A global scoping review reported that vaccination programs measurably reduce antibiotic consumption and drug-resistant infections, positioning immunization as a lever for antimicrobial stewardship. The review pooled findings from 74 primary studies and framed vaccination as upstream prevention that can lower unnecessary antibiotic prescribing. The analysis adds evidence to the argument that antibiotic stewardship strategies should start before infection reaches clinics—by reducing incidence and severity of vaccine-preventable illnesses. It also supports stronger policy alignment between immunization and antimicrobial resistance initiatives. The story does not detail subgroup effects or specific vaccine classes in the provided summary, but it is positioned as a broad, cross-study synthesis relevant to public health and payer decision-making.