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Antimicrobial stewardship programs (ASP) are essential in reducing the incidence of MDRO by conserving antimicrobial use, minimizing treatment durations, and improving the appropriate use of diagnostic testing. However, the role of ASP in transplant infectious diseases (TID) is still evolving, necessitating greater collaboration between ASP and transplant programs. This collaboration will mitigate infection risks, reduce infection\u2010associated costs, and improve outcomes. This article reviews the key components for implementing ASP in TID, especially for those that are establishing or growing their ASP to include TID, including specific goals, structure and funding, ASP initiatives (including antibiotic allergy delabeling, diagnostic stewardship, and antiviral\/antifungal stewardship), metrics, and educational opportunities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.14399","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T11:34:54Z","timestamp":1732534494000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Not Just an Oxymoron: The Utilitarian's Guide to Antimicrobial Stewardship in Transplant Infectious Diseases"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1068-2493","authenticated-orcid":false,"given":"Chelsea A.","family":"Gorsline","sequence":"first","affiliation":[{"name":"University of Kansas 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