항생제 사용관리 프로그램의 국내 실행을 위한 핵심요소 -종합병원대상

• Published in: The Korean journal of medicine Vol. 98; no. 1; pp. 11 - 39
• Main Authors: 정혜숙, Hae Suk Cheong, 박경화, Kyung-hwa Park, 김홍빈, Hong Bin Kim, 김신우, Shin-woo Kim, 김봉영, Bongyoung Kim, 문치숙, Chisook Moon, 이미숙, Mi Suk Lee, 윤영경, Young Kyung Yoon, 정수진, Su Jin Jeong, 김용찬, Yong Chan Kim, 은병욱, Byung Wook Eun, 이혁민, Hyukmin Lee, 신지연, Ji-yeon Shin, 김형숙, Hyung-sook Kim, 황인선, In Sun Hwang, 박춘선, Choon-seon Park, 권기태, Ki Tae Kwon
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.02.2023
• Subjects: Accreditation; Antimicrobial drug resistance; Financial support; Leadership; Multidisciplinary communications; 다학제; 리더십; 의료기관 인증; 재정적 지원; 항생제 내성
• ISSN: 1738-9364; 2289-0769

Currently, antimicrobial resistance (AMR) is a major threat to global public health. To overcome this crisis, antimicrobial stewardship programs (ASPs) have been proposed. An ASP supports the optimal use of antimicrobials, including appropriate dosing decisions, as well as the duration and routes of administration. In South Korea, efforts are underway to overcome AMR through a national policy supporting ASPs. This study developed the core elements of an ASP for domestic medical facilities. Two Delphi surveys were conducted to select the core elements through expert consensus. The core elements for ASP implementation included leadership commitment, an operating system, action, tracking, reporting, and education. To ensure that these core elements are present in medical facilities, multiple departments must collaborate to support ASP operations. The establishment of a reimbursement system and workforce for ASPs are prerequisites for ASP implementation. The active implementation of core ASP elements in medical facilities requires the provision of financial support for the ASPs, cultivation of a healthcare workforce to perform ASPs, application of the core elements to healthcare accreditation, and provision of incentives to medical facilities via quality evaluation criteria. (Korean J Med 2023;98:11-39)