Status of antimicrobial stewardship programmes in Korean hospitals including small to medium-sized hospitals and the awareness and demands of physicians: a nationwide survey in 2020

Journal of Global Antimicrobial Resistance

Se Yoon Park¹  Ji Young Park²  Bongyoung Kim³  Myung Jin Lee⁴  Su-Mi Choi⁵  Hyungmin Lee⁶  Mi Suk Lee⁷  Hyunju Lee⁸  Kyoung-Ho Song⁹  Hyun-Ha Chang^1,10  Hong Bin Kim^1,10  Tae Hyong Kim^1,11  Song Mi Moon^1,12  Chung-Jong Kim^1,13  Sun Hee Park^1,14  Jeong Su Park^1,15  Eu Suk Kim^1,16  Hyunsook Koo^1,16 

[1] Corresponding authors. Tel.: [phone], fax: [phone];tel.: [phone], fax: [phone].;Department of Internal Medicine, Hanyang University College of Medicine, 222-1, Wangsimni-ro, Seongdong-gu, Seoul 04763, South Korea;Department of Internal Medicine, Inje University Sanggye-Paik Hospital, Seoul, South Korea;Department of Laboratory Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea;Department of Pediatrics, Chung-Ang University Hospital, Seoul, South Korea;Department of Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea;Division of Antimicrobial Resistance Control, Bureau of Healthcare Safety and Immunization, Korea Disease Control and Prevention Agency, Cheongju, South Korea;Division of Healthcare Associated Infection Control, Bureau of Healthcare Safety and Immunization, Korea Disease Control and Prevention Agency, Cheongju, South Korea;Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea;Division of Infectious Diseases, Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, South Korea;Division of Infectious Diseases, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea;Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, South Korea;Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea;Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 82 Gumi-ro, 173 beon-gil, Bundang-gu, Seongnam 13620, Gyeonggi-do, South Korea;Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, South Korea;

关键词: Antibiotics;    Stewardship;    Resistance;    Infectious diseases;    Korea;   

DOI  :  

来源: DOAJ

【 摘 要 】

ABSTRACT:Objectives: This study aimed to identify the status of antimicrobial stewardship programmes (ASPs) in small to medium-sized Korean hospitals as well as the awareness and demands about ASPs of physicians. Methods: A questionnaire was designed based on a questionnaire from a previous nationwide survey in 2018 targeting large hospitals in Korea and modified to reflect the results of in-depth interviews with non-infectious diseases (IDs) physicians at secondary care hospitals. The survey targeted all hospitals with ≥150 beds in South Korea and was performed in May–June 2020. Only one ASP-associated physician per hospital participated in the survey. Results: The survey response rate was 31.9% (217/680). ID specialists comprised the majority of medical personnel participating in ASPs in tertiary care hospitals. Conversely, in secondary and primary care hospitals there was no predominant medical personnel for ASPs and the median full-time equivalent was 0 for all types of medical personnel. Tertiary care hospitals, more than secondary and primary care hospitals, tended to perform ASP activities more actively. ‘Workforce for ASPs’, ‘Establishment of healthcare fees for ASPs’ and ‘Development of tools for ASPs’ were the most important required support for ASP improvement. Conclusion: The level of ASP establishment was more limited in primary care hospitals than in secondary and tertiary care hospitals in Korea. To improve ASPs in Korean hospitals, a supporting workforce and the establishment of a healthcare fee for ASPs appear to be necessary.

【 授权许可】

Unknown