Korean J Nosocomial Infect Control.
2004 Jun;9(1):7-15.
Development of a Computerized System of Antibiotic-Resistance Monitoring: Using Data Warehousing System
- Affiliations
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- 1Division of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yskim@amc.seoul.kr
- 2Department of Medical Information, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 3Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 4Department of Infection Control, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
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BACKGROUND: The beginning and crucial step for the infection prevention and control is the knowledge of the antibiotic resistance pattern on each facility and community. However, day by day, enormous microbiologic data has been pouring and surveillance of hospital infection and monitoring of antibiotic-resistance is a time-consuming and laboring activity. To overcome this problem, we have developed a computerized antibiotic-resistance monitoring system.
METHODS
Since 1997, all information pertaining to patients has been collected and stored in the Asan Medical Open Report System (AMOS). Using Data-Warehousing system, all information stored in AMOS was grouped as three main subjects: 1) hospital visit history 2) prescription and 3) laboratory results. As an On-Line Analytical processing (OLAP) tool, Business Objects (B.O., France) was used.
RESULTS
Following categories were programmed and applied in infection control activity; 1) microbial culture results 2) trends of antibiotic-resistance pattern 3) frequency of major antibiotic-resistant organism in clinical isolates 4) trends of antibiotic usage based on defined-daily dosage, and 5) daily patients list, who were prescribed glycopeptides or carbapenems.
CONCLUSIONS
This program could be an important model for the infection prevention and control.
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