Antimicrobial Stewardship Audit
Review antibiotic use against stewardship standards to catch unnecessary broad-spectrum therapy, shorten excess duration, and document clear follow-up actions.
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What's inside this template
Clinical Indication
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Documented indication present
Verify the chart includes a clear reason for antimicrobial therapy.
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Indication is clinically appropriate
Assess whether the documented indication supports antimicrobial use.
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Empiric vs targeted therapy documented
Identify the treatment intent to support stewardship review.
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Source of infection identified
Confirm whether the suspected or confirmed infection source is documented.
Agent Selection
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Selected agent is guideline-concordant
Determine whether the antimicrobial choice aligns with local or national guidance.
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Dose and route are appropriate
Check that the dose, frequency, and route are appropriate for the patient and infection.
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Spectrum is appropriate
Rate whether the antimicrobial spectrum is appropriately narrow for the clinical scenario.
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Allergy or interaction considerations addressed
Confirm relevant allergies, contraindications, and interactions were considered.
Duration and Stop Date
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Planned duration documented
Verify a stop date or intended duration is documented.
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Duration is consistent with indication
Assess whether the duration matches the infection type and clinical response.
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Therapy reviewed for early discontinuation
Check whether therapy was reassessed for potential shortening or discontinuation.
De-escalation and Culture Review
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Cultures obtained before antibiotics when indicated
Confirm appropriate cultures were collected prior to antimicrobial initiation when feasible.
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Culture and susceptibility results reviewed
Verify microbiology results were reviewed in a timely manner.
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Therapy de-escalated when appropriate
Determine whether therapy was narrowed, stopped, or changed based on results and clinical status.
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Follow-up action documented
Confirm any stewardship recommendation, change, or follow-up plan is documented.
Documentation and Stewardship Notes
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Stewardship concern identified
Identify the primary stewardship issue, if any.
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Recommended corrective action
Document the recommended action, if a gap was identified.
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Audit reviewer comments
Add any additional notes relevant to the review.
Common use cases
Frequently asked questions
Who should use this antimicrobial stewardship audit template?
Use it for pharmacist-led reviews, infection control rounds, and quality improvement audits of inpatient or outpatient antibiotic use. It helps teams standardize how they assess prescribing decisions and document recommendations.
What does this template help identify?
It flags missing indications, non-guideline-concordant agents, inappropriate duration, and missed opportunities to de-escalate after culture results. It also creates a clear record of stewardship concerns and corrective actions.
Can this be adapted for different care settings?
Yes. You can tailor the criteria for hospital wards, emergency departments, long-term care, or specialty clinics based on local antibiograms and prescribing policies. The structure stays useful even when the review criteria change.
Does this template support culture review workflows?
Yes. It includes prompts to confirm cultures were obtained when indicated, reviewed after results return, and used to narrow therapy when appropriate. That makes follow-up actions easier to track.
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