Abstract
Antibiotic prescription and antimicrobial resistance are parallel to each other. Misuse of antibiotics can increase health system costs and more importantly, morbidity and mortality, due to the emerging multi-drug resistant pathogens. Implementation of antibiotic stewardship programs in the hospital wards and intensive care units are a well-known action, however, there is an attention deficit regarding this activity in emergency department, the portal of admission to the wards. Therefore, making a specific plan with leadership of clinical pharmacists is highly desirable.
 Key words: Antimicrobial resistance, Emergency department, Clinical pharmacists
Highlights
Antimicrobial resistance (AMR) is a worldwide health concern
Misuse of antibiotics for common infectious diseases leads to an increase in antimicrobial resistance
There is a general concept that antimicrobial stewardship programs (ASPs) is mostly applicable for hospitalized patients, we think it should be commenced from the emergency department (ED)
Summary
Antimicrobial resistance (AMR) is a worldwide health concern. Misuse of antibiotics for common infectious diseases leads to an increase in antimicrobial resistance. The main aims of the antimicrobial stewardship programs (ASPs) are decreasing health care systems costs, diminishing antimicrobial resistance, preventing antimicrobial side effects and improving patient outcome. The emergency department (ED) is theportalof both outpatients and those requiring admission to the hospital.
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