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Antimicrobial stewardship resources and activities for children in tertiary hospitals in Australasia: a comprehensive survey

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Antimicrobial resistance is a serious threat to global health13 and there are few new antimicrobials in the pipeline, particularly for gram-negative bacteria.4 By ensuring rational prescribing, antimicrobial stewardship (AMS) plays a critical role in reducing the development of microbial resistance. Since the 2011 call for action by the World Health Organization,3 AMS activities have been increasing worldwide.

While guidelines exist for implementing hospital AMS programs,5,6 there is little information about what is being done in paediatric hospitals.7 We aimed to identify current AMS resources and activities for children in hospitals throughout Australasia, to identify gaps in services, to identify gaps in services.


Tertiary paediatric hospitals (children’s hospitals and combined adult and paediatric hospitals that offer tertiary paediatric care) were surveyed in every state and territory of Australia and the North and South Islands of New Zealand.

The survey was adapted with permission from a Victorian AMS survey that was developed in 2012 by the Victorian Department of Health and Melbourne Health’s AMS Research Group.