Status of antimicrobial stewardship programmes in Korean hospitals including small to medium-sized hospitals and the awareness and demands of physicians: a nationwide survey in 2020
Status of antimicrobial stewardship programmes in Korean hospitals including small to medium-sized hospitals and the awareness and demands of physicians: a nationwide survey in 2020
复制标题
DOI：
10.1016/j.jgar.2021.06.001
复制
发表时间：
2021-07-10
影响因子：
4.6
通讯作者：
Kim, Hong Bin
中科院分区：
文献类型：
--
作者：
Lee, Myung Jin;Moon, Song Mi;Kim, Hong Bin
目的：本研究旨在了解韩国中小型医院抗菌药物管理计划 (ASP) 的现状以及医生对 ASP 的认知和需求。方法：根据 2018 年针对韩国大型医院的全国调查问卷设计了一份调查问卷，并进行了修改，以反映对二级保健医院非感染性疾病 (ID) 医生的深入访谈结果。该调查针对韩国所有拥有 150 张以上床位的医院，于 2020 年 5 月至 6 月进行。每家医院只有一名 ASP 相关医生参与了调查。结果：调查回应率为31.9%（217/680）。三级医院参加 ASP 的医务人员中，ID 专家占大多数。相反，在二级和初级保健医院中，ASP 没有占主导地位的医务人员，所有类型医务人员的全职当量中位数为 0。三级医院比二级和初级医院更积极地开展 ASP 活动。 “ASP 的劳动力”、“ASP 的医疗费用的制定”和“ASP 的工具开发”是 ASP 改进所需的最重要的支持。结论：韩国初级保健医院的 ASP 建立水平比二级和三级保健医院更为有限。为了改善韩国医院的 ASP，似乎有必要提供支持性劳动力并为 ASP 设立医疗费用。 (c) 2021 作者。由爱思唯尔有限公司代表国际抗菌化疗协会出版。这是一篇基于 CC BY-NC-ND 许可证的开放获取文章 (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Objectives: This study aimed to identify the status of antimicrobial stewardship programmes (ASPs) in small to medium-sized Korean hospitals as well as the awareness and demands about ASPs of physicians. Methods: A questionnaire was designed based on a questionnaire from a previous nationwide survey in 2018 targeting large hospitals in Korea and modified to reflect the results of in-depth interviews with non-infectious diseases (IDs) physicians at secondary care hospitals. The survey targeted all hospitals with >= 150 beds in South Korea and was performed in May-June 2020. Only one ASP-associated physician per hospital participated in the survey. Results: The survey response rate was 31.9% (217/680). ID specialists comprised the majority of medical personnel participating in ASPs in tertiary care hospitals. Conversely, in secondary and primary care hospitals there was no predominant medical personnel for ASPs and the median full-time equivalent was 0 for all types of medical personnel. Tertiary care hospitals, more than secondary and primary care hospitals, tended to perform ASP activities more actively. 'Workforce for ASPs', 'Establishment of healthcare fees for ASPs' and 'Development of tools for ASPs' were the most important required support for ASP improvement. Conclusion: The level of ASP establishment was more limited in primary care hospitals than in secondary and tertiary care hospitals in Korea. To improve ASPs in Korean hospitals, a supporting workforce and the establishment of a healthcare fee for ASPs appear to be necessary. (c) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Antimicrobial Chemotherapy. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )