• Abdullah Bany Hamdan Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
  • Laila Alawdah King Fahad Medical City,59046 Riyadh, Saudi Arabia
  • Rosliza Abdul Manaf Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
  • Aidalina Mahmud Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia


Antimicrobial Stewardship, Electronic Medical Records, Integration, , Global Experience, Information Technologies, , Antimicrobial Usage


Antimicrobial resistance impedes the efficacy of currently available antimicrobial drugs for treating infectious diseases. Antimicrobial stewardship (AMS) practices contribute to in halting antimicrobial resistance by ensuring appropriate antimicrobial prescription. Consequently,  many hospitals nowadays utilize electronic medical records (EMR) as a platform to enhance AMS practices among their healthcare professionals. The impact of EMR-based AMS modules needs to be ascertained. This scoping review aims to describe the impact of AMS Programs implemented through EMR on a global scale. A scoping review was conducted using the methodological framework of Arksey and O’Malley, in addition to the Joanna Briggs Institute. A comprehensive search was conducted on PubMed and Google Scholar databases for literature published between 2014 and 2021 using the keywords "antimicrobial", "stewardship", and "electronic medical records". Two reviewers independently screened the titles and abstracts of articles based on the "Population-Concept-Context" framework, using predefined inclusion and exclusion criteria. A total of 20 studies were included. Most of these studies were conducted in the United States (n=12) and the remaining studies were conducted in various countries, including the United Kingdom, Australia, Indonesia, Egypt, Canada, the Netherlands, Saudi Arabia, and South Korea. The studies demonstrated the global impact of integrating the AMS program in the EMR.  The review declares that EMR adoption can provide healthcare providers with efficient processes given the availability of clinical data that guide appropriate antimicrobial use. Additionally, implementing information technologies for AMS facilitates adherence to national and international clinical practice guidelines and standardizes antimicrobial usage for optimal patient care.


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How to Cite

Bany Hamdan, A., Alawdah, L., Abdul Manaf , R., & Mahmud, A. (2024). GLOBAL EXPERIENCE OF ANTIMICROBIAL STEWARDSHIP INTEGRATION IN ELECTRONIC MEDICAL RECORDS: A SCOPING REVIEW. Malaysian Journal of Public Health Medicine, 24(1), 86–101. Retrieved from