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Updated: Feb 23, 2026

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What is antimicrobial stewardship?

O J Dyar1, B Huttner2, J Schouten3

  • 1Global Health-Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
|September 9, 2017
PubMed
Summary
This summary is machine-generated.

Antimicrobial stewardship, programs optimizing antimicrobial use, has expanded beyond human healthcare. Defining it as a strategy for responsible antimicrobial use is key to addressing challenges in diverse settings.

Keywords:
Antibiotic stewardshipOne HealthRational antibiotic useResponsible antibiotic useVeterinary Antimicrobial stewardship

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Area of Science:

  • One Health
  • Public Health
  • Veterinary Medicine

Background:

  • The term 'antimicrobial stewardship' has seen exponential growth, extending from human healthcare to animal health and One Health initiatives.
  • Understanding the precise definition and scope of antimicrobial stewardship is crucial as its usage becomes more widespread.

Purpose of the Study:

  • To review the emergence and evolution of the term 'antimicrobial stewardship'.
  • To analyze the historical context and challenges associated with the term's application.

Main Methods:

  • Literature and official document review, primarily focusing on antibiotics.
  • Direct communication with authors of early publications on antimicrobial stewardship.

Main Results:

  • The historical development of antimicrobial stewardship in clinical settings was examined.
  • Challenges identified include overemphasis on individual prescriptions, underemphasis on societal impacts, and language translation issues.

Conclusions:

  • Antimicrobial stewardship should be viewed as a strategy comprising coherent actions for responsible antimicrobial use.
  • Defining 'responsible use' contextually and temporally is essential, with examples provided for human and animal health applications.