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KMID : 1144320220540040637
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감염과 화학요법
2022 Volume.54 No. 4 p.637 ~ p.673
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Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals
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Cheong Hae-Suk
Park Kyung-Hwa
Kim Hong-Bin
Kim Shin-Woo
Kim Bong-Young
Moon Chi-Sook
Lee Mi-Suk
Yoon Young-Kyung
Jeong Su-Jin
Kim Yong-Chan
Eun Byung-Wook
Lee Hyuk-Min
Shin Ji-Yeon
Kim Hyung-Sook
Hwang In-Sun
Park Choon-Seon
Kwon Ki-Tae
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Abstract
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Currently, antimicrobial resistance (AMR) is a major threat to global public health. The antimicrobial stewardship program (ASP) has been proposed as an important approach to overcome this crisis. ASP supports the optimal use of antimicrobials, including appropriate dosing decisions, administration duration, and administration routes. In Korea, efforts are being made to overcome AMR using ASPs as a national policy. The current study aimed to develop core elements of ASP that could be introduced in domestic medical facilities. A Delphi survey was conducted twice to select the core elements through expert consensus. The core elements for implementing the ASP included (1) leadership commitment, (2) operating system, (3) action, (4) tracking, (5) reporting, and (6) education. To ensure these core elements are present at medical facilities, multiple departments must collaborate as teams for ASP operations. Establishing a reimbursement system and a workforce for ASPs are prerequisites for implementing ASPs. To ensure that ASP core elements are actively implemented in medical facilities, it is necessary to provide financial support for ASPs in medical facilities, nurture the healthcare workforce in performing ASPs, apply the core elements to healthcare accreditation, and provide incentives to medical facilities by quality evaluation criteria.
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KEYWORD
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Antimicrobial resistance, Leadership, Multidisciplinary, Financial support, Accreditation
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