Antimicrobial/ Antibiotic/ Antibacterial Stewardship

Antimicrobial/ antibiotic/ antibacterial stewardship promotes the appropriate use of antimicrobials which improves patient outcomes reduces microbial resistance and decreases the spread of infections caused by multidrug resistant organisms.

Antimicrobial/ antibiotic/ antibacterial stewardship is the systematic effort to educate and persuade prescribers of antimicrobials to follow evidence based prescribing in order to stem antibiotic overuse and thus antimicrobial resistance. This is an organized effort of specialists in infectious diseases both in internal medicine and pediatrics with their respective peer organizations, hospital pharmacists, the public health community and their professional organizations since the late 1990s. It has first been implemented in hospitals. In USA this has been the largest voluntary self regulation in the form of policies and appeals to adhere to a prescribing discipline. At hospitals this may take the form of an antimicrobial stewardship program. As of 2014, only the state of California has made it mandatory by law.

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