Hospital Antimicrobial Stewardship Programs Resources

Hospital Antimicrobial Stewardship Programs:

Review of Core Elements and Resource Recommendations 

Antimicrobial stewardship programs (ASPs) are vital in the fight against the growing issue of antimicrobial resistance. The 2018 WISH LHSN Report highlights core components of ASPs, as laid out in various sources produced by a diversity of organizations and public health bodies. This review provides an extensive compilation of 35 program elements, offering:

  • Comprehensive definitions for each component based on the resources reviewed

  • A list of resources (e.g reviews and guidelines) recommending each component

  • A review of current checklists utilized by institutions or regional bodies to assess the quality of ASP implementation


This unique compilation of resources and checklists presents the first comprehensive summary of the components integrated into ASPs around the world under one summary report, instrumentally serving to build an evaluation framework applicable across resource-rich and resource-limited contexts. 


Core element types are disaggregated as: 

  • Structure measures (15), including tangible resources that are in place in order to facilitate the implementation of the program, such as an AMS team and drug formulary.


  • Process measures (15), such as methods and procedures, such as restrictions on the specific prescription of antibiotics.


  • Outcome measures (5), referring to the monitoring of measurable values that indicate the success of an antimicrobial stewardship program. Outcome measures may include the quantity of antibiotic use, antibiotic resistance, or other unintended consequences.