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Developing Core Elements and Checklist Items for Implementing Antimicrobial Stewardship Programs in Korean General

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  • 1Division of Infectious Diseases, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

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Summary

This study established core elements for antimicrobial stewardship programs (ASPs) in Korea. The findings provide indicators for optimal ASP implementation and suggest policy improvements to address barriers like staffing and funding.

Keywords:
Anti-Infective agentsConsensusDrug resistance, MicrobialMultidisciplinary communication

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Area of Science:

  • Healthcare Management
  • Infectious Disease Control
  • Public Health Policy

Background:

  • Antimicrobial stewardship programs (ASPs) are crucial for optimizing antimicrobial use and combating antimicrobial resistance.
  • While global guidelines exist, Korea lacked documented core elements for ASP implementation.
  • This study aimed to establish a national consensus on essential components for ASPs in Korean hospitals.

Purpose of the Study:

  • To develop a consensus on core elements and checklist items for implementing antimicrobial stewardship programs (ASPs) in Korean general hospitals.
  • To create a foundational framework for effective ASP deployment nationwide.
  • To identify key areas for national policy development regarding ASPs.

Main Methods:

  • A modified Delphi consensus procedure involving a multidisciplinary expert panel.
  • A two-step survey process including online questionnaires and an in-person meeting.
  • Literature review to identify initial core elements and checklist items.

Main Results:

  • Six core elements were identified: Leadership commitment, Operating system, Action, Tracking, Reporting, and Education.
  • A consensus was reached on 28 checklist items with over 80% agreement.
  • Modifications were made to existing items, including merging, deletion, and rephrasing.

Conclusions:

  • The Delphi survey successfully established core elements and indicators for ASP implementation in Korea.
  • The findings highlight barriers such as staffing shortages and financial support needs.
  • Recommendations are provided for national policy improvements to facilitate optimal ASP adoption.