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Current status of antimicrobial stewardship programmes in Korean hospitals: results of a 2018 nationwide survey

Authors
 B Kim  ;  M J Lee  ;  S M Moon  ;  S Y Park  ;  K-H Song  ;  H Lee  ;  J S Park  ;  M S Lee  ;  S-M Choi  ;  J-S Yeom  ;  J Y Kim  ;  C-J Kim  ;  H-H Chang  ;  E S Kim  ;  T H Kim  ;  H B Kim 
Citation
 JOURNAL OF HOSPITAL INFECTION, Vol.104(2) : 172-180, 2020-02 
Journal Title
JOURNAL OF HOSPITAL INFECTION
ISSN
 0195-6701 
Issue Date
2020-02
MeSH
Anti-Infective Agents / therapeutic use ; Antimicrobial Stewardship / methods* ; Antimicrobial Stewardship / organization & administration* ; Hospitals / statistics & numerical data* ; Humans ; Practice Guidelines as Topic ; Republic of Korea ; Surveys and Questionnaires
Keywords
Antimicrobial ; Stewardship ; Resistance ; Hospital ; Korea
Abstract
Background: Antimicrobial stewardship programmes (ASPs) are suggested as a vital strategy to address antimicrobial resistance. Aim: To examine the current status of ASPs in Korean hospitals, to identify problems and challenges for the implementation of proper ASPs, and to provide a reference for developing more effective ASP policies. Methods: A questionnaire based on the 'Seven Core Elements of Hospital Antibiotic Stewardship Programs' from the US Centers for Disease Control and Prevention was developed, modified from the previous questionnaire on ASPs in Korea, 2015. ASP-participating physicians such as infectious disease specialists (IDSs), paediatric IDSs, and directors of infection control departments were targeted. Only one ASP-associated physician per hospital participated in the survey. Findings: The survey response rate was 88.4% (84/95). The median number of medical personnel participating in ASPs was 3 (interquartile range (IQR): 1-5), most of whom were IDS (median: 2; IQR: 1-2). Only 6.0% (5/84) of hospitals had full-time workers for ASPs. Whereas restrictive measures for designated antimicrobials were widely implemented among Korean hospitals (88.1%, 74/84), the proportion of hospitals with interventions for inappropriate long-term antimicrobial use and a conversion strategy from parenteral to oral antimicrobial administration was only 9.5% (8/84) and 1.2% (1/84), respectively. Lack of time, personnel, and appropriate compensation was perceived as the major barrier to establishing an ASP in Korean hospitals. Conclusion: ASPs in Korean hospitals were primarily carried out by one or two IDSs, and programmes mostly comprised restrictive measures for designated antimicrobials. National-level support to implement appropriate ASPs in Korean hospitals is necessary. (C) 2019 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Full Text
https://www.sciencedirect.com/science/article/pii/S0195670119303639
DOI
10.1016/j.jhin.2019.09.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Yeom, Joon Sup(염준섭) ORCID logo https://orcid.org/0000-0001-8940-7170
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190219
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