The Global-PPS in Iran primarily started in 2015 in the Kurdistan University of Medical Sciences, concurrently with the first global attempt for data collection about antibiotic consumption conducted by the University of Antwerp, Belgium. From 2017, the Global-PPS was repeated every year with additionaldata collected in 4 new hospitals in Sanandaj.

For a long time, the overuse and inappropriate use of both antibiotics and antimalarial drugs has been observed. This poses a threat to the financial situation of this rural hospital. The problem is known, but behavioral change is challenging.

Optimizing antimicrobial prescribing in hospitals through antimicrobial stewardship (AMS) is essential in addressing the threat of antimicrobial resistance. This study reports the results of five consecutive PPS in a private tertiary hospital in the Philippines, using the Global-PPS protocol.