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논문 기본 정보

자료유형
학술저널
저자정보
Cheong Hae Suk (Division of Infectious Diseases Department of Internal Medicine Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea.) Park Kyung-Hwa (Department of Infectious Diseases Chonnam National University Medical School Gwangju Korea.) Kim Bongyoung (Department of Internal Medicine Hanyang University College of Medicine Seoul Korea.) Eun Byung Wook (Department of Pediatrics Nowon Eulji University Hospital Seoul Korea.) Kim Hyung-Sook (Department of Pharmacy Seoul National University Bundang Hospital Seongnam Korea.Korean Society of Health-System Pharmacist Seoul Korea.) Kim Yong Chan (Division of Infectious Diseases Department of Internal Medicine Yonsei University College of Medicine Seoul Korea.) Lee Hyukmin (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea.) Jeong Su Jin (Division of Infectious Diseases Department of Internal Medicine Yonsei University College of Medicine Seoul Korea.) Moon Chisook (Division of Infectious Diseases Department of Internal Medicine Inje University College of Medicine Busan Korea.) Kim Shin-Woo (Department of Internal Medicine School of Medicine Kyungpook National University Daegu Korea.) Yoon Young Kyung (Division of Infectious Diseases Department of Internal Medicine Korea University College of Medicine Seoul Korea.) Hwang In Sun (Korea Institute for Healthcare Accreditation Seoul Korea.) Park Choon-Seon (Health Insurance Review and Assessment Research Institute Health Insurance Review and Assessment Service Wonju Korea.) Lee Mi Suk (Division of Infectious Diseases Department of Internal Medicine Kyung Hee University College of Medicine Kyung Hee University Hospital Seoul Korea.) Kim Hong Bin (Department of Internal Medicine Seoul National University Bundang Hospital Seoul National University College of Medicine Seongnam Korea.) Shin Ji-Yeon (Department of Preventive Medicine School of Medicine Kyungpook National University Daegu Korea.) Kwon Ki Tae (Division of Infectious Diseases Department of Internal Medicine Kyungpook National University Chilgok Hospital School of Medicine Kyungpook National University Daegu Korea.)
저널정보
대한감염학회 Infection and Chemotherapy Infection and Chemotherapy 제55권 제1호
발행연도
2023.3
수록면
59 - 68 (10page)
DOI
10.3947/ic.2022.0169

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Background Antimicrobial stewardship programs (ASPs) aim to optimize antimicrobial use by minimizing the spread of antimicrobial resistance. The core elements for implementing ASPs in healthcare facilities have been developed by the World Health Organization, international research group and government agencies of various countries. However, to date, there is no documented core elements for implementation of ASP in Korea. This survey aimed to establish a national consensus on a set of core elements and their related checklist items for the implementation of ASPs in Korean general hospitals. Materials and Methods The survey was conducted from July 2022 to August 2022 by the Korean Society for Antimicrobial Therapy with support from the Korea Disease Control and Prevention Agency. A literature review was conducted by searching Medline and relevant websites to retrieve a list of core elements and checklist items. These core elements and checklist items were evaluated by a multidisciplinary panel of experts using a structured modified Delphi consensus procedure, using two-step survey included online in-depth questionnaires and in-person meeting. Results The literature review identified 6 core elements (Leadership commitment, Operating system, Action, Tracking, Reporting, and Education) and 37 related checklist items. Fifteen experts participated in the consensus procedures. Ultimately, all 6 core elements were retained, and 28 checklist items were proposed, all with ≥80% agreement; in addition 9 items were merged into 2 items, 2 items were deleted, and 15 items were rephrased. Conclusion This Delphi survey provides useful indicators for the implementation of ASP in Korea and suggests national policy improvement about the barriers (e.g., shortage of staffing and financial support) existing in Korea for optimal implementation of ASPs.

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