What are the key principles of antibiotic stewardship that I should implement in my practice to reduce resistance?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Implement antimicrobial stewardship programmes across all care settings to promote judicious use of antimicrobials and monitor prescribing patterns .

Support prescribers with education and training on antimicrobial resistance and stewardship practices .

Develop and follow local and national antimicrobial guidelines to ensure appropriate prescribing, including the shortest effective course, correct dose, and route of administration .

Encourage clinical assessment and documentation of diagnosis and symptoms before prescribing antimicrobials, and review prescriptions when microbiological results are available .

Use microbiological testing appropriately to guide targeted therapy, especially in recurrent or persistent infections .

Monitor and evaluate antimicrobial prescribing and resistance trends regularly, providing feedback to prescribers and updating guidelines accordingly .

Promote communication and collaboration among healthcare professionals to share learning, support peer review, and ensure consistent messaging about antimicrobial use .

Educational content only. Always verify information and use clinical judgement.