Infectious Diseases Physician Workforce in Korea

Jang, Youngeun; Park, Se Yoon; Kim, Bongyoung; Lee, Eunjung; Lee, Seungjae; Son, Hyo-Ju; Park, Jung Wan; Yu, Shi Nae; Kim, Tark; Jeon, Min Hyok; Choo, Eun Ju

doi:10.3346/jkms.2020.35.e428

Cited by 15 publications

(18 citation statements)

References 10 publications

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“…Among these, 11,371 (21.5%) had a positive history of cardiovascular disease. Twenty-three studies reported data useful for the calculation of the pooled OR for death [ 2 , 4 , 5 , 9 – 28 ], four studies for the calculation of the pooled OR for ICU admission or mechanical ventilation [ 6 , 29 – 31 ] and ten studies for the calculation of the pooled OR for any composite outcome including at least one among death, ICU admission or mechanical ventilation [ 2 , 3 , 5 , 11 , 21 , 32 – 36 ] (Table 1 ). Since one study by Shi Q and colleagues [ 26 ] reported separate absolute numbers for people with and without diabetes mellitus, a total of 24 OR were considered for the calculation of the pooled OR for death.…”

Section: Resultsmentioning

confidence: 99%

Impact of cardiovascular disease on clinical outcomes in hospitalized patients with Covid-19: a systematic review and meta-analysis

et al. 2021

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Contrasting data have been published about the impact of cardiovascular disease on Covid-19. A comprehensive synthesis and pooled analysis of the available evidence is needed to guide prioritization of prevention strategies. To clarify the association of cardiovascular disease with Covid-19 outcomes, we searched PubMed up to 26 October 2020, for studies reporting the prevalence of cardiovascular disease among inpatients with Covid-19 in relation to their outcomes. Pooled odds-ratios (OR) for death, for mechanical ventilation or admission in an intensive care unit (ICU) and for composite outcomes were calculated using random effect models overall and in the subgroup of people with comorbid diabetes. Thirty-three studies enrolling 52,857 inpatients were included. Cardiovascular disease was associated with a higher risk of death both overall (OR 2.58, 95% confidence intervals, CI 2.12–3.14, p < 0.001, number of studies 24) and in the subgroup of people with diabetes (OR 2.91, 95% CI 2.13–3.97, p < 0.001, number of studies 4), but not with higher risk of ICU admission or mechanical ventilation (OR 1.35, 95% CI 0.73–2.50, p = 0.34, number of studies 4). Four out of five studies reporting OR adjusted for confounders failed to show independent association of cardiovascular disease with Covid-19 deaths. Accordingly, the adjusted-OR for Covid-19 death in people with cardiovascular disease dropped to 1.31 (95% CI 1.01–1.70, p = 0.041). Among patients hospitalized for Covid-19, cardiovascular disease confers higher risk of death, which was highly mitigated when adjusting the association for confounders.

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Section: Resultsmentioning

confidence: 99%

Impact of cardiovascular disease on clinical outcomes in hospitalized patients with Covid-19: a systematic review and meta-analysis

et al. 2021

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“…Despite the trend of emphasis on the importance of antimicrobial stewardship program (ASP), some hospitals in Korea have discontinued ASP due to a lack of workforce. The number of active infectious disease (ID) specialists, which is the main human resource for ASP in Korea, is limited [1,2].…”

Section: Introductionmentioning

confidence: 99%

Effect of discontinuation of an antimicrobial stewardship programme on the antibiotic usage pattern

Jang

Hwang

et al. 2021

Clinical Microbiology and Infection

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Based on clinical experience, leadership experience, multidisciplinary relationships, and training courses, many infectious disease doctors are well-equipped to lead multidisciplinary ASP teams [ 106 ]. However, there are only 242 infectious disease doctors in Korea, distributed across 131 medical facilities, which is a ratio of one doctor per 372 beds [ 108 ]. Moreover, 2/3 of them work in the Seoul area, so many hospitals have no infectious disease doctors available to lead the ASP.…”

Section: Recommended Guidelines For Each Key Questionmentioning

confidence: 99%

Guidelines on Implementing Antimicrobial Stewardship Programs in Korea

et al. 2021

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These guidelines were developed as a part of the 2021 Academic R&D Service Project of the Korea Disease Control and Prevention Agency in response to requests from healthcare professionals in clinical practice for guidance on developing antimicrobial stewardship programs (ASPs). These guidelines were developed by means of a systematic literature review and a summary of recent literature, in which evidence-based intervention methods were used to address key questions about the appropriate use of antimicrobial agents and ASP expansion. These guidelines also provide evidence of the effectiveness of ASPs and describe intervention methods applicable in Korea.

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Infectious Diseases Physician Workforce in Korea

Cited by 15 publications

References 10 publications

Impact of cardiovascular disease on clinical outcomes in hospitalized patients with Covid-19: a systematic review and meta-analysis

Impact of cardiovascular disease on clinical outcomes in hospitalized patients with Covid-19: a systematic review and meta-analysis

Effect of discontinuation of an antimicrobial stewardship programme on the antibiotic usage pattern

Guidelines on Implementing Antimicrobial Stewardship Programs in Korea

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