K., Kirby, E. R., & Scambler, G. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.10.037 · Cited by 42
Broom, A. F., Plage, S., Broom, J. K., Kirby, E. R., & Adams, J. (2015) · BMC Health Services Research · doi:10.1186/s12913-016-1290-0 · Cited by 40
Managing responsible antimicrobial use: perspectives across the healthcare system
Dyar, O. J., Tebano, G., & Pulcini, C. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.04.016 · Cited by 40
Human resources required for antimicrobial stewardship teams: a Dutch consensus report
ten Oever, J., Harmsen, M., Schouten, J. A., Ouwens, M. M. M. T. J., van der Linden, P. D., Verduin, C. M., Kullberg, B. J., Prins, J. M., & Hulscher, M. (2018) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2018.07.005 · Cited by 37
Kallen, M. C., ten Oever, J., Prins, J. M., Kullberg, B. J., Schouten, J. A., & Hulscher, M. (2018) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dky367 · Cited by 35
Kuper, K. M., Nagel, J. L., RPhD, J. W. K., May, L. S., & Lee, F. M. (2019) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2019.51 · Cited by 35
Luther, V. P., Shnekendorf, R. A., Abbo, L. M., Advani, S. D., Armstrong, W. S., Barsoumian, A. E., Beeler, C., Bystritsky, R. J., Cherabuddi, K., Cohen, S., et al. (2018) · Clinical Infectious Diseases · doi:10.1093/cid/ciy332 · Cited by 31
WHO competency framework for health workers’ education and training on antimicrobial resistance
WHO, Castro Sanchez, E., & Holmes, A. (2018) · Spiral (Imperial College London) · doi:10.25561/71269 · Cited by 26
Dresser, L., Bell, C. M., Steinberg, M., Ferguson, N. D., Lapinsky, S. E., Lazar, N. M., Murphy, P., Singh, J. M., & Morris, A. M. (2017) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkx341 · Cited by 22
Morris, A. M., Rennert‐May, E., Dalton, B., Daneman, N., Dresser, L., Fanella, S. T., Grant, J., Keynan, Y., Saux, N. L., McDonald, J., et al. (2018) · Antimicrobial Resistance and Infection Control · doi:10.1186/s13756-018-0396-z · Cited by 18
Beovič, B., Pulcini, C., Dumartin, C., Béraud, G., Nerat, B., Maurel, C., Doušak, M., Čižman, M., Allerberger, F. J., Benkő, R., et al. (2018) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2018.07.019 · Cited by 14
Antimicrobial Stewardship—a practical guide to implementation in hospitals
(2019) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlz005 · Cited by 4
Flagged first, then by citations
1 of the 46 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Gennaro, F. D., Marotta, C., Amicone, M., Bavaro, D. F., Bernaudo, F., Frisicale, E. M., Kurotschka, P. K., Mazzari, A., Veronese, N., Murri, R., et al. (2020) · Journal of Global Antimicrobial Resistance · doi:10.1016/j.jgar.2020.08.022 · Cited by 82
Implementation of Antimicrobial Stewardship in the Healthcare Setting
Bankar, N. J., Ugemuge, S., Ambad, R. S., Hawale, D., & Timalsina, D. R. (2022) · Cureus · doi:10.7759/cureus.26664 · Cited by 56
A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda
Musoke, D., Kitutu, F. E., Mugisha, L., Amir, S., Brandish, C., Ikhile, D., Kajumbula, H., Kizito, I. M., Lubega, G. B., Niyongabo, F., et al. (2020) · Antibiotics · doi:10.3390/antibiotics9110764 · Cited by 47
Hidalgo-Tenorio, C., Bou, G., Oliver, A., Rodríguez-Aguirregabiria, M., Salavert, M., & Martı́nez-Martı́nez, L. (2024) · Drugs · doi:10.1007/s40265-024-02102-8 · Cited by 47
Hadi, H. A., Eltayeb, F., Balushi, S. A., Daghfal, J., Ahmed, F., & Mateus, C. (2024) · Antibiotics · doi:10.3390/antibiotics13030253 · Cited by 38
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
