The Korean Journal of Medicine

  • 제87권2호
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  • Pages.173-181
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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항생제 스튜어드십 프로그램에 대한 설문조사

A Survey of Antimicrobial Stewardship Programs in Korean Hospitals

  • 김혜인 (경북대학교 의학전문대학원 내과학교실) ;
  • 김신우 (경북대학교 의학전문대학원 내과학교실) ;
  • 장현하 (경북대학교 의학전문대학원 내과학교실) ;
  • 김홍빈 (서울대학교 의과대학 내과학교실)
  • Kim, Hye-In (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Shin-Woo (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Chang, Hyun-Ha (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Hong-Bin (Department of Internal Medicine, Seoul National University College of Medicine)
  • 투고 : 2013.12.13
  • 심사 : 2014.02.20
  • 발행 : 2014.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 저자들은 의사들의 항생제 스튜어드십 프로그램 수행 정도에 대하여 평가하였다. 이 조사는 2006년 항생제 스튜어드십 설문조사와의 비교 연구이며 새로운 설문조사 항목을 포함하고 있다. 방법: 84개 병원의 감염내과 전문의를 대상으로 온라인 설문조사를 하여 자료를 수집하였다. 항생제 스튜어드십 프로그램에 대하여 조사하였으며 2006년 조사결과와 비교하여 분석하였다. 결과: 40개 병원에서 설문조사에 응답하였다. 항생제 스튜어드십 프로그램은 87.5%의 병원에서 시행되고 있었으며(2006년 95.5%), 컴퓨터를 이용한 사전승인 시스템을 사용하는 곳이 85.0%로 대부분이었다(2006년 59.1%). 33개 병원(82.5%)에 항생제관리위원회가 있었으며 사전승인시스템은 주로 감염내과 전문의가 관리하고 있었다(72.5%). 항생제 스튜어드십 프로그램에서 인센티브를 적용하는 곳은 12.5%였다(2006년 2.3%). 결론: 컴퓨터를 이용한 사전승인시스템을 사용하는 곳이 많아진 것을 알 수 있었다. 항생제 스튜어드십 프로그램의 개선을 위해서는 의료현장에서 개개인이 아닌 단체의 노력이 중요하며 이를 실현하기 위한 의료진의 적극적인 의지와 협력이 도모되어야 하겠다.

Background/Aims: We evaluated the status of antibiotic stewardship programs (ASPs) for physicians. This survey was a follow-up study of data from 2006 and was performed with some new questions about ASPs. Methods: The online survey collected information on infectious diseases from doctors in 84 hospitals. The questions included some about ASPs. The data were analyzed and compared with a previous report. Results: Responses came from 40 hospitals. ASPs existed in 87.5% of these (95.5% in 2006), and a computerized preauthorization system was the most common method (85.0%, 59.1% in 2006). An antimicrobial management team existed in 33 hospitals (82.5%), and the preauthorization systems were mainly implemented by infectious disease doctors (72.5%). Incentives to set up ASPs existed in only 12.5% of hospitals (2.3% in 2006). Conclusions: Computerized preauthorization ASP systems are relatively more common. To improve the uptake of ASPs in each hospital a team approach from the medical institutions is required, along with the cooperation and willingness of those involved.

키워드

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