Korean J Med.
2023 Feb;98(1):11-39. 10.3904/kjm.2023.98.1.11.
Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals
- Affiliations
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- 1Division of Infectious Disease, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- 2Department of Infectious Diseases, Chonnam National University Medical School, Gwangju, Korea
- 3Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 4Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
- 5Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
- 6Division of Infectious Diseases, Department of Internal Medicine, Inje University College of Medicine, Busan, Korea
- 7Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea
- 8Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
- 9Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- 10Department of Pediatrics, Nowon Eulji University Hospital, Seoul, Korea
- 11Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea
- 12Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
- 13Department of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea
- 14Korea Institute for Healthcare Accreditation, Seoul, Korea
- 15Health Insurance Review and Assessment Research Institute, Health Insurance Review and Assessment Service, Wonju, Korea
- 16Division of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
- KMID: 2539136
- DOI: http://doi.org/10.3904/kjm.2023.98.1.11
Abstract
- Currently, antimicrobial resistance (AMR) is a major threat to global public health. To overcome this crisis, antimicrobial stewardship programs (ASPs) have been proposed. An ASP supports the optimal use of antimicrobials, including appropriate dosing decisions, as well as the duration and routes of administration. In South Korea, efforts are underway to overcome AMR through a national policy supporting ASPs. This study developed the core elements of an ASP for domestic medical facilities. Two Delphi surveys were conducted to select the core elements through expert consensus. The core elements for ASP implementation included leadership commitment, an operating system, action, tracking, reporting, and education. To ensure that these core elements are present in medical facilities, multiple departments must collaborate to support ASP operations. The establishment of a reimbursement system and workforce for ASPs are prerequisites for ASP implementation. The active implementation of core ASP elements in medical facilities requires the provision of financial support for the ASPs, cultivation of a healthcare workforce to perform ASPs, application of the core elements to healthcare accreditation, and provision of incentives to medical facilities via quality evaluation criteria.
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