Impact of Hospital Pharmacists on Antimicrobial Stewardship Programs and Resistance Patterns

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Adel Abdulrhman Al-Zahrani, Hisham Ahmed Ali Al-Zahrani, Majed Salim Alzahrani, Ibrahim Mohammed Alshaikhi

Abstract

Antimicrobial resistance has rapidly become one of the most alarming global health threats, particularly within hospital environments where antimicrobial exposure is highest and clinical decisions are frequently urgent. Hospitals face increasing challenges due to the overuse, misuse, and inappropriate selection of antimicrobial agents, which collectively contribute to rising resistance patterns and the proliferation of multidrug-resistant organisms. Antimicrobial Stewardship Programs were therefore established to ensure that antibiotics are used judiciously, optimally, and safely, and hospital pharmacists have emerged as central figures in implementing these programs due to their comprehensive knowledge of pharmacotherapy, dosing strategies, therapeutic drug monitoring, and patient-specific clinical considerations. This paper examines in depth the extensive impact of hospital pharmacists on antimicrobial stewardship outcomes, demonstrating how their involvement improves prescribing quality, reduces the spread of resistance, enhances interdisciplinary collaboration, and promotes better clinical outcomes across diverse hospital settings.

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