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Australia-wide point prevalence survey of the use and appropriateness of antimicrobial prescribing for children in hospital

The threat of antimicrobial resistance and its impact on health care settings globally are well recognised, and a multifaceted and coordinated response is required.13 Antimicrobial use is the main driver of the development of resistance and, as such, advocacy for rational use of existing antimicrobial drugs — antimicrobial stewardship (AMS) — is vital for preventing the development of resistance.4,5 Very few new antimicrobials are in the drug discovery pipeline so ensuring that the right drug is prescribed in the right dose, via the right route and for the right duration is critical.6 In contrast, AMS interventions are readily available and have shown promise in delivering improvement in measures of process and outcome.7,8

Design and implementation of effective and efficient AMS interventions are reliant on data regarding current antimicrobial prescribing patterns. There is a paucity of such data for hospitalised children.911 We aimed to address this evidence gap by using a point prevalence survey (PPS) to describe antimicrobial use in hospitalised…