Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals

被引：17

作者：

Cheong, Hae Suk ^{[1
]}

Park, Kyung-Hwa ^{[2
]}

Kim, Hong Bin ^{[3
]}

Kim, Shin-Woo ^{[4
]}

Kim, Bongyoung ^{[5
]}

Moon, Chisook ^{[6
]}

Lee, Mi Suk ^{[7
]}

Yoon, Young Kyung ^{[8
]}

Jeong, Su Jin ^{[9
]}

Kim, Yong Chan ^{[9
]}

Eun, Byung Wook ^{[10
]}

Lee, Hyukmin

Shin, Ji-Yeon ^{[12
]}

Kim, Hyung-sook ^{[11
,13
]}

Hwang, In Sun ^{[14
]}

Park, Choon-Seon ^{[15
]}

Kwon, Ki Tae ^{[16
]}

机构：

[1] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Internal Med, Div Infect Dis,Sch Med, Seoul, South Korea

[2] Chonnam Natl Univ, Dept Infect Dis, Med Sch, Gwangju, South Korea

[3] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Coll Med, Seongnam, South Korea

[4] Kyungpook Natl Univ, Sch Med, Dept Internal Med, Daegu, South Korea

[5] Hanyang Univ, Dept Internal Med, Coll Med, Seoul, South Korea

[6] Inje Univ, Dept Internal Med, Div Infect Dis, Coll Med, Busan, South Korea

[7] Kyung Hee Univ, Kyung Hee Univ Hosp, Dept Internal Med, Coll Med, Seoul, South Korea

[8] Korea Univ, Dept Internal Med, Div Infect Dis, Coll Med, Seoul, South Korea

[9] Yonsei Univ, Dept Internal Med, Div Infect Dis, Coll Med, Seoul, South Korea

[10] Nowon Eulji Univ Hosp, Dept Pediat, Seoul, South Korea

[11] Yonsei Univ, Dept Lab Med, Coll Med, Seoul, South Korea

[12] Kyungpook Natl Univ, Sch Med, Dept Prevent Med, Daegu, South Korea

[13] Seoul Natl Univ, Dept Pharm, Bundang Hosp, Seongnam, South Korea

[14] Korea Inst Healthcare Accreditat, Seoul, South Korea

[15] Hlth Insurance Review & Assessment Serv, Hlth Insurance Review & Assessment Res Inst, Wonju, South Korea

[16] Kyungpook Natl Univ, Chilgok Hosp, Sch Med,Div Infect Dis, Dept Internal Med, Daegu, South Korea

来源：

INFECTION AND CHEMOTHERAPY | 2022年 / 54卷 / 04期

关键词：

Antimicrobial resistance; Leadership; Multidisciplinary; Financial support; Accreditation; CLOSTRIDIUM-DIFFICILE INFECTION; COMMUNITY-ACQUIRED PNEUMONIA; HEALTH-CARE EPIDEMIOLOGY; VENTILATOR-ASSOCIATED PNEUMONIA; CLINICAL-PRACTICE GUIDELINES; ANTIBIOTIC STEWARDSHIP; DISEASES SOCIETY; COMBINATION THERAPY; PRESCRIBING PRACTICE; IMPACT;

D O I：

10.3947/ic.2022.0171

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Currently, antimicrobial resistance (AMR) is a major threat to global public health. The antimicrobial stewardship program (ASP) has been proposed as an important approach to overcome this crisis. ASP supports the optimal use of antimicrobials, including appropriate dosing decisions, administration duration, and administration routes. In Korea, efforts are being made to overcome AMR using ASPs as a national policy. The current study aimed to develop core elements of ASP that could be introduced in domestic medical facilities. A Delphi survey was conducted twice to select the core elements through expert consensus. The core elements for implementing the ASP included (1) leadership commitment, (2) operating system, (3) action, (4) tracking, (5) reporting, and (6) education. To ensure these core elements are present at medical facilities, multiple departments must collaborate as teams for ASP operations. Establishing a reimbursement system and a workforce for ASPs are prerequisites for implementing ASPs. To ensure that ASP core elements are actively implemented in medical facilities, it is necessary to provide financial support for ASPs in medical facilities, nurture the healthcare workforce in performing ASPs, apply the core elements to healthcare accreditation, and provide incentives to medical facilities by quality evaluation criteria.

引用

页码：637 / 673

页数：37