Antimicrobial stewardship in hospitals: Expert recommendation guidance document for activities in specific populations, syndromes and other aspects (PROA-2) from SEIMC, SEFH, SEMPSPGS, SEMICYUC and SEIP

José Luís Alfonso, Esther Calbo, Emilia Cercenado, Luis Escosa, Aurora Fernández Polo, Julio García Rodríguez, José Garnacho, María Victoria Gil Navarro, Maria Visctoria Gil Navarro, Santiago Grau, Carlota Gudiol, Juan Pablo Horcajada, Nieves Larrosa, Carmen Martínez García, José Molina, Xavier Nuvials, Antonio Oliver, José Ramón Paño Pardo, María Teresa Pérez Rodríguez, Paula RamírezPilar Retamar Gentil, Jesús Rodriguez Baño, Jesús Rodríguez Baño, Pablo Vidal, Aurora Fernández Polo, Julio García Rodríguez, Pedro Rey Biel

Research output: Not indexed journal articleEditorial

12 Citations (Scopus)


In 2012, The Spanish Societies of Infectious Diseases and Clinical Microbiology (SEIMC), Hospital Pharmacy (SEFH), and Preventive Medicine, Public Health and Healthcare Management (SEMPSGS) lead a consensus document including recommendations for the implementation of antimicrobial stewardship (AMS) programs (AMSP; PROA in Spanish) in acute care hospitals in Spain. While these recommendations were critical for the development of these programs in many centres, there is a need for guidance in the development of AMS activities for specific patient populations, syndromes or other specific aspects which were not included in the previous document or have developed significantly since then. The objective of this expert recommendation guidance document is to review the available information about these activities in these patient populations or circumstances, and to provide guidance recommendations about them. With this objective the SEIMC, SEFH, SEMPSPGS, the Spanish Society of Intensive Care Medicine (SEMICYUC) and the Spanish Pediatric Infectious Disease Society (SEIP) selected a panel of experts who chose the different aspects to include in the document. Because of the lack of high-level evidence in the implementation of the activities, the panel opted to perform a narrative review of the literature for the different topics for which recommendations were agreed by consensus. The document was open to public consultation for the members of these societies for their comments and suggestions, which were reviewed and considered by the panel.
Original languageEnglish
Number of pages5
Specialist publication Enfermedades infecciosas y microbiología clínica
Publication statusPublished - 1 Apr 2023


  • Antimicrobial stewardship
  • Antimicrobial stewardship clinical syndromes
  • Antimicrobial stewardship emergency
  • Antimicrobial stewardship in ICU
  • Antimicrobial stewardship oncology–haematology
  • Antimicrobial stewardship paediatrics
  • Diagnostic stewardship

Cite this