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Human resources required for antimicrobial stewardship activities for hospitalized patients in Korea

Published online by Cambridge University Press:  26 October 2020

Se Yoon Park
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
Hyun-Ha Chang
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
Bongyoung Kim*
Affiliation:
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
Chisook Moon
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea
Mi Suk Lee
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea
Jin Yong Kim
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Incheon Medical Center, Incheon, Korea
Dong Sik Jung
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea
Shin-Woo Kim
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
Song Mi Moon
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea
Eu Suk Kim*
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
Hong Bin Kim
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
*
Authors for correspondence: Bongyoung Kim, E-mail: sobakas@hanyang.ac.kr. Or Eu Suk Kim, E-mail: eskim@snubh.org
Authors for correspondence: Bongyoung Kim, E-mail: sobakas@hanyang.ac.kr. Or Eu Suk Kim, E-mail: eskim@snubh.org

Abstract

Objectives:

We calculated the human resources required for an antimicrobial stewardship program (ASP) in Korean hospitals.

Design:

Multicenter retrospective study.

Setting:

Eight Korean hospitals ranging in size from 295 to 1,337 beds.

Methods:

The time required for performing ASP activities for all hospitalized patients under antibiotic therapy was estimated and converted into hours per week. The actual time spent on patient reviews of each ASP activity was measured with a small number of cases, then the total time was estimated by applying the determined times to a larger number of cases. Full-time equivalents (FTEs) were measured according to labor laws in Korea (52 hours per week).

Results:

In total, 225 cases were reviewed to measure time spent on patient reviews. The median time spent per patient review for ASP activities ranged from 10 to 16 minutes. The total time spent on the review for all hospitalized patients was estimated using the observed number of ASP activities for 1,534 patients who underwent antibiotic therapy on surveillance days. The most commonly observed ASP activity was ‘review of surgical prophylactic antibiotics’ (32.7%), followed by ‘appropriate antibiotics recommendations for patients with suspected infection without a proven site of infection but without causative pathogens’ (28.6%). The personnel requirement was calculated as 1.20 FTEs (interquartile range [IQR], 1.02–1.38) per 100 beds and 2.28 FTEs (IQR, 1.93–2.62) per 100 patients who underwent antibiotic therapy, respectively.

Conclusion:

The estimated time required for human resources performing extensive ASP activities on all hospitalized patients undergoing antibiotic therapy in Korean hospitals was ~1.20 FTEs (IQR, 1.02–1.38) per 100 beds.

Type
Original Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

a

Authors of equal contribution.

b

Corresponding authors of equal contribution.

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