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Prescriptions patterns and appropriateness of usage of antibiotics in non-teaching community hospitals in South Korea: a multicentre retrospective study

Authors
 Yong Chan Kim  ;  Ji Young Park  ;  Bongyoung Kim  ;  Eu Suk Kim  ;  Hyuk Ga  ;  Rangmi Myung  ;  Se Yoon Park  ;  Myung Jin Lee  ;  Song Mi Moon  ;  Sun Hee Park  ;  Kyoung-Ho Song  ;  Hong Bin Kim  ;  Korea Study Group for Antimicrobial Stewardship (KOSGAP) 
Citation
 ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL, Vol.11(1) : 40, 2022-02 
Journal Title
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
Issue Date
2022-02
MeSH
Anti-Bacterial Agents* / pharmacology ; Anti-Bacterial Agents* / therapeutic use ; Hospitals, Community* ; Humans ; Inappropriate Prescribing ; Prescriptions ; Retrospective Studies
Keywords
Antibiotics ; Infectious diseases ; Korea ; Resistance ; Stewardship
Abstract
Background: Although non-teaching community hospitals form the majority of healthcare providers in South Korea, there is limited data on antibiotic usage in them. To evaluate the pattern of antibiotic usage and its appropriateness in hospitals with < 400 beds in South Korea.

Methods: A multicentre retrospective study was conducted in 10 hospitals (six long-term care hospitals, three acute care hospitals, and one orthopaedic hospital), with < 400 beds in South Korea. We analysed patterns of antibiotic prescription in 2019, and their appropriateness in the participating hospitals. For the evaluation of the appropriateness of the prescription, 25 patients under antibiotic therapy were randomly selected at each hospital, over two separate periods. Due to the heterogeneity of their characteristics, the orthopaedics hospital was excluded from the analysis.

Results: The most commonly prescribed antibiotics in long-term care hospitals was fluoroquinolone, followed by beta-lactam/beta-lactamase inhibitor (anti-pseudomonal). In acute care hospitals, these were third generation cephalosporin, followed by first generation cephalosporin, and second generation cephalosporin. The major antibiotics that were prescribed in the orthopedics hospital was first generation cephalosporin Only 2.3% of the antibiotics were administered inappropriately. In comparison, 15.3% of patients were prescribed an inappropriate dose. The proportion of inappropriate antibiotic prescriptions was 30.6% of the total antibiotic prescriptions.

Conclusions: The antibiotic usage patterns vary between non-teaching community hospitals in South Korea. The proportion of inappropriate prescriptions exceeded 30% of the total antibiotic prescriptions.
Files in This Item:
T202202585.pdf Download
DOI
10.1186/s13756-022-01082-2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Chan(김용찬)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189458
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