Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals

Area of Science:

• Public Health
• Infectious Diseases
• Healthcare Management

Background:

• Antimicrobial resistance (AMR) poses a significant global public health threat.
• Antimicrobial stewardship programs (ASPs) are crucial for optimizing antimicrobial use and combating AMR.
• Korea is implementing national policies to address AMR through ASPs.

Purpose of the Study:

• To develop core elements for implementing ASPs in domestic medical facilities.
• To establish a consensus-based framework for effective ASPs in Korea.

Main Methods:

• A Delphi survey was conducted twice among experts.
• Expert consensus was used to select and define the core elements of ASPs.

Main Results:

• Six core elements for ASP implementation were identified: leadership commitment, operating system, action, tracking, reporting, and education.
• Effective ASPs require interdepartmental collaboration, a reimbursement system, and a dedicated workforce.
• Financial support, workforce development, accreditation integration, and incentive systems are necessary for active ASP implementation.

Conclusions:

• The identified core elements provide a foundational framework for establishing and enhancing ASPs in Korean healthcare settings.
• Successful ASP implementation necessitates a multi-faceted approach involving leadership, operational infrastructure, collaborative efforts, and supportive policies.
• Continued investment in financial support, workforce training, and quality evaluation is vital for sustained success in combating AMR through ASPs.