To the Editor—The Japan Council for Quality Health Care assesses Japanese hospitals according to various criteria and makes the results available on the Internet. One of the most significant criteria is this: "Are specific antimicrobial agents (carbapenems, vancomycin, etc.) administered under a proper stewardship program, such as a permission and notification system?" Because of this item, man...

Over the past many decades, social movements led by indigenous and other rural communities have been at forefront of environmental stewardship. The UN has recognised these contributions defi...

This article summarizes the current literature describing how antimicrobial stewardship interventions impact antimicrobial resistance. Discussion includes why we need stewardship, how to collaborate with team members, and the evidence of stewardship's impact on resistance.

BACKGROUND Inappropriate antimicrobial use can threaten patient safety and is the focus of collaborative physician and pharmacist antimicrobial stewardship teams. However, antimicrobial stewardship is not comprehensively taught in medical or pharmacy school curricula. Addressing this deficiency can teach an important concept as well as model interprofessional healthcare. METHODS We created an...

OBJECTIVE Develop a clinical decision support tool comprised of an electronic medical record alert and antimicrobial stewardship navigator to facilitate antimicrobial stewardship. DESIGN We analyzed alerts targeting antimicrobial de-escalation to assess the effectiveness of the navigator as a stewardship tool. The alert provides antimicrobial recommendations, then directs providers to the nav...

Objective. To study the impact of our multimodal antibiotic stewardship program on Pseudomonas aeruginosa susceptibility and antibiotic use in the intensive care unit (ICU) setting. Methods. Our stewardship program employed the key tenants of published antimicrobial stewardship guidelines. These included prospective audits with intervention and feedback, formulary restriction with preauthorizat...

in india, over the last decade, a series of stewardship failures in the health system, particularly in the medical profession, have led to a massive erosion of trust in these institutions. in many low- and middle-income countries (lmics), the situation is similar and has reached crisis proportions; this crisis requires urgent attention. this paper draws on the insights from the recent developme...

background: social issues have prominent effects on the peoples' physical and mental health and on the health risk factors. in iran, many organizations provide social care services to their target population. this study aimed to explore the roles and functions of primary health care (phc) system in providing social care services in iran.   methods: this was a qualitative study, for which data w...