Se Yoon Park1, Hyun-Ha Chang2, Bongyoung Kim3, Eu Suk Kim4, Chisook Moon5, Mi Suk Lee6, Jin Yong Kim7, Dong Sik Jung8, Shin-Woo Kim2, Song Mi Moon9, Hong Bin Kim4. 1. Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. 2. Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. 3. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. 4. Division of Infectious Diseases, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea. 5. Division of Infectious Diseases, Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea. 6. Division of Infectious Diseases, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. 7. Division of Infectious Diseases, Department of Internal Medicine, Incheon Medical Center, Incheon, Korea. 8. Division of Infectious Diseases, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. 9. Division of Infectious Diseases, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
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.
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.
Authors: Youngeun Jang; Se Yoon Park; Bongyoung Kim; Eunjung Lee; Seungjae Lee; Hyo Ju Son; Jung Wan Park; Shi Nae Yu; Tark Kim; Min Hyok Jeon; Eun Ju Choo; Tae Hyong Kim Journal: J Korean Med Sci Date: 2020-12-21 Impact factor: 2.153
Authors: Anucha Apisarnthanarak; Hong Bin Kim; Luke S P Moore; Yonghong Xiao; Sanjeev Singh; Yohei Doi; Andrea Lay-Hoon Kwa; Sasheela Sri La Sri Ponnampalavanar; Qing Cao; Shin-Woo Kim; Hyukmin Lee; Pitak Santanirand Journal: Clin Infect Dis Date: 2022-06-10 Impact factor: 20.999