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In-depth review
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Korean J Med. 2025;100(6):279-284. Published online December 1, 2025.
DOI: https://doi.org/10.3904/kjm.2025.100.6.279
- 내과 전문의의 항생제 적정 사용 관리에서의 역할
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김 탁
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순천향대학교 부속 부천병원 감염내과
- Roles of Internal Medicine Physicians in Antimicrobial Stewardship
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Tark Kim
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Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
- Corresponding author: Tark Kim ,Tel: +82-32-621-5203, Fax: +82-32-621-6950, Email: ktocc2@naver.com
- Received: July 18, 2025; Revised: November 16, 2025 Accepted: November 28, 2025.
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߽ɾ :항생제; 약제내성; 항생제 관리; 내과
- Abstract
- Antimicrobial resistance (AMR) is a global health concern. Antimicrobial stewardship programs (ASPs) are essential for combating AMR. However, the implementation of an ASP in Korea is still in the early stages. Internal medicine (IM) physicians are crucial as both prescribers and ASP leaders within healthcare institutions given the lack of infectious disease (ID) physicians. This review explores the key roles of IM physicians in ASPs, drawing from various successful international cases in which IM physicians engaged in ASPs with and without ID physician involvement. Targeted and detailed education is vital to widen the roles of IM physicians in ASPs and foster appropriate antibiotic prescribing behaviors. Furthermore, ID-physician-guided networks can facilitate the nationwide expansion of ASPs. Finally, reforming the reimbursement system and introducing incentives are necessary to promote ASP adoption and sustainability in Korea.
Keywords :Anti-bacterial agents, Drug resistance, Antimicrobial stewardship, Internal medicine
