Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Infect Control Hosp Epidemiol. 2020 Dec;41(12):1429-1435. doi: 10.1017/ice.2020.1234. Epub 2020 Oct 26.
We calculated the human resources required for an antimicrobial stewardship program (ASP) in Korean hospitals.
Multicenter retrospective study.
Eight Korean hospitals ranging in size from 295 to 1,337 beds.
The time required for performing ASP activities for all hospitalized patients under antibiotic therapy was estimated and converted into hours per week. The actual time spent on patient reviews of each ASP activity was measured with a small number of cases, then the total time was estimated by applying the determined times to a larger number of cases. Full-time equivalents (FTEs) were measured according to labor laws in Korea (52 hours per week).
In total, 225 cases were reviewed to measure time spent on patient reviews. The median time spent per patient review for ASP activities ranged from 10 to 16 minutes. The total time spent on the review for all hospitalized patients was estimated using the observed number of ASP activities for 1,534 patients who underwent antibiotic therapy on surveillance days. The most commonly observed ASP activity was 'review of surgical prophylactic antibiotics' (32.7%), followed by 'appropriate antibiotics recommendations for patients with suspected infection without a proven site of infection but without causative pathogens' (28.6%). The personnel requirement was calculated as 1.20 FTEs (interquartile range [IQR], 1.02-1.38) per 100 beds and 2.28 FTEs (IQR, 1.93-2.62) per 100 patients who underwent antibiotic therapy, respectively.
The estimated time required for human resources performing extensive ASP activities on all hospitalized patients undergoing antibiotic therapy in Korean hospitals was ~1.20 FTEs (IQR, 1.02-1.38) per 100 beds.
我们计算了韩国医院抗菌药物管理计划（ASP）所需的人力资源。
多中心回顾性研究。
8 家韩国医院，床位数从 295 张到 1337 张不等。
估计对所有接受抗生素治疗的住院患者进行 ASP 活动所需的时间，并将其转换为每周小时数。通过少数病例测量了对每个 ASP 活动进行患者评估的实际时间，然后通过将确定的时间应用于更多病例来估计总时间。全职等效物（FTE）根据韩国的劳动法（每周 52 小时）进行测量。
共审查了 225 例病例，以测量患者评估的时间。ASP 活动的每位患者评估的中位数时间为 10 至 16 分钟。使用监测日接受抗生素治疗的 1534 名患者的观察到的 ASP 活动数量，估计了对所有住院患者的审查总时间。最常见的观察到的 ASP 活动是“手术预防抗生素的审查”（32.7%），其次是“对于疑似感染但无明确感染部位且无病原体的患者，建议使用适当的抗生素”（28.6%）。根据计算，每 100 张床需要 1.20 个 FTE（四分位距 [IQR]，1.02-1.38），每 100 名接受抗生素治疗的患者需要 2.28 个 FTE（IQR，1.93-2.62）。
估计韩国医院对所有接受抗生素治疗的住院患者进行广泛的 ASP 活动所需的人力资源时间约为每 100 张床 1.20 个 FTE（IQR，1.02-1.38）。
