Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals
- Author:
Hae Suk CHEONG
1
;
Kyung-Hwa PARK
;
Hong Bin KIM
;
Shin-Woo KIM
;
Bongyoung KIM
;
Chisook MOON
;
Mi Suk LEE
;
Young Kyung YOON
;
Su Jin JEONG
;
Yong Chan KIM
;
Byung Wook EUN
;
Hyukmin LEE
;
Ji-Yeon SHIN
;
Hyung-sook KIM
;
In Sun HWANG
;
Choon-Seon PARK
;
Ki Tae KWON
;
Korean Society for Antimicrobial Therapy, The Korean Society of Infectious Diseases, Korean Society
Author Information
- Publication Type:Review Article
- From:Infection and Chemotherapy 2022;54(4):637-673
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
