Antimicrobial Stewardship

Antimicrobial Stewardship: Guidelines

SHEA has partnered with IDSA for over a decade to develop treatment guidelines and programmatic recommendations for antimicrobial stewardship.

Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship

Author: Joint SHEA/IDSA Taskforce
Date Published: Jan, 01 2007
Publication Format: PDF

Abstract: This document presents guidelines for developing institutional programs to enhance antimicrobial stewardship, an activity that includes appropriate selection, dosing, route, and duration of antimicrobial therapy. The combination of effective antimicrobial stewardship with a comprehensive infection control program has been shown to limit the emergence and transmission of antimicrobial‐resistant bacteria and reduce healthcare costs without adversely impacting quality-of-care. These guidelines focus on the development of effective hospital‐based stewardship programs and do not include specific outpatient recommendations. The population targeted includes all patients in acute care hospitals.

Guidelines for the Prevention of Antimicrobial Resistance in Hospitals

Author: SHEA/IDSA Joint Committee on the Prevention of Antimicrobial Resistance
Date Published: April 1997, CID

Abstract: Antimicrobial resistance results in increased morbidity, mortality, and costs of healthcare. Prevention of the emergence of resistance and the dissemination of resistant microorganisms will reduce these adverse effects and their attendant costs. Appropriate antimicrobial stewardship that includes optimal selection, dose, and duration of treatment, as well as control of antibiotic use, will prevent or slow the emergence of resistance among microorganisms. A comprehensively applied infection control program will interdict the dissemination of resistant strains.