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Antimicrobial resistance (AMR) is a global threat. This study identified six core elements for effective antimicrobial stewardship programs (ASPs) in Korean healthcare facilities to combat AMR.

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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.