Table 1.
Systematic review inclusion and exclusion criteria
| PICO | Inclusion criteria | Exclusion criteria |
| Population | Studies on AMS, protocols or policies in DAC least developed and low-income countries Hospitalised patients including surgical patients. All age groups. Studies on prescribers for hospitalised patients in DAC least developed countries |
Trials on patients in the communities with no history of hospital admission during the period of the trial. Patients classified by respective study to be in long-term care |
| Intervention | Antimicrobial stewardship approaches, programmes, policies where AMS is the sole intervention or at least one element of an intervention; and/or interventions targeting hospital hygiene or infection transmission control strategies. | Studies on viral, fungal or parasite infections where bacterial infection data cannot be extracted. |
| Comparison | None | None |
| Outcomes | Behavioural outcomes: changes in prescribing practices Microbiological outcomes: bacterial infection confirmed by culture and sensitivity or by clinical suspicion. Confirmed microbiological infection with resistant bacteria at admission, during hospital stay or post discharge. Clinical outcomes: treatment success (confirmed microbiological clearance or clinical improvement) length of stay in hospital or death. |
Studies comparing the therapeutic effectiveness of one type of antimicrobial against another type. These are studies with the primary goal of determining superiority of one drug. |
AMS, antimicrobial stewardship; DAC, Development Assistance Committee; PICO, Participants Intervention Comparison Outcomes.