Current status of antimicrobial stewardship programmes in Korean hospitals: results of a 2018 nationwide survey

Korea Study Group for Antimicrobial Stewardship (KOSGAP)

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Background: Antimicrobial stewardship programmes (ASPs) are suggested as a vital strategy to address antimicrobial resistance. Aim: To examine the current status of ASPs in Korean hospitals, to identify problems and challenges for the implementation of proper ASPs, and to provide a reference for developing more effective ASP policies. Methods: A questionnaire based on the ‘Seven Core Elements of Hospital Antibiotic Stewardship Programs’ from the US Centers for Disease Control and Prevention was developed, modified from the previous questionnaire on ASPs in Korea, 2015. ASP-participating physicians such as infectious disease specialists (IDSs), paediatric IDSs, and directors of infection control departments were targeted. Only one ASP-associated physician per hospital participated in the survey. Findings: The survey response rate was 88.4% (84/95). The median number of medical personnel participating in ASPs was 3 (interquartile range (IQR): 1–5), most of whom were IDS (median: 2; IQR: 1–2). Only 6.0% (5/84) of hospitals had full-time workers for ASPs. Whereas restrictive measures for designated antimicrobials were widely implemented among Korean hospitals (88.1%, 74/84), the proportion of hospitals with interventions for inappropriate long-term antimicrobial use and a conversion strategy from parenteral to oral antimicrobial administration was only 9.5% (8/84) and 1.2% (1/84), respectively. Lack of time, personnel, and appropriate compensation was perceived as the major barrier to establishing an ASP in Korean hospitals. Conclusion: ASPs in Korean hospitals were primarily carried out by one or two IDSs, and programmes mostly comprised restrictive measures for designated antimicrobials. National-level support to implement appropriate ASPs in Korean hospitals is necessary.

Original languageEnglish
Pages (from-to)172-180
Number of pages9
JournalJournal of Hospital Infection
Issue number2
StatePublished - Feb 2020

Bibliographical note

Funding Information:
This work was supported by the Research Program funded by the Korea Centers for Disease Control and Prevention, Republic of Korea (grant number 2018-E2802-00 ). The funders had no role in study design, data collection and analysis, preparation of the manuscript, or the decision to publish.

Publisher Copyright:
© 2019 The Healthcare Infection Society


  • Antimicrobial
  • Hospital
  • Korea
  • Resistance
  • Stewardship


Dive into the research topics of 'Current status of antimicrobial stewardship programmes in Korean hospitals: results of a 2018 nationwide survey'. Together they form a unique fingerprint.

Cite this