J Korean Med Sci.  2020 Aug;35(30):e241. 10.3346/jkms.2020.35.e241.

Development of Antibiotic Classification for Measuring Antibiotic Usage in Korean Hospitals Using a Modified Delphi Method

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
  • 2Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
  • 3Department of Research, Health Insurance Review & Assessment Service, Wonju, Korea
  • 4Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 5Department of Health Convergence, Ewha Womans University, Seoul, Korea
  • 6Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 7Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
  • 8Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
  • 9Department of Infectious Diseases in Internal Medicine, Chungnam National University Sejong Hospital, School of Medicine, Chungnam National University, Sejong, Korea

Abstract

In 2019, a project designed to develop a system for measuring and comparing antibiotic usage in hospitals was launched in Korea. As part of this project, we developed a means to classify antibiotic usage in Korean hospitals using a modified Delphi method. In results, the following categories of antibiotic classification were accepted for use in Korean hospitals: 1) broad-spectrum antibacterial agents predominantly used for hospital-onset infections in adults, 2) broad-spectrum antibacterial agents predominantly used for community-acquired infections in adults, 3) antibacterial agents predominantly used for resistant gram-positive infections in adults, 4) narrow-spectrum beta-lactam agents in adults, 5) antibacterial agents predominantly used for extensive antibiotic resistant gram-negative bacteria in adults, and 6) total antibacterial agents.

Keyword

Antibiotics; Stewardship; Hospitals; Measurement; Korea
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