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

Korea Study Group for Antimicrobial Stewardship (KOSGAP)

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)172-180
Number of pages9
JournalJournal of Hospital Infection
Volume104
Issue number2
DOIs
StatePublished - Feb 2020

Fingerprint

Communicable Diseases
Physicians
Surveys and Questionnaires
Centers for Disease Control and Prevention (U.S.)
Korea
Infection Control
Oral Administration
Pediatrics
Anti-Bacterial Agents

Keywords

  • Antimicrobial
  • Hospital
  • Korea
  • Resistance
  • Stewardship

Cite this

Korea Study Group for Antimicrobial Stewardship (KOSGAP). / Current status of antimicrobial stewardship programmes in Korean hospitals : results of a 2018 nationwide survey. In: Journal of Hospital Infection. 2020 ; Vol. 104, No. 2. pp. 172-180.
@article{c95fa778d4c64c56bc08fda3f4b40ddc,
title = "Current status of antimicrobial stewardship programmes in Korean hospitals: results of a 2018 nationwide survey",
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.",
keywords = "Antimicrobial, Hospital, Korea, Resistance, Stewardship",
author = "{Korea Study Group for Antimicrobial Stewardship (KOSGAP)} and B. Kim and Lee, {M. J.} and Moon, {S. M.} and Park, {S. Y.} and Song, {K. H.} and H. Lee and Park, {J. S.} and Lee, {M. S.} and Choi, {S. M.} and Yeom, {J. S.} and Kim, {J. Y.} and Kim, {C. J.} and Chang, {H. H.} and Kim, {E. S.} and Kim, {T. H.} and Kim, {H. B.}",
year = "2020",
month = "2",
doi = "10.1016/j.jhin.2019.09.003",
language = "English",
volume = "104",
pages = "172--180",
journal = "Journal of Hospital Infection",
issn = "0195-6701",
publisher = "W.B. Saunders Ltd",
number = "2",

}

Current status of antimicrobial stewardship programmes in Korean hospitals : results of a 2018 nationwide survey. / Korea Study Group for Antimicrobial Stewardship (KOSGAP).

In: Journal of Hospital Infection, Vol. 104, No. 2, 02.2020, p. 172-180.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Current status of antimicrobial stewardship programmes in Korean hospitals

T2 - results of a 2018 nationwide survey

AU - Korea Study Group for Antimicrobial Stewardship (KOSGAP)

AU - Kim, B.

AU - Lee, M. J.

AU - Moon, S. M.

AU - Park, S. Y.

AU - Song, K. H.

AU - Lee, H.

AU - Park, J. S.

AU - Lee, M. S.

AU - Choi, S. M.

AU - Yeom, J. S.

AU - Kim, J. Y.

AU - Kim, C. J.

AU - Chang, H. H.

AU - Kim, E. S.

AU - Kim, T. H.

AU - Kim, H. B.

PY - 2020/2

Y1 - 2020/2

N2 - 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.

AB - 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.

KW - Antimicrobial

KW - Hospital

KW - Korea

KW - Resistance

KW - Stewardship

UR - http://www.scopus.com/inward/record.url?scp=85072762501&partnerID=8YFLogxK

U2 - 10.1016/j.jhin.2019.09.003

DO - 10.1016/j.jhin.2019.09.003

M3 - Article

C2 - 31513880

AN - SCOPUS:85072762501

VL - 104

SP - 172

EP - 180

JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

IS - 2

ER -