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Table 1 Recommendations to prescribers from the antimicrobial stewardship team

From: Impact of an antimicrobial stewardship in a 126-bed community hospital with close communication between pharmacists working on post-prescription audit, ward pharmacists, and the antimicrobial stewardship team

1) Order of culture examinations ・Identification of microbial pathogens and implementation of susceptibility tests before administration of parenteral antimicrobials.
2) Selection of antimicrobials ・Selection of antimicrobials for empirical initial antimicrobial therapy.
・Changes in antimicrobials based on the results of susceptibility tests (not including de-escalation).
3) Dose of antimicrobials ・Dose optimization based on the severity of disease and the renal function of patients.
4) Duration of antimicrobial therapy ・Recommendation to discontinue antimicrobial therapy.
5) De-escalation ・Change in excessively broad therapy to more targeted antimicrobial therapy.
6) Therapeutic drug monitoring ・Dose and/or dosing interval recommendation based on the results of a pharmacokinetic analysis.
7) Others ・Other recommendations concerning infectious disease therapy.