Incidence of Clostridioides difficile Infections in Republic of Korea: A Prospective Study With Active Surveillance vs. National Data From Health Insurance Review & Assessment Service
Journal of Korean Medical Science,
Journal Year:
2024,
Volume and Issue:
39(12)
Published: Jan. 1, 2024
Since
the
emergence
of
hypervirulent
strains
Language: Английский
Quantitative and qualitative evaluation of antimicrobial usage: the first step for antimicrobial stewardship
The Korean Journal of Internal Medicine,
Journal Year:
2024,
Volume and Issue:
39(3), P. 383 - 398
Published: April 30, 2024
The
identification
of
antimicrobial
use
patterns
is
essential
for
determining
key
targets
stewardship
interventions
and
evaluating
the
effectiveness
thereof.
Accurately
identifying
requires
quantitative
evaluation,
which
focuses
on
measuring
quantity
frequency
use,
qualitative
assesses
appropriateness,
effectiveness,
potential
side
effects
prescriptions.
This
paper
summarizes
methods
used
to
evaluate
antimicrobials,
drawing
insights
from
overseas
domestic
cases.
Language: Английский
Significance of The Regular Publication of Statistics on National Health Indicators in Academic Journals and The Prospects of Korea National Antimicrobial Use Analysis System (KONAS)
Infection and Chemotherapy,
Journal Year:
2023,
Volume and Issue:
55(2), P. 306 - 306
Published: Jan. 1, 2023
Language: Английский
Principles and practices of antimicrobial stewardship programs in Korea
The Korean Journal of Internal Medicine,
Journal Year:
2024,
Volume and Issue:
39(3), P. 373 - 382
Published: April 23, 2024
This
review
addresses
the
escalating
challenge
posed
by
antibiotic
resistance,
highlighting
its
profound
impact
on
global
public
health,
including
increased
mortality
rates
and
healthcare
expenditures.
The
focuses
need
to
adopt
One
Health
approach
effectively
manage
usage
across
human,
animal,
environmental
domains.
Antimicrobial
stewardship
programs
(ASPs)
are
considered
as
comprehensive
strategies
that
encompass
both
core
supplementary
initiatives
aimed
at
enhancing
prudent
use.
2021
“Guidelines
Implementing
ASP
in
Korea”
introduced
such
strategies,
with
a
strong
emphasis
fostering
multidisciplinary
collaborative
efforts.
Furthermore,
“Core
Elements
for
ASPs
Korean
General
Hospitals,”
established
2022,
provide
structured
framework
ASPs,
delineating
leadership
responsibilities,
composition
of
interdisciplinary
teams,
range
interventions,
continuous
monitoring
reporting
mechanisms.
In
addition,
this
examines
patient-centric
campaigns
“Speak
Up,
Get
Smart”
emphasizes
pivotal
role
international
cooperation
addressing
multifaceted
challenges
associated
resistance.
Language: Английский
Implementing antimicrobial stewardship: lessons and perspectives from a university-affiliated tertiary hospital in Korea
The Korean Journal of Internal Medicine,
Journal Year:
2024,
Volume and Issue:
39(3), P. 399 - 412
Published: April 30, 2024
Antimicrobial
stewardship
programs
(ASPs)
can
lower
antibiotic
use,
decrease
medical
expenses,
prevent
the
emergence
of
resistant
bacteria,
and
enhance
treatment
for
infectious
diseases.
This
study
summarizes
stepwise
implementation
effects
ASPs
in
a
single
university-affiliated
tertiary
care
hospital
Korea;
it
also
presents
future
directions
challenges
resource-limited
settings.
At
hospital,
core
elements
ASP
such
as
leadership
commitment,
accountability,
operating
system
were
established
2000,
then
strengthened
by
formation
Stewardship
(AMS)
Team
2018.
The
actions
entail
key
components
including
computerized
restrictive
prescription
system,
prospective
audit,
post-prescription
review
through
quantitative
qualitative
intervention,
pharmacy-based
interventions
to
optimize
usage.
AMS
regularly
tracked
interventions,
resistance
patterns
pathogens
hospital.
reporting
was
enhanced
standardized
participation
Korea
National
Use
Analysis
System,
educational
efforts
are
ongoing.
Stepwise
have
led
substantial
reduction
overall
consumption
antibiotics,
particularly
regarding
injectables,
optimization
use.
Our
experience
highlights
importance
leadership,
institution-specific
Team.
Language: Английский
National Expenditures on Anticancer and Immunomodulating Agents During 2013–2022 in Korea
Jieun Yun,
No information about this author
Youngs Chang,
No information about this author
Masayasu Jo
No information about this author
et al.
Journal of Korean Medical Science,
Journal Year:
2024,
Volume and Issue:
40(5)
Published: Nov. 9, 2024
This
study
investigated
trends
in
national
expenditures
on
anticancer
and
immunomodulating
agents
from
2013
to
2022.
Information
was
obtained
the
National
Health
Insurance
claims
data
spanning
a
period
of
10
years,
The
subjects
this
are
patients
diagnosed
with
cancer
who
used
between
January
1,
2013,
December
31,
Trends
were
examined
across
various
categories,
including
sex,
age
groups,
routes
healthcare
use,
types
institutions.
We
calculated
compound
annual
growth
rate
both
number
by
year.
In
pharmaceutical
amounted
USD
11,984
million,
representing
25.5%
total
expenditures,
which
46,984
million.
Within
expenditure,
medications
constituted
584
or
4.9%.
By
2022,
had
risen
22,093
accounting
for
22.8%
96,904
Of
amount,
1,566
million
allocated
drugs,
represented
7.1%
expenditures.
Between
experienced
significant
increase
106.2%,
reaching
49,920
Concurrently,
rose
91.1%
10,919
while
drugs
surged
168.2%
982
category
highest
ATC
L01FF,
includes
programmed
cell
death
protein
1/death
ligand
1
inhibitors
such
as
nivolumab,
totaling
266.2
followed
L01FD
at
198.8
L01EA
140.4
Since
2018,
however,
spending
immune
checkpoint
blockers
targeting
proteins
ligands
has
continued
rise
currently
ranks
first.
using
associated
drug
have
As
share
grows,
so
too
do
overall
escalating
financial
burden
highlights
necessity
policymakers
thoroughly
understand
appropriate
cost-effective
usage
it
directly
influences
affordability
accessibility
services.
Language: Английский