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Published on: August 30, 2018
Current Status and Prospect of Qualitative Assessment of Antibiotics Prescriptions
Se Yoon Park1,2,3, Yong Chan Kim4, Raeseok Lee5
1Department of Hospital Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Abstract:
Identifying inappropriately prescribed antibiotics for infectious diseases by monitoring the quality of antibiotics use is essential for effective implementation of antibiotic stewardship. Qualitative assessment of the use of antibiotics has been conducted in some countries, including Korea, since the 2000s. The qualitative assessment generally involves an assessment of each component of the antibiotics prescription process, based on specific criteria. However, there is no standardized assessment method or cycle, and infectious diseases or antibiotics included in the assessments vary from country-to-country. According to the results reported in the United States, Europe, Australia, and Korea so far, approximately 20 - 55% of all antibiotics prescriptions are inappropriate. In this review, we describe the current progress in the quality assessment of the use of antibiotics on a global scale. Further, we highlight the future directions to improve antibiotic stewardship activities and the quality assessment of the use of antibiotics in Korea.
Insights
Monitoring antibiotic use quality is key for antibiotic stewardship. Inappropriate antibiotic prescriptions range from 20-55% globally, highlighting the need for standardized assessment methods.
Area of Science:
- Infectious Diseases
- Pharmacology
- Public Health
Background:
- Antibiotic stewardship programs are crucial for combating antimicrobial resistance.
- Qualitative assessments of antibiotic use have been performed in various countries since the 2000s.
- Current assessment methods lack standardization in criteria, cycles, and scope.
Purpose of the Study:
- To review the global progress in quality assessment of antibiotic use.
- To identify future directions for improving antibiotic stewardship in Korea.
Main Methods:
- Review of existing literature on antibiotic use quality assessment globally.
- Analysis of reported data on inappropriate antibiotic prescription rates.
- Examination of country-specific assessment criteria and methodologies.
Main Results:
- Approximately 20-55% of antibiotic prescriptions are inappropriate worldwide.
- Significant variation exists in assessment approaches across different countries.
- Lack of standardized methods hinders consistent quality evaluation.
Conclusions:
- Standardized global approaches to antibiotic use assessment are needed.
- Improvements in antibiotic stewardship require enhanced quality assessment strategies.
- Future efforts should focus on developing consistent and comprehensive evaluation frameworks, particularly in Korea.
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