Infect Chemother.  2022 Dec;54(4):599-609. 10.3947/ic.2022.0158.

Current Status and Prospect of Qualitative Assessment of Antibiotics Prescriptions

Affiliations
  • 1Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 2Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea
  • 3Centers for Digital Health, Yongin Severance Hospital, Yonsei University Health System, Yongin, Korea
  • 4Department of Internal Medicine, Division of Infectious diseases, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 5Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 6Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
  • 7Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea

Abstract

Identifying inappropriately prescribed antibiotics for infectious diseases by monitoring the quality of antibiotics use is essential for effective implementation of antibiotic stewardship. Qualitative assessment of the use of antibiotics has been conducted in some countries, including Korea, since the 2000s. The qualitative assessment generally involves an assessment of each component of the antibiotics prescription process, based on specific criteria. However, there is no standardized assessment method or cycle, and infectious diseases or antibiotics included in the assessments vary from country-to-country. According to the results reported in the United States, Europe, Australia, and Korea so far, approximately 20 - 55% of all antibiotics prescriptions are inappropriate. In this review, we describe the current progress in the quality assessment of the use of antibiotics on a global scale. Further, we highlight the future directions to improve antibiotic stewardship activities and the quality assessment of the use of antibiotics in Korea.

Keyword

Anti-Bacterial Agents; Prescriptions; Antimicrobial Stewardship; Korea
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