@article{9cd53a4007f74152b6a7b3923747651c,
title = "Status of antimicrobial stewardship programmes in Korean hospitals including small to medium-sized hospitals and the awareness and demands of physicians: a nationwide survey in 2020",
abstract = "Objectives: This study aimed to identify the status of antimicrobial stewardship programmes (ASPs) in small to medium-sized Korean hospitals as well as the awareness and demands about ASPs of physicians. Methods: A questionnaire was designed based on a questionnaire from a previous nationwide survey in 2018 targeting large hospitals in Korea and modified to reflect the results of in-depth interviews with non-infectious diseases (IDs) physicians at secondary care hospitals. The survey targeted all hospitals with ≥150 beds in South Korea and was performed in May–June 2020. Only one ASP-associated physician per hospital participated in the survey. Results: The survey response rate was 31.9% (217/680). ID specialists comprised the majority of medical personnel participating in ASPs in tertiary care hospitals. Conversely, in secondary and primary care hospitals there was no predominant medical personnel for ASPs and the median full-time equivalent was 0 for all types of medical personnel. Tertiary care hospitals, more than secondary and primary care hospitals, tended to perform ASP activities more actively. {\textquoteleft}Workforce for ASPs{\textquoteright}, {\textquoteleft}Establishment of healthcare fees for ASPs{\textquoteright} and {\textquoteleft}Development of tools for ASPs{\textquoteright} were the most important required support for ASP improvement. Conclusion: The level of ASP establishment was more limited in primary care hospitals than in secondary and tertiary care hospitals in Korea. To improve ASPs in Korean hospitals, a supporting workforce and the establishment of a healthcare fee for ASPs appear to be necessary.",
keywords = "Antibiotics, Infectious diseases, Korea, Resistance, Stewardship",
author = "{for the Korea Study Group for Antimicrobial Stewardship (KOSGAP)} and Lee, {Myung Jin} and Moon, {Song Mi} and Bongyoung Kim and Park, {Se Yoon} and Park, {Ji Young} and Hyunsook Koo and Hyungmin Lee and Song, {Kyoung Ho} and Hyunju Lee and Park, {Jeong Su} and Lee, {Mi Suk} and Choi, {Su Mi} and Kim, {Chung Jong} and Chang, {Hyun Ha} and Kim, {Tae Hyong} and Park, {Sun Hee} and Kim, {Eu Suk} and Kim, {Hong Bin}",
note = "Funding Information: Funding: This work was supported by the Research Program funded by the Korea Centers for Disease Control and Prevention [grant number 2019-P2810-00] and a grant from the Bio & Medical Technology Development Program of the National Research Foundation (NRF) and funded by the Korean government (MSIT) [Funding No. 2019M3E5D1A01066063]. The funders had no role in the study design, data collection and analysis, preparation of the manuscript, or the decision to publish. Funding Information: The authors would like to acknowledge all of the hospitals in this study for their participation in the survey. The authors are also grateful to the Korea Centers for Disease Control and Prevention and the Korean Hospital Association for identifying target participants and sending them an official letter about the survey. Funding: This work was supported by the Research Program funded by the Korea Centers for Disease Control and Prevention [grant number 2019-P2810-00] and a grant from the Bio & Medical Technology Development Program of the National Research Foundation (NRF) and funded by the Korean government (MSIT) [Funding No. 2019M3E5D1A01066063]. The funders had no role in the study design, data collection and analysis, preparation of the manuscript, or the decision to publish. Competing interests: None declared. Ethical approval: The study protocol was approved by the institutional review board of Hanyang University Seoul Hospital [IRB number: 2019-12-025], and the requirement for written informed consent was waived. Publisher Copyright: {\textcopyright} 2021 The Author(s)",
year = "2021",
month = sep,
doi = "10.1016/j.jgar.2021.06.001",
language = "English",
volume = "26",
pages = "180--187",
journal = "Journal of Global Antimicrobial Resistance",
issn = "2213-7165",
publisher = "Elsevier BV",
}