Table 1

Specific antimicrobial stewardship programme strategies to reduce inappropriate antimicrobial use

ProblemPossible strategiesReference
High prevalence of vancomycin-resistant enterococci or vancomycin usageVancomycin reduction guideline to cut down the overuseChiu et al.31
.
High prevalence of multidrug-resistant Gram-negative bacterial infectionsSuppression of excess usage of third-generation cephalosporins.Calil et al.32
High broad-spectrum antibiotic usageReduce use of broad-spectrum perioperative antibiotic prophylaxis for clean surgical procedures;
avoid prolonged duration of postoperative prophylaxis days of therapy of perioperative prophylaxis >48 hours;
avoid prolonged duration of culture-negative sepsis
Cantey et al.4