본문 바로가기 주메뉴 바로가기
22대 대한민국 국회 국회정보길라잡이 국회의원검색
회원가입 로그인
HOME

정보검색

소장정보 검색

국회도서관 홈으로 정보검색 소장정보 검색
결과 내 검색 동의어 포함
결과 내 검색 동의어 포함

-

초록보기

Background : Inappropriate use of antimicrobial agents can lead to increasing the emergence of resistant bacteria, side effects, Clostridioides difficile infection rates, and medical costs. Thus, the importance of antimicrobial stewardship to promote the appropriate use of antimicrobials improve patient outcomes, reduce microbial resistance, and decrease the spread of infections caused by multidrug-resistant organisms has gained attention.

Methods : We evaluated prospectively if antibiotics prescription for more than 30 days was appropriate in adult patients who were admitted to Samsung Medical Center November 11th, 2020-April 30th, 2021.

Results : A total of 162 patients were enrolled. Of 632 antibiotics prescriptions, 58 (9.2%) were intervened through ASP. The reasons for ASP intervention were inappropriate duration (n=32, 52.5%), improper indication (n=12, 19.7%), incorrect dose (n=4, 9.8%), and conversion from intravenous to oral preparation (n=3, 4.9%). The modified portion of inappropriate antimicrobial prescriptions per month decreased from 24.4% in November 2020 to 4.1% in April 2021.

Conclusion : It was confirmed that improper long-term antimicrobial prescriptions decreased through ASP.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
COVID-19 중환자에서 예방적 항응고제 사용 및 출혈 관련 약물이상반응 발생 현황 보고 = Prophylactic anticoagulant use and adverse events with bleeding in critically ill COVID-19 patients 방선아, 김형숙, 정영미, 이정화, 이주연, 김은경 p. 146-157

불현성 갑상선기능저하증 노인 환자에서 Levothyroxine 치료 효과 분석 = Analysis of the effect of levothyroxine treatment in elderly patients with subclinical hypothyroidism 김경은, 도민희, 금민정, 김재송, 손은선, 유윤미 p. 158-173

Irinotecan에 의한 급성 콜린성 증후군 예방 목적의 Atropine 투여 적절성 평가 = Evaluation of the effectiveness of atropine administration for prevention of acute cholinergic syndrome associated with irinotecan 최유옥, 조은아, 이소희, 박애령, 윤정이, 강진숙 p. 174-184

(The) present status of drug administration via enteral route in a tertiary hospital : a cross-sectional study Sunmin Lee p. 185-192

장기간 항균제 스튜어드십 프로그램 보고 = Report on implementing antimicrobial stewardship program for long term antimicrobial use 박효정, 김진, 손유민, 이재현, 이용석, 민명숙, 허경민 p. 193-201

국내 임상시험 대상자 모집 광고문 내용 분석과 평가 = Assessment and analysis of recruitment resources for clinical trial subjects in Korea 김현진, 한혜성, 손현순 p. 202-218

참고문헌 (22건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Klein EY, Milkowska-Shibata M, Tseng KK et al. Assessment of WHO antibiotic consumption and access targets in 76countries, 2000-15: an analysis of pharmaceutical sales data. Lancet Infect Dis. 2021;21(1):107-15. 미소장
2 Pollack LA, Srinivasan A. Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention. Clin Infect Dis. 2014;59(Suppl 3):S97-100. 미소장
3 Kim HB. Prevalence of Antimicrobial Use in Hospital and Assessment of the Appropriateness of Antibiotic prescribing in Korea. Cheongju: Korea Disese Control and Prevention Agency. 2019. 미소장
4 Founou RC, Founou LL, Essack SY. Clinical and economic impact of antibiotic resistance in developing countries: A systematic review and meta-analysis. PLoS One. 2017;12(12):e0189621. 미소장
5 Bauer KA, Kullar R, Gilchrist M et al. Antibiotics and adverse events: the role of antimicrobial stewardship programs in ‘doing no harm’. Curr Opin Infect Dis. 2019;32(6):553-8. 미소장
6 Cosgrove SE. The Relationship between Antimicrobial Resistance and Patient Outcomes: Mortality, Length of Hospital Stay, and Health Care Costs. Clinical Infectious Diseases. 2006;42(Supplement_2):S82-S9. 미소장
7 Barlam TF, Cosgrove SE, Abbo LM et al. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis. 2016;62(10):e51-77. 미소장
8 Waters CD. Pharmacist-driven antimicrobial stewardship program in an institution without infectious diseases physician support. Am J Health Syst Pharm. 2015;72(6):466-8. 미소장
9 Monmaturapoj T, Scott J, Smith P et al. Pharmacist-led education-based antimicrobial stewardship interventions and their effect on antimicrobial use in hospital inpatients: a systematic review and narrative synthesis. J Hosp Infect. 2021;115:93-116. 미소장
10 김동숙, 이근우, 오로라 et al. 항생제 적정사용을 위한 스튜어드십 프로그램 활성화 방안 연구. 원주: 건강보험심사평가원. 2018. 미소장
11 Hyun YR, Choi KE. Implementation of Antimicrobial Restriction Policy in a Hospital Setting. J Kor Soc Health-Syst Pharm. 1997;14(2):136-43. 미소장
12 한옥연. 제한항균제 관리현황과 약사의 역할. J Kor Soc Health-Syst Pharm. 1998;15(3):314-23. 미소장
13 Kim HS. Implementation and Expectation of Pharmacist-Enhanced Antimicrobial Stewardship Program in Korea. J Kor Soc Health-syst Pharm. 2018;35(1):30-8. 미소장
14 조윤희. 항균제 관리 현황. J Kor Soc Health-Syst Pharm. 2013;30(4):282-5. 미소장
15 Hanretty AM, Gallagher JC. Shortened Courses of Antibiotics for Bacterial Infections:A Systematic Review of Randomized Controlled Trials. Pharmacotherapy. 2018;38(6):674-87. 미소장
16 World Health Organization. Regional Office for Europe. Antimicrobial stewardship interventions: a practical guide (2021) [Internet]. [cited 2022 Jan15]. Available from: https://www.euro.who.int/en/publications/abstracts/antimicrobial-stewardship-interventions-a-practical-guide-2021. 미소장
17 Pettit NN, Han Z, Choksi AR et al. Improved rates of antimicrobial stewardship interventions following implementation of the Epic antimicrobial stewardship module. Infect Control Hosp Epidemiol. 2018;39(8):980-2. 미소장
18 Ahn J. A Strategy for Pharmacists’Participation in an Antimicrobial Stewardship Program and Its Effect. J Kor Soc Health-syst Pharm. 2016;33(4):341-8. 미소장
19 Rice LB. The Maxwell Finland Lecture:for the duration-rational antibiotic administration in an era of antimicrobial resistance and clostridium difficile. Clin Infect Dis. 2008;46(4):491-6. 미소장
20 Pasquau J, de Jesus ES, Sadyrbaeva S et al. The Reduction in Duration of Antibiotic Therapy as a Key Element of Antibiotic Stewardship Programs. J Antimicrob Agents. 2015;1(1):1000103. 미소장
21 Lee CR, Cho IH, Jeong BC et al. Strategies to minimize antibiotic resistance. Int J Environ Res Public Health. 2013;10(9):4274-305. 미소장
22 Hayashi Y, Paterson DL. Strategies for reduction in duration of antibiotic use in hospitalized patients. Clin Infect Dis. 2011;52(10):1232-40. 미소장

추천서가 (다양한 추천 자료를 만나보세요)

권호기사보기

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 기사목차