title: Identifying best practices across three countries: hospital antimicrobial stewardship in the United Kingdom, France, and the United States.
abstract: Rational antimicrobial use can be achieved through antimicrobial stewardship--a coordinated set of strategies designed to improve the appropriate use of antimicrobial agents. There are encouraging examples of antimicrobial stewardship programs from different parts of the world; however, the structure of these programs varies by hospital and country. In an effort to identify best practices in hospitals, we describe legislative requirements, antimicrobial stewardship program infrastructure, strategies and outcomes in 3 countries that have established programs--the United Kingdom, France, and the United States.
authors.affiliation: Trivedi Consults, LLC, Albany, California.
authors.forename: Kavita K
authors.initials: KK
authors.lastname: Trivedi
authors.affiliation: Southwestern Centre for Healthcare Associated Infections Prevention and Control and Inserm 657, Bordeaux University, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Dumartin
authors.affiliation: Department of Infection/Pharmacy, Imperial College Healthcare NHS Trust.
authors.forename: Mark
authors.initials: M
authors.lastname: Gilchrist
authors.affiliation: Department of Infection, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Paul
authors.initials: P
authors.lastname: Wade
authors.affiliation: Pharmacy, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
authors.forename: Philip
authors.initials: P
authors.lastname: Howard
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D004363:Drug Utilization / Q000331:legislation & jurisprudence*; D005602:France; D006801:Humans; D007882:Legislation, Hospital; D017410:Practice Guidelines as Topic; D006113:United Kingdom; D014481:United States
chemical_list: D000890:Anti-Infective Agents
keywords: antimicrobial stewardship; outcomes; strategies