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Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study

BACKGROUND: We aimed to develop a roadmap for conducting regular, sustainable, and strategic qualitative assessments of antibiotic use in medical institutions within the Republic of Korea. METHODS: A literature review on the current state of qualitative antibiotic assessments was conducted, followed...

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Autores principales: Park, Se Yoon, Kim, Yong Chan, Moon, Song Mi, Kim, Bongyoung, Lee, Raeseok, Kim, Hong Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585816/
https://www.ncbi.nlm.nih.gov/pubmed/37853455
http://dx.doi.org/10.1186/s13756-023-01319-8
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author Park, Se Yoon
Kim, Yong Chan
Moon, Song Mi
Kim, Bongyoung
Lee, Raeseok
Kim, Hong Bin
author_facet Park, Se Yoon
Kim, Yong Chan
Moon, Song Mi
Kim, Bongyoung
Lee, Raeseok
Kim, Hong Bin
author_sort Park, Se Yoon
collection PubMed
description BACKGROUND: We aimed to develop a roadmap for conducting regular, sustainable, and strategic qualitative assessments of antibiotic use in medical institutions within the Republic of Korea. METHODS: A literature review on the current state of qualitative antibiotic assessments was conducted, followed by one open round to collect ideas, two scoring rounds to establish consensus, and one panel meeting between them. The expert panel comprised 20 experts in infectious disease or antibiotic stewardship. RESULTS: The response rate for all three surveys was 95% (19/20), while the panel meeting attendance rate was 90% (18/20). The following long-term goals were defined to assess the annual use of antibacterial and antifungal agents in all medical institutions, including clinics. The panel agreed that random sampling of antibiotic prescriptions was the most suitable method of selecting antibiotics for qualitative assessment, with the additional possibility of evaluating specific antibiotics or infectious diseases that warrant closer evaluation for promoting appropriate antibiotic use. The plan for utilization of results from evaluation involves providing feedback while maintaining anonymity and disclosure. It includes a quantitative assessment of antibiotic prescriptions and resistance rates to compare against institutional benchmarks. Furthermore, it was agreed to link the evaluation findings to the national antibiotic stewardship programme, enabling policy and institutional approaches to address frequently misused items, identified during the evaluation. CONCLUSION: This study provides a framework for establishing a qualitative assessment of antimicrobial use for medical institutions at a national level in the Republic of Korea. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-023-01319-8.
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spelling pubmed-105858162023-10-20 Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study Park, Se Yoon Kim, Yong Chan Moon, Song Mi Kim, Bongyoung Lee, Raeseok Kim, Hong Bin Antimicrob Resist Infect Control Research BACKGROUND: We aimed to develop a roadmap for conducting regular, sustainable, and strategic qualitative assessments of antibiotic use in medical institutions within the Republic of Korea. METHODS: A literature review on the current state of qualitative antibiotic assessments was conducted, followed by one open round to collect ideas, two scoring rounds to establish consensus, and one panel meeting between them. The expert panel comprised 20 experts in infectious disease or antibiotic stewardship. RESULTS: The response rate for all three surveys was 95% (19/20), while the panel meeting attendance rate was 90% (18/20). The following long-term goals were defined to assess the annual use of antibacterial and antifungal agents in all medical institutions, including clinics. The panel agreed that random sampling of antibiotic prescriptions was the most suitable method of selecting antibiotics for qualitative assessment, with the additional possibility of evaluating specific antibiotics or infectious diseases that warrant closer evaluation for promoting appropriate antibiotic use. The plan for utilization of results from evaluation involves providing feedback while maintaining anonymity and disclosure. It includes a quantitative assessment of antibiotic prescriptions and resistance rates to compare against institutional benchmarks. Furthermore, it was agreed to link the evaluation findings to the national antibiotic stewardship programme, enabling policy and institutional approaches to address frequently misused items, identified during the evaluation. CONCLUSION: This study provides a framework for establishing a qualitative assessment of antimicrobial use for medical institutions at a national level in the Republic of Korea. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-023-01319-8. BioMed Central 2023-10-18 /pmc/articles/PMC10585816/ /pubmed/37853455 http://dx.doi.org/10.1186/s13756-023-01319-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Park, Se Yoon
Kim, Yong Chan
Moon, Song Mi
Kim, Bongyoung
Lee, Raeseok
Kim, Hong Bin
Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title_full Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title_fullStr Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title_full_unstemmed Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title_short Developing a framework for regular and sustainable qualitative assessment of antibiotic use in Korean medical institutions: a Delphi study
title_sort developing a framework for regular and sustainable qualitative assessment of antibiotic use in korean medical institutions: a delphi study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585816/
https://www.ncbi.nlm.nih.gov/pubmed/37853455
http://dx.doi.org/10.1186/s13756-023-01319-8
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