Development of the Korean Standardized Antimicrobial Administration Ratio as a Tool for Benchmarking Antimicrobial Use in Each Hospital

Bongyoung Kim, Song Vogue Ahn, Dong Sook Kim, Jungmi Chae, Su Jin Jeong, Young Uh, Hong Bin Kim, Hyung Sook Kim, Sun Hee Park, Yoon Soo Park, Jun Yong Choi

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background: The Korea National Antimicrobial Use Analysis System (KONAS), a benchmarking system for antimicrobial use in hospitals, provides Korean Standardized Antimicrobial Administration Ratio (K-SAAR) for benchmarking. This article describes K-SAAR predictive models to enhance the understanding of K-SAAR, an important benchmarking strategy for antimicrobial usage in KONAS. Methods: We obtained medical insurance claims data for all hospitalized patients aged ≥ 28 days in all secondary and tertiary care hospitals in South Korea (n = 347) from January 2019 to December 2019 from the Health Insurance Review & Assessment Service. Modeling was performed to derive a prediction value for antimicrobial use in each institution, which corresponded to the denominator value for calculating K-SAAR. The prediction values of antimicrobial use were modeled separately for each category, for all inpatients and adult patients (aged ≥ 15 years), using stepwise negative binomial regression. Results: The final models for each antimicrobial category were adjusted for different significant risk factors. In the K-SAAR models of all aged patients as well as adult patients, most antimicrobial categories included the number of hospital beds and the number of operations as significant factors, while some antimicrobial categories included mean age for inpatients, hospital type, and the number of patients transferred from other hospitals as significant factors. Conclusion: We developed a model to predict antimicrobial use rates in Korean hospitals, and the model was used as the denominator of the K-SAAR.

Original languageEnglish
Article numbere191
JournalJournal of Korean Medical Science
Issue number24
StatePublished - 2022

Bibliographical note

Publisher Copyright:
© 2022. The Korean Academy of Medical Sciences


  • Antimicrobial stewardship
  • Benchmarking
  • Konas
  • Korea
  • Saar


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