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2.       Report the surveillance and clinical audit findings and ensure the necessary actions are
                      taken.
            3.       Establish formulary restrictions and approval systems, especially for broad-spectrum
                      antimicrobials.
            4.       Select and optimize the antimicrobial dose tailored to patient characteristics.
            5.       Educate prescribers, pharmacists, and paramedics on good antimicrobial prescribing
                      practices and antimicrobial resistance.

            Antimicrobial Stewardship Team Members

            AMS team members in health facility include:

            a.       Family Medicine Specialist/Medical Officer In-Charge/ Medical Officer in charge of the
                      program (Leader)
            b.       Pharmacist (Secretariat)
            c.       Assistant Medical Officer
            d.       Infection Control / Link Nurse (Optional)
            e.       Medical Lab Technician (Optional)
            f.        Information Technology Officer (Optional)

            Roles and responsibilities

            1.       Family Medicine Specialist/ Medical Officer In-Charge/ Medical Officer in charge of
                      the programme

                      •   Head of AMS Team.
                      •   Leads the technical components of Antimicrobial Stewardship team.
                      •   Plans and ensures the implementation of AMS activities.
                      •   Consults relevant specialists on antimicrobial stewardship related issues.
                      •   Advises on antimicrobial stewardship related issues.
                      •   Represents the AMS Health Clinic team in the district AMS meeting and gives
                            feedback on AMS program.
                      •   Collaborates  with  the  District  Drugs  and  Therapeutics  Committee  (JKUT)  to
                            determine the availability of antimicrobials in the District Drug Formulary.
                      •   Plans and conducts AMS Process and Structure Audits and provides timely feedback
                            for improvement.
                      •   Prepares reports on AMS activities for submission to district level.










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