TY - JOUR AB - Antibiotic resistance presents a major public health challenge at local, national and international levels. At a local level, the challenge is to tackle the antibiotic stewardship agenda, within the clinical governance framework, across all professional groups and specialities. This paper presents the response to this challenge in a large multi‐site NHS trust. The approach focuses around a multi‐disciplinary antibiotic steering group, in which a dedicated infectious diseases pharmacist plays a key role. Proposes seven key elements for a successful antibiotic stewardship programme and discuss examples of local action. These elements are: strong leadership; dedicated individuals with responsibility for leading on antibiotic use; integration into pre‐existing trust structures; harnessing existing resources to deliver change; obtaining local data on prescribing patterns and resistance; communication; and education and training. All pillars of clinical governance are supported by the multi‐disciplinary approach described. VL - 9 IS - 4 SN - 1477-7274 DO - 10.1108/14777270410566652 UR - https://doi.org/10.1108/14777270410566652 AU - Cooke Fiona J. AU - Dean Franklin Bryony AU - Lawson Wendy AU - Jacklin Ann AU - Holmes Alison PY - 2004 Y1 - 2004/01/01 TI - Multidisciplinary hospital antibiotic stewardship: a West London model T2 - Clinical Governance: An International Journal PB - Emerald Group Publishing Limited SP - 237 EP - 243 Y2 - 2024/04/23 ER -