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Evaluating antimicrobial utilization in 20 Korean long-term care hospitals: a call to action for antimicrobial stewardship.
Lee, R; Park, S Y; Park, J Y; Kim, B; Kim, Y C; Ga, H; Lee, M J; Park, H W; Yun, I J; Heo, S-J; Moon, S M; Kim, H B.
Afiliación
  • Lee R; Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • Park SY; Division of Infectious Diseases, Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea.
  • Park JY; Department of Paediatrics, Korea University Ansan Hospital, Ansan, Korea.
  • Kim B; Division of Infectious Diseases, Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea; Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
  • Kim YC; Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. Electronic address: amomj@yuhs.ac.
  • Ga H; Incheon Eun-Hye Hospital, Incheon, Korea.
  • Lee MJ; Department of Internal Medicine, Inje University Sanggye-Paik Hospital, Seoul, Korea.
  • Park HW; Division of Nursing, Yongin Severance Hospital, Yonsei University College of Medicine, Gyeonggi, Korea.
  • Yun IJ; Department of Pharmacy, Yongin Severance Hospital, Yonsei University College of Medicine, Gyeonggi, Korea.
  • Heo SJ; Division of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.
  • Moon SM; Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gyeonggi, Korea.
  • Kim HB; Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gyeonggi, Korea.
J Hosp Infect ; 2024 Aug 22.
Article en En | MEDLINE | ID: mdl-39181451
ABSTRACT

BACKGROUND:

Evaluation of hospital-specific antimicrobial use is necessary for successful national antimicrobial stewardship. This study aimed to identify antimicrobial use in long-term care hospitals (LCHs) in Korea.

METHODS:

A multi-centre retrospective study was conducted to evaluate the prescription patterns and appropriateness of antimicrobials in 20 LCHs in Korea. The medical record data of hospitalized patients who were newly prescribed antimicrobials at each hospital were collected manually between 10th July and 31st October 2023 to evaluate the appropriateness of antimicrobial use.

RESULTS:

The prevalence of antimicrobial prescriptions was 8.9% (365/4086) and 10.3% (402/3892) on 12th July 2023 and 18th October 2023, respectively. In total, 885 antimicrobials were prescribed to 740 patients. Among the antimicrobials, third- or fourth-generation cephalosporins (31.9%) represented the most prescribed antimicrobial class. A large majority of antimicrobials (96.6%, 855/885) were prescribed for the treatment of infectious diseases; however, only 37.7% (322/855) of antimicrobials were prescribed appropriately for infections. The route of administration, dosage and prescribed antimicrobial were appropriate in 99.6% (852/855), 56.1% (480/855) and 62.0% (530/855) of cases, respectively. In total, 35.2% (252/715) of patients were prescribed antimicrobials appropriately. The diagnosis of infectious disease was appropriate for 52.9% (472/892) of cases. Of the five, 15 and 10 antimicrobials used for surgical site infection prophylaxis, medical prophylaxis and other purposes, respectively, none were used appropriately.

CONCLUSION:

The proportion of antimicrobials used appropriately is low in Korean LCHs. These data highlight the importance of establishing antimicrobial stewardship in LCHs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Hosp Infect Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Hosp Infect Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido