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Pharmacist

A dedicated pharmacist trained in AMS for pharmacy under the Ministry
of Health (MOH).

Clinical role in conjunction with other members of the AMS Team:
• Gives technical input on finer aspects of antimicrobials.
• Identifies potential patients for stewardship interventions
(e.g. de-escalation etc.)
• Ensures dose optimization is carried out especially for complex
antimicrobials and complex clinical scenarios.
• Enforces the approval system of restricted antimicrobials.

Ensures safe and effective use of medication to reduce risk for
errors and adverse events.

Surveillance of antimicrobial use
• Collection and analysis of local consumption and expenditure.
• Provision of data to regional /national surveillance programmes.
• Carries out and analyses point prevalence studies on
antimicrobial usage.

Audit and feedback
• Leads and conducts appropriate antimicrobial audits
• Provides timely feedback for future improvement

Clinical Microbiologist

Provision of guidance on appropriate diagnostic tests in microbiology, as
part of ‘diagnostic stewardship’.

Ensures the appropriateness of microbiology request, sample collection
(types, time, date taken and documentation) and sample quality.

Provision of timely and accurate reporting of culture and antimicrobial
susceptibility data.

24 Protocol on Antimicrobial Stewardship (AMS) Programme in Healthcare Facilities | Second Edition 2022