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Original Article
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Korean J Med. 2014;87(2):173-181. Published online August 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.2.173
- 항생제 스튜어드십 프로그램에 대한 설문조사
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김혜인1, 김신우1, 장현하1, 김홍빈2
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1경북대학교 의학전문대학원 내과학교실
2서울대학교 의과대학 내과학교
- A Survey of Antimicrobial Stewardship Programs in Korean Hospitals
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Hye-In Kim1, Shin-Woo Kim1, Hyun-Ha Chang1, Hong-Bin Kim2
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1Department of Internal Medicine, Kyungpook National University School of Medicine, Deagu, Korea
2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
- Corresponding author: Shin-Woo Kim ,Tel: +82-53-200-6525, Fax: +82-53-424-5542, Email: ksw2kms@knu.ac.kr
- Received: December 13, 2013; Revised: December 27, 2013 Accepted: February 20, 2014.
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߽ɾ :항생제; 항생제 관리체계; 항생제 스튜어드십;항생제 처방
- Abstract
- Background/Aims: We evaluated the status of antibiotic stewardship programs (ASPs) for physicians. This survey was a follow-up study of data from 2006 and was performed with some new questions about ASPs.
Methods
The online survey collected information on infectious diseases from doctors in 84 hospitals. The questions included some about ASPs. The data were analyzed and compared with a previous report.
Results
Responses came from 40 hospitals. ASPs existed in 87.5% of these (95.5% in 2006), and a computerized preauthorization system was the most common method (85.0%, 59.1% in 2006). An antimicrobial management team existed in 33 hospitals (82.5%), and the preauthorization systems were mainly implemented by infectious disease doctors (72.5%). Incentives to set up ASPs existed in only 12.5% of hospitals (2.3% in 2006).
Conclusions
Computerized preauthorization ASP systems are relatively more common. To improve the uptake of ASPs in each hospital a team approach from the medical institutions is required, along with the cooperation and willingness of those involved.
Keywords :Antibiotics, Antimicrobials, Antimicrobial stewardship, Anti-bacterial agents, Antibiotic prescribing
