制定一个框架,定期和可持续地对韩国医疗机构的抗生素使用进行定性评估:Delphi研究
Se Yoon Park1, Yong Chan Kim2, Song Mi Moon3
1Department of Internal Medicine, Hanyang University College of Medicine, 222-1, Wangsimni-ro, Seondong-gu, Seoul, 04763, Republic of Korea.
Antimicrobial resistance and infection control
|October 18, 2023
概括
本研究概述了一项评估韩国医疗保健机构抗生素使用情况的国家战略. 该框架促进可持续的,战略性的定性评估,以改善抗菌药物管理和适当的抗生素处方.
科学领域:
- 医疗保健政策 医疗保健政策
- 传染病管理 传染病管理
- 抗微生物药物管理委员会
背景情况:
- 需要定期,可持续和战略性的对韩国医疗机构抗生素使用的定性评估.
- 目前对抗微生物药物处方实践的系统评估存在局限性.
研究的目的:
- 制定国家路线图,对韩国所有医疗机构的抗生素使用进行定性评估.
- 建立一个框架,对抗微生物药物进行定期,可持续和战略评估.
主要方法:
- 关于定性抗生素评估的文献综述.
- 通过调查和小组会议,建立共识的过程,涉及专家小组 (20名传染病/抗生素管理专家) 通过调查和小组会议.
- 实现了高响应率:调查95%,小组会议90%.
主要成果:
- 在所有医疗机构,包括诊所,每年评估抗菌和抗真菌剂的长期目标.
- 同意将抗生素处方随机抽样作为主要评估方法,并提供评估特定病原体或疾病的选项.
- 计划利用反,包括对处方和耐药率的定量评估,以及与国家抗生素管理计划的联系.
结论:
- 已经建立了在韩国共和国医疗机构中对抗微生物药物使用的定性评估的国家框架.
- 该框架支持政策和制度方法,以优化抗生素使用和打击耐药性.
- 这一倡议旨在在全国范围内加强抗微生物药物管理.
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