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2. Pharmacist

• Ensures the implementation of AMS activities.
• Plans, conducts and analyses data of the antimicrobial surveillance and survey.
• Provides timely feedback on antimicrobial utilisation.
• Ensures dose optimization for antibiotics is carried out.
• Enforces the approval system of restricted antimicrobials prescriptions.

3. Assistant Medical Officer

• Assists in ensuring implementation of AMS activities.

4. Infection Control / Link Nurse (optional)

• AMS teams frequently take opportunities to tighten infection control practices during
their course of work. Having an Infection Control / Link Nurse within the team
complements the efforts of the AMS team in bringing down resistance rates.

5. Medical Laboratory Technologist (optional)

• Provides technical advice on correct sample collection and management.
• Ensures timely results of culture and antimicrobial sensitivity tests.
• Documents antimicrobial sensitivity test results.

6. Information Technology Officer (optional)

• Creates localized electronic decision-making systems that can be available through
the health clinic network system.
• Provides AMS team access for microbiological data and antibiotic utilisation data.
• Produces automated antibiotic utilisation data and other clinical data.

B.2 ANTIMICROBIAL STEWARDSHIP PROGRAMME ACTIVITIES

1. Implementation of Treatment Guidelines and Clinical Pathways

AMS team should ensure the implementation of clinical guidelines and pathways in the
management of URTI, UTI, SSTI, Pneumonia and Acute Bronchitis and AGE. (Refer NAG 2019).

2. Surveillance and Feedback

The surveillance on the use of antimicrobials enables us to compare the trend of antimicrobial
utilisation. It shall focus on the use of selected antimicrobial in primary care and shall be

Second Edition 2022 | Protocol on Antimicrobial Stewardship (AMS) Programme in Healthcare Facilities 45