Global AMS “Core Elements” Checklist

Antimicrobial resistance is increasing in the Gulf/MENA region, mainly due to the misuse and abuse of antibiotics both in human healthcare and the agricultural sector. In addition, the lack of specific legislations guiding antibiotic practices in these countries creates an ideal environment for the spread of AMR. For further information on this click here.

Hospitals are encouraged to implement a multidisciplinary antimicrobial stewardship program (ASP). The core elements of the ASP are clearly outlined and guidance is provided by the WHO, several bodies like the IDSA, ESCMID, and the BSAC have also endorsed a similar approach.

The following seven core elements were developed by the CDC for hospitals to adopt in implementing their own ASP:

1. Leadership Commitment: Dedicating necessary human, financial and information technology resources. This will be discussed further in step 2.8.

2. Accountability: Appointing a single leader responsible for program outcomes. Experience with successful programs shows that a physician leader is effective.

3. Drug Expertise: Appointing a single pharmacist leader responsible for working to improve antibiotic use.

4. Action: Implementing at least one recommended action, such as systemic evaluation of ongoing treatment need after a set period of initial treatment (i.e. “antibiotic time out” after 48 hours). Different interventions are discussed in step 2.10.

5. Tracking: Monitoring antibiotic prescribing and resistance patterns. The importance of surveillance is discussed in step 2.13.

6. Reporting: Regular reporting of information on antibiotic use and resistance to doctors, nurses and relevant staff.

7. Education: Educating clinicians about resistance and optimal prescribing. Education and training will be discussed at the beginning of week 3.