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This study is part of a longitudinal study for the evaluation of the implementation of a stewardship program for antibiotic treatment (ABx Trial Registration: ISRCTN54598675).
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This calls for judicious use of higher antibiotics, implementation of an antibiotic stewardship program and strict infection control practices.
This study evaluated changes in antimicrobial use associated with implementation of an antimicrobial stewardship audit and feedback program using a controlled interrupted time series design [ 17].
The purpose of the current report is to describe the implementation of an antimicrobial stewardship program on the medical-surgical service of a 100-bed community hospital employing a core strategy of post-prescriptive audit with intervention and feedback.
Following the implementation of an antimicrobial stewardship program in 2004, the use of vancomycin decreased from 378 DA/1000 patient-days per year in 2003 2004 to 173 DA/1000 patient-days per year in 2009 2010 (P = <0.001) [ 10, 13].
The implementation of an antimicrobial stewardship program (ASP) aims to prevent or slow the emergence of multidrug-resistant (MDR) pathogens, reduce the costs related to healthcare and decrease morbidity and mortality [ 6, 7].
From our experience, leadership and a culture that embraces change is critical to implementation of a successful antimicrobial stewardship program.
Improvement of healthcare workers' hand hygiene and the implementation of a practical antimicrobial stewardship program based on local epidemiology may be useful [ 21].
The implementation of an integrated antimicrobial stewardship program led to an overall reduction of vancomycin and broad-spectrum antibiotic use [ 9].
These parameters can be used to customise an implementation of antibiotic stewardship programs to local needs (while retaining its expert-based foundation).
A worldwide implementation of antibiotic stewardship programmes is of paramount importance [ 23, 55].
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