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Part II: Antimicrobial stewardship programme
2.1 Antimicrobial stewardship programme (ASP)
- ASP is defined as the optimal selection, dosage, route of administration and duration of antibiotic treatment (119–120).
- Benefits of ASP include improved patient outcomes (121–122), reduced adverse reactions, reduced Clostridium difficile infection rate (121,123), minimal impact on subsequent antibiotic resistance (124–125) and optimisation of resource utilisation (125–126).
- ASP is one of the core components of infection control which is one of the mandatory criteria in the Australian Council on Healthcare Standards Evaluation and Quality Improvement Program Hong Kong Guide (127).
- It involves a multidisciplinary, programmatic, prospective, interventional approach to optimising the use of antimicrobial agents.
- ASP team comprises clinical microbiologists, infectious disease physicians, infection control nurses, and infectious disease pharmacists.
Table 2.1 Methods to implement ASP in hospital setting
|Prospective audit and feedback||
|Guidelines, education & consultation||
|Review and surveillance||