Considerations for implementation: Pediatric outpatient antimicrobial stewardship program

Published:August 03, 2021DOI:


      • Most pediatric care occurs in nonacademic, community or general outpatient settings.
      • Unnecessary antibiotic prescribing is highest in non-pediatric emergency rooms.
      • Pediatric antibiotic stewardship guidance has limited reach to adult providers.
      • We outline strategies to strengthen pediatric antibiotic safety.
      • Address age-based diagnoses, medication challenges and secure family partnerships.


      It is encouraging that most acute care centers have formal antimicrobial stewardship (AS) programs; though, most antibiotic use occurs in outpatient settings where access to infectious diseases specialists are limited. Stewardship programs often target dichotomous populations (adult or pediatric), but most children receive care in nonacademic, community outpatient settings. We propose 3 considerations for adult providers and infection preventionists seeking to incorporate outpatient AS elements and implement quality improvement initiatives that optimize pediatric care.

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