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Hospital’s AMS team

1. A prescribing clinician
2. Infectious Disease Specialist
3. Health informatics
4. Pharmacist
5. A nurse with expertise in infections or IPC
6. Microbiologist
7. Laboratory technician

Active IPC committee

A governance structure – e.g. a national AMS technical working group (TWG) or AMS committe

1. Familiarity with National action plan on Antimicrobial resistance
2. Regular public antibiotic awareness campaigns
3. Continued training on optimal antibiotic use for health-care professionals
4. Initial and regular training on AMS competencies of the AMS team in infection management, and stewardship

1. Integration of the AWaRe classification of ABs in the hospital formulary
2. Hospital formulary contains a list of approved antibiotics
3. Hospital formulary contains list of restricted antibiotics
4. Up-to-date clinical treatment guidelines on antibiotics use
5. Standards and criteria for responsible disposal of antimicrobials are developed
6. Regulations on fixed-dose combinations of antibiotics
7. Regulations on prescription-only sale of antibiotics at dispensing units
8. Measures in place to ensure Stable access to essential antibiotics

1. Data on Antimicrobial use and consumption
2. Surveillance of AMR
3. Quantity- type- antibiotic susceptibility and resistance rates

1. Diagnostic tests available and capacity building undertaken to optimize antibiotic use
2. Laboratory and imaging services accessible to support AMS interventions
3. Health-care facility access to IT services to support AMS activities

1. AMS identified as a priority for health-care facility management
2. National AMS implementation plan with defined goals, outcomes, timelines, structures
3. Dedicated financial support for the health-care facility AMS

1. Regular AMS team review/audit of specified antibiotic therapy or clinical conditions at the healthcare facility
2. Advice/feedback from AMS team members is easily accessible/available to all prescribers
3. Conduct regular ward rounds and other AMS interventions in select health-care facility departments
4. Implement IPC core components in health facilities
5. Standardized facility prescription chart and medical records
6. (to clearly document the indication, drug, dose, route, interval, duration and review dates)
7.  

1. Monitoring appropriateness of antibiotic use at the unit and/or facility-wide level through audits or PPS
2. Monitoring compliance of AMS interventions by the AMS committee