Korean J Med.  2014 Aug;87(2):173-181. 10.3904/kjm.2014.87.2.173.

A Survey of Antimicrobial Stewardship Programs in Korean Hospitals

• Kim HI
• Kim SW
• Chang HH
• Kim HB

• KMID: 1710027
• DOI: http://doi.org/10.3904/kjm.2014.87.2.173

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.

Keyword

Antibiotics; Antimicrobials; Antimicrobial stewardship; Anti-bacterial agents; Antibiotic prescribing

MeSH Terms

Anti-Bacterial Agents
Communicable Diseases
Follow-Up Studies
Motivation
Viperidae
Anti-Bacterial Agents