Antimicrobial Stewardship Program (AMS)

Question 1

Core Elements of AMS Program

Answer 1

1: Leadership
2: Policies, guidelines, pathways
3: Surveillance
4: Action
5: Education
6: Performance evaluation

Question 2

Restricted antimicrobials

Answer 2

CALMCAVE
Cefepime
Aztreonam
Linezolid
Meropenem, Micafungin
Colistin
Amphotericin B
Vancomycin, Voriconazole
Ertapenem

*4th generation cephalosphorins
*Aztreonam
*All carbapenems
*Colistin
*Vancomycin
*Linezolid (IV and PO)
*All IV antifungals (except fluconazole)

Question 3

Under what core element is the requiring of approval for use of restricted antimicrobials from the AMS committee of the hospital?

Answer 3

Core #4: Action

Question 4

Who are the members of the AMS team?

Answer 4

Physician
Nurse
Midwife
Clinical community pharmacist
AMS secretariat

Question 5

Monitored antimicrobials

Answer 5

3rd generation cephalosphorins
All fluoroquinolones
All aminoglycosides
Clindamycin