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- Title
Prescriptions patterns and appropriateness of usage of antibiotics in non-teaching community hospitals in South Korea: a multicentre retrospective study.
- Authors
Kim, Yong Chan; Park, Ji Young; Kim, Bongyoung; Kim, Eu Suk; Ga, Hyuk; Myung, Rangmi; Park, Se Yoon; Lee, Myung Jin; Moon, Song Mi; Park, Sun Hee; Song, Kyoung-Ho; Kim, Hong Bin; Korea Study Group for Antimicrobial Stewardship (KOSGAP); Yang, Jinwoo; Park, Hyunok; Kang, Ji Hoon; Yun, Myoungsuk; Kim, Young Taek; Lee, Hye Jung; Hwang, Woochang
- Abstract
Background: Although non-teaching community hospitals form the majority of healthcare providers in South Korea, there is limited data on antibiotic usage in them. To evaluate the pattern of antibiotic usage and its appropriateness in hospitals with < 400 beds in South Korea. Methods: A multicentre retrospective study was conducted in 10 hospitals (six long-term care hospitals, three acute care hospitals, and one orthopaedic hospital), with < 400 beds in South Korea. We analysed patterns of antibiotic prescription in 2019, and their appropriateness in the participating hospitals. For the evaluation of the appropriateness of the prescription, 25 patients under antibiotic therapy were randomly selected at each hospital, over two separate periods. Due to the heterogeneity of their characteristics, the orthopaedics hospital was excluded from the analysis. Results: The most commonly prescribed antibiotics in long-term care hospitals was fluoroquinolone, followed by beta-lactam/beta-lactamase inhibitor (anti-pseudomonal). In acute care hospitals, these were third generation cephalosporin, followed by first generation cephalosporin, and second generation cephalosporin. The major antibiotics that were prescribed in the orthopedics hospital was first generation cephalosporin Only 2.3% of the antibiotics were administered inappropriately. In comparison, 15.3% of patients were prescribed an inappropriate dose. The proportion of inappropriate antibiotic prescriptions was 30.6% of the total antibiotic prescriptions. Conclusions: The antibiotic usage patterns vary between non-teaching community hospitals in South Korea. The proportion of inappropriate prescriptions exceeded 30% of the total antibiotic prescriptions.
- Subjects
SOUTH Korea; MEDICAL personnel; ANTIBIOTICS; HOSPITALS; INAPPROPRIATE prescribing (Medicine); MEDICAL prescriptions
- Publication
Antimicrobial Resistance & Infection Control, 2022, Vol 11, Issue 1, p1
- ISSN
2047-2994
- Publication type
Article
- DOI
10.1186/s13756-022-01082-2