Infect Chemother.  2022 Sep;54(3):483-492. 10.3947/ic.2022.0107.

Development of a Roadmap for the Antimicrobial Usage Monitoring System for Medical Institutions in Korea: a Delphi Study

Affiliations
  • 1Department of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea
  • 2Korean Society of Health-System Pharmacist, Seoul, Korea
  • 3Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 4Centers for Digital Health, Yongin Severance Hospital, Yonsei University Health System, Yongin, Korea
  • 5Department of Infectious Disease, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 6Department of Pediatrics, Chung-Ang University Hospital, Seoul, Korea
  • 7Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea
  • 8Department of Pediatrics, Eulji University Eulji General Hospital, Seoul, Korea
  • 9Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 10Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 11Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
  • 12Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 13Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea

Abstract

Background
It is necessary to develop a roadmap for antimicrobial usage monitoring in order to perform monitoring of antimicrobial use at the national level properly. Therefore, this study aimed to develop a roadmap for establishing surveillance and monitoring of antimicrobial use in medical institutions at the national level.
Materials and Methods
A modified Delphi study was conducted, including 3 rounds of an online survey and a virtual meeting with 16 expert panels. The survey items were developed based on a literature review of the surveillance systems for antimicrobial use in 12 countries and interviews with experts. The questionnaire was designed to include both the surveillance and benchmarking systems.
Results
Regarding the scope of target institutions to be included in the surveillance system, medical institutions for sentinel surveillance had the highest proportion of agreement among the panels (75.0%, 9/12). For the benchmarking system, “tertiary- and secondarycare hospitals” were accepted as the scope of target institutions at the current moment. Furthermore, the National Health Insurance claims and prescription data of individual hospitals were considered appropriate data sources for the surveillance system. As for the measures to promote the participation of hospitals in the benchmarking system, “compensation through the establishment of antimicrobial management fees” and “set the participation in the program as a quality evaluation or accreditation index for hospital evaluation” were accepted.
Conclusion
This study provides a roadmap for establishing an antimicrobial use monitoring and benchmarking system for medical institutions at a national level in Korea.

Keyword

Antimicrobial use; Monitoring; Benchmarking; Antimicrobial stewardship; Korea
Full Text Links
  • IC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr