Table 2 Summary of specific AMS interventions in patients under palliative care

Goals of care discussion

• Include antimicrobial use in care goals discussions

• Base patient decisions on realistic expectations

• Engage ID or AMS teams in care goals discussions

IV to po optimization

• Early transition from IV to high bioavailable oral drugs

Transition to palliative care

• Refer early to a trained palliative care team to reduce unnecessary antimicrobial use

Educational activities

• Conduct educational activities for medical oncologists, specialists, and pharmacists to rationalize antimicrobial use