Page 48 - C:\Users\ToRiM\Desktop\New folder2\

conducted at least twice a year. Access to information on antimicrobial utilisation can be an
important source for healthcare professionals and policy makers to monitor progress towards
a more prudent use of antibiotics. The results of antimicrobial use should be discussed with
prescribers and necessary action should be taken based on relevant findings.

2.1 Measurement to determine the antimicrobial utilisation
• Defined Daily Dose (DDD) per 100 patient admissions.

2.2 Provision of data to district, state and national surveillance programs
• The report should be submitted twice a year to DIACC, State Infection and Antibiotic
Control Committee (SIACC) and Pharmacy Practice and Development Division,
MOH for National Surveillance on Antibiotic Utilisation annually.

3. Audit and Feedback

The AMS audit in primary care consists of process and structure audits

Process Audits generally are carried out annually to ensure adherence to clinical guidelines
and pathways and to evaluate the antibiotic prescribing practices. The AMS Process Audits
include Clinical Audit (Appendix 11) and Point Prevalence Survey (Appendix 12).

In addition, Structure Audit evaluates the implementation of AMS core elements and reviews
the progress of stewardship activities once a year. (Appendix 13)

The AMS Audit shall be conducted at:

Reports/
Type of Audit Frequency Responsibility Indicator
Data to

Clinical Audit Minimum of Clinic AMS 1. Percentage 1. PKD
once a year Team of clinics 2. State
and when implementing 3. National
indicated. clinical audits
* Minimum of
30 cases per 2. Percentage
clinic of good
practices in
antibiotic
prescription
(> 80 %)

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