Review Article

Educational Effectiveness, Target, and Content for Prudent Antibiotic Use

Table 1

Antimicrobial stewardship strategies.

StrategiesInterventions

Educational programs(i) Guidelines and leaflets
(ii) Interactive seminars
(iii) Educational outreach visit
(iv) Mailing campaigns
(v) Small group education focusing on evidence-based medicine and communication skills
(vi) Patient education

Restrictive programs(i) Audit and feedback
(ii) Delayed prescriptions
(iii) Clinical rounds discussing cases
(iv) Compulsory antibiotic order form
(v) Regulating contacts with the pharmaceutical industry
(vi) Financial and regulatory disincentives

Supportive programs(i) Multidisciplinary antimicrobial stewardship team
(ii) Financial and regulatory incentives
(iii) Computer-assisted management program
(iv) Clinician reminder and decision support system
(v) Therapeutic drug monitoring service