Department of Internal Medicine, Hanyang University College of Medicine, 222-1, Wangsimni-ro, Seondong-gu, Seoul, 04763, Republic of Korea.
Division of Infectious Diseases, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea.
Antimicrob Resist Infect Control. 2023 Oct 18;12(1):114. doi: 10.1186/s13756-023-01319-8.
We aimed to develop a roadmap for conducting regular, sustainable, and strategic qualitative assessments of antibiotic use in medical institutions within the Republic of Korea.
A literature review on the current state of qualitative antibiotic assessments was conducted, followed by one open round to collect ideas, two scoring rounds to establish consensus, and one panel meeting between them. The expert panel comprised 20 experts in infectious disease or antibiotic stewardship.
The response rate for all three surveys was 95% (19/20), while the panel meeting attendance rate was 90% (18/20). The following long-term goals were defined to assess the annual use of antibacterial and antifungal agents in all medical institutions, including clinics. The panel agreed that random sampling of antibiotic prescriptions was the most suitable method of selecting antibiotics for qualitative assessment, with the additional possibility of evaluating specific antibiotics or infectious diseases that warrant closer evaluation for promoting appropriate antibiotic use. The plan for utilization of results from evaluation involves providing feedback while maintaining anonymity and disclosure. It includes a quantitative assessment of antibiotic prescriptions and resistance rates to compare against institutional benchmarks. Furthermore, it was agreed to link the evaluation findings to the national antibiotic stewardship programme, enabling policy and institutional approaches to address frequently misused items, identified during the evaluation.
This study provides a framework for establishing a qualitative assessment of antimicrobial use for medical institutions at a national level in the Republic of Korea.
本研究旨在为韩国医疗机构内定期、持续和战略性的抗生素使用情况进行定性评估制定路线图。
对当前定性抗生素评估的现状进行文献回顾，随后进行一轮开放式意见征集，以收集想法；进行两轮评分，以建立共识；并在两轮评分之间举行一次专家组会议。专家组由 20 名传染病或抗生素管理方面的专家组成。
所有三轮调查的回复率均为 95%（19/20），而专家组会议的出席率为 90%（18/20）。确定了以下长期目标，以评估所有医疗机构（包括诊所）的抗菌和抗真菌药物的年度使用情况。专家组一致认为，随机抽取抗生素处方是对定性评估选择抗生素的最适宜方法，此外还可以评估需要更密切评估以促进合理使用抗生素的特定抗生素或传染病。评估结果的利用计划包括在保持匿名和披露的情况下提供反馈。该计划包括对抗生素处方和耐药率进行定量评估，以与机构基准进行比较。此外，还同意将评估结果与国家抗生素管理计划联系起来，以便通过政策和机构方法来解决评估中发现的经常被滥用的项目。
本研究为韩国医疗机构的抗菌药物使用情况进行全国范围内的定性评估提供了框架。
