van den Bergh, Dena D.Messina, Angeliki P.Goff, Debra A.2021-01-042021-01-042020van den Bergh, D. D. et al. (2020). A pharmacist-led prospective antibiotic stewardship intervention improves compliance to community-acquired pneumonia guidelines in 39 public and private hospitals across South Africa. International Journal of Antimicrobial Agents, 56(6),1061891872-791310.1016/j.ijantimicag.2020.106189http://hdl.handle.net/10566/5537Introduction: Pharmacists in low-middle-income countries (LMIC) are few and lack antibiotic stewardship (AS) training. The ability was assessed of non-specialised pharmacists to implement stewardship interventions and improve adherence to the South African community-acquired pneumonia (CAP) guideline in public and private hospitals. Methods: This was a multicentre, prospective cohort study of adult CAP patients hospitalised between July 2017 and July 2018. A CAP bundle was developed of seven process measures (diagnostic and AS) that pharmacists used to audit compliance and provide feedback. CAP bundle compliance rates and change in outcome measures [mortality, length of stay (LOS) and infection-related (IR)-LOS] during pre- and post-implementation periods were compared.enAntibiotic stewardshipCommunity-acquired pneumoniaLow-middle income countryMulticentreCross-sectorArticle