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3차병원 중환자실 내 전향적 감사와 피드백을 통한 항생제 사용 중재 효과

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Type
Article
Author(s)
윤진구최하늘김성란조민희최유정남엘리엘성혜노지윤정희진김우주송준영
Issued Date
2023-11-30
Keyword
Antimicrobial stewardshipDrug resistance, microbialIntensive care units
Abstract
Background: The implementation of antibiotic stewardship program (ASP) has been encouraged in developed countries in response to increasing antibiotic resistance. However, the implementation of ASP has been limited owing to a lack of manpower and awareness. We aimed to analyze the effectiveness of prospective audit and feedback (PAF), one of the core strategies in ASP, by applying it to the intensive care units (ICUs).
Methods: In this study, we applied PAF to the neurological/surgical ICUs of a tertiary hospital starting from March 1, 2023, we compared the data of 6 months before (from September 2022 to February 2023) and after (from March 2023 to August 2023) the implementation to assess the difference in antimicrobial use density (AUD) and the acquisition rates of antibiotic-resistant bacteria. Furthermore, we surveyed the satisfaction of PAF using a questionnaire. PAF was conducted twice a week during rounds by the ASP team, which consisted of an infectious disease specialist and one assistant.
Results: Before and after the implementation of PAF, AUD showed a tendency to decrease in the classes of beta-lactam/beta-lactamase inhibitors, cephalosporins and glycopeptides, although the changes were not statistically significant. The acquisition rate of carbapenem-resistant Acinetobacter baumannii decreased slightly in the surgical ICU. Most participating interns and residents reported that PAF was clinically and educationally helpful in the survey.
Conclusion: Implementing PAF twice a week in the neurological/surgical ICUs could reduce antibiotic usage and the acquisition rates of some resistant bacteria.
Publisher
심사평가연구소
DOI
10.52937/hira.23.3.2.e4
URI
https://repository.hira.or.kr/handle/2019.oak/3174
Alternative Title
Effectiveness of Antibiotic Usage Intervention through the Implementation of Prospective Audit and Feedback in the Intensive Care Units of a Single Tertiary Care Hospital
Publisher
심사평가연구소
Location
KOR
Citation
윤진구. (2023-11-30). 3차병원 중환자실 내 전향적 감사와 피드백을 통한 항생제 사용 중재 효과. HIRA Research, 3(2), 171–181. doi: 10.52937/hira.23.3.2.e4
ISSN
2765-6764 ; 2765-7353
Appears in Collections:
HIRA 발간 > 1. HIRA Research
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