Antimicrobial Stewardship Programmes
Noella Maria Delia Pereira.
Department of Pediatrics, K J Somaiya Medical College & Research Centre, Mumbai, India.
Abstract
Antimicrobial resistance (AMR) is an emerging public threat. There is a need to develop antimicrobial treatment guidelines, including a plan to reduce AMR at the community and hospital level. We present a literature review to study the strategies used and the effectiveness of antimicrobial stewardship programmes (ASPs). ASPs are cost-effective, reduce antimicrobial resistance, improve clinical outcomes, and alter prescribing behavior without compromising short-term outcomes. They not only help reduce hospital stay but also the duration of antibiotic therapy thus leading to significant cost savings and reduction in infection by resistant organisms like Clostridium difficile and Acinetobacter baumannii. Prospective audit with intervention and feedback to physicians and restriction or prior approval of antibiotics are the two most effective strategies commonly used in most ASPs. Thus, ASPs lead to an overall reduction in antimicrobial consumption.

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