Infection Control Program Review
HIC Antibiotic Stewardship Policy
Version: Page:
2.1 1 of 3
Effective Date: January 6, 2025
Created by Quality Coordinator Reviewed and Approved by Director
Signature/Name: Dr. Darpan Jakkal Signature/Name: Dr. B K Murali
Antibiotic Stewardship Policy for Hope Hospital
Purpose
To promote the safe, rational, and effective use of antibiotics at Hope Hospital, minimize antimicrobial resistance, and
enhance patient outcomes.
Scope
This policy applies to all healthcare providers involved in prescribing, dispensing, and administering antibiotics within
Hope Hospital.
Key Components
1. Protocol for Antibiotic Use
1. Empirical Therapy:
○ Initial prescriptions based on clinical guidelines and local antibiograms.
○ Broad-spectrum antibiotics limited to critical conditions and require prior authorization.
2. Targeted Therapy:
○ Antibiotic prescriptions reviewed within 48-72 hours based on culture and sensitivity results.
○ De-escalation to narrow-spectrum antibiotics implemented whenever appropriate.
3. Prophylactic Use:
○ Prophylactic antibiotics used strictly within surgical guidelines, administered within one hour before
incision.
○ Duration of prophylaxis typically does not exceed 24 hours unless clinically indicated.
ⒸHope Hospital
Infection Control Program Review
HIC Antibiotic Stewardship Policy
Version: Page:
2.1 2 of 3
Effective Date: January 6, 2025
Created by Quality Coordinator Reviewed and Approved by Director
Signature/Name: Dr. Darpan Jakkal Signature/Name: Dr. B K Murali
2. Surveillance and Monitoring Methods
1. Prescription Audits:
○ Monthly audits to monitor adherence to antibiotic guidelines.
○ Metrics assessed include the appropriateness of choice, dosage, duration, and adherence to protocols.
2. Resistance Surveillance:
○ Quarterly antibiograms generated to monitor resistance trends in the hospital.
3. Feedback Mechanisms:
○ Audit findings and feedback discussed in committee meetings, and corrective measures implemented for
non-compliance.
3. Antibiotic Stewardship Committee (ASC)
Committee Members:
● Chairperson: Dr. B. K. Murali, CMD
● Infection Control Officer: Dr. Afzal Sheikh
● Nursing Representative: Ms. Simran Kohard
● Pharmacist: Ms. Ruchika Jambhulkar
● Quality Officer: Mrs. Ruby Ammon
● Quality Coordinator: Dr. Darpan Jakkal
4. Frequency of Meetings
1. Quarterly Meetings:
○ Review audit findings, resistance trends, and education requirements.
○ Develop action plans for addressing non-compliance and emerging resistance patterns.
2. Special Meetings:
○ Convened for significant policy deviations or emerging resistance concerns.
ⒸHope Hospital
Infection Control Program Review
HIC Antibiotic Stewardship Policy
Version: Page:
2.1 3 of 3
Effective Date: January 6, 2025
Created by Quality Coordinator Reviewed and Approved by Director
Signature/Name: Dr. Darpan Jakkal Signature/Name: Dr. B K Murali
Compliance and Review
1. Education and Training:
○ Regular training for all prescribing staff on rational antibiotic use and resistance prevention.
○ Dissemination of updated antibiograms and prescribing protocols.
2. Documentation and Records:
○ Meeting minutes, audit reports, and antibiogram data are maintained by the ASC.
3. Review and Updates:
○ The policy is reviewed annually or as needed based on emerging evidence or hospital requirements.
Expected Outcomes
● Enhanced compliance with hospital-specific antibiotic guidelines.
● Reduced incidence of antimicrobial resistance.
● Improved patient outcomes and reduced treatment costs.
ⒸHope Hospital
