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Hospital-wide restriction of clindamycin: effect on the incidence of Clostridium difficile -associated diarrhea and cost. Long-term surveillance of cefoxatime and piperacillin-tazo-bactam prescribing and incidence of Clostridium difficile diarrhea. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship.