A Survey of Antimicrobial Stewardship Programs in Korea, 2015

Kim, Bongyoung; Kim, Jieun; Kim, Shin‐Woo; Pai, Hyunjoo

doi:10.3346/jkms.2016.31.10.1553

Cited by 25 publications

(29 citation statements)

References 17 publications

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“…As these infections are largely viral and self-limiting, antibiotics offer little benefit for these conditions (56). Globally, concerted efforts targeting both clinicians and the public have been implemented in order to reduce the antibiotic prescription rate and expectations for antibiotics in RTIs (78). …”

Section: Introductionmentioning

confidence: 99%

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

et al. 2017

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Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the ‘RTI clinical iceberg.’ A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9% reported having experienced an RTI in the previous six months; 59.3% visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16% of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1% non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.

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Section: Introductionmentioning

confidence: 99%

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

et al. 2017

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“…Likewise, the government of Korea introduced various initiatives to control the use of antibiotics, such as drug utilization review and public reporting of antibiotics for upper respiratory tract infections . In a 2015 survey, 92.6% of hospitals in Korea introduced antimicrobial stewardship programs to control the use of antibiotics, but according to the present study, more efforts are needed to control the use of broad spectrum antibiotics in pediatric patients.…”

Section: Discussionmentioning

confidence: 79%

Increased use of third‐generation cephalosporin antibiotics in the outpatient setting in Korean children and adolescents

Song

Park

Byun

et al. 2018

Pediatrics International

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“…According to the Korea ASP survey in 2015, the number of infectious disease (ID) specialists increased from previous surveys in 2006 and 2012, but the proportion of hospitals operating ASP did not increase; ASP were limited to top-tier general hospitals [8]. The survey concluded that ASP were not proliferating because of the lack of clinical pharmacists and adequate reimbursement from the national health insurance (NHI) system to support ASP [8]. Pharmacists play crucial roles in IPC/ASP; in fact, they can be facilitators or intermediaries at the opinion-gathering stages [9].…”

Section: Introductionmentioning

confidence: 96%

“…The level of antibiotic usage in South Korea (28 defined daily doses [DDD] per 1000 inhabitants per day [DID]) is still much higher than the average for other Organisation for Economic Co-operation and Development (OECD) countries (18 DID) as of 2012 [6,7]. According to the Korea ASP survey in 2015, the number of infectious disease (ID) specialists increased from previous surveys in 2006 and 2012, but the proportion of hospitals operating ASP did not increase; ASP were limited to top-tier general hospitals [8]. The survey concluded that ASP were not proliferating because of the lack of clinical pharmacists and adequate reimbursement from the national health insurance (NHI) system to support ASP [8].…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis

et al. 2019

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Antimicrobial stewardship program (ASP) is one of the most important strategies for managing infectious disease treatment and preventing antimicrobial resistance. The successful implementation of ASP in the community health system (CHS) has been challenging. We evaluated perceptions of current ASP, potential setbacks of ASP implementation, and future demands on ASP services among physicians and pharmacists in the CHS. The qualitative research was conducted through in-depth individual interviews and focus group discussions with 11 physicians and 11 pharmacists. In addition, a quantitative gap analysis was conducted to assess the different awareness and demands on services of ASP and preferred antimicrobial-related problems (ARP). In overall, perceptions of ASP varied by profession. The identified setbacks were unorganized institutional leadership, the undefined roles of healthcare professionals, a lack of reimbursement, the hierarchical structure of the health system, and the labor-intensive working environment of pharmacy services. Although demands for ASP improvement were similar among professionals, they had different preferences in prioritizing each service item of ASP/ARP development and the profession responsible for each service. Continuous administrative and financial investments, understanding ASP contents, ASP-specific information technology, and interdisciplinary collaboration with good communication among healthcare professions are needed to continue the progression of ASP.

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A Survey of Antimicrobial Stewardship Programs in Korea, 2015

Cited by 25 publications

References 17 publications

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

Increased use of third‐generation cephalosporin antibiotics in the outpatient setting in Korean children and adolescents

Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis

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