Development of a Roadmap for the Antimicrobial Usage Monitoring System for Medical Institutions in Korea: a Delphi Study

Hyung Sook Kim, Se Yoon Park, Heun Choi, Ji Young Park, Mi Suk Lee, Byung Wook Eun, Hyukmin Lee, Jun Yong Choi, Hong Bin Kim, Su Jin Jeong, Young Uh, Bongyoung Kim

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: It is necessary to develop a roadmap for antimicrobial usage monitoring in order to perform monitoring of antimicrobial use at the national level properly. Therefore, this study aimed to develop a roadmap for establishing surveillance and monitoring of antimicrobial use in medical institutions at the national level. Materials and Methods: A modified Delphi study was conducted, including 3 rounds of an online survey and a virtual meeting with 16 expert panels. The survey items were developed based on a literature review of the surveillance systems for antimicrobial use in 12 countries and interviews with experts. The questionnaire was designed to include both the surveillance and benchmarking systems. Results: Regarding the scope of target institutions to be included in the surveillance system, medical institutions for sentinel surveillance had the highest proportion of agreement among the panels (75.0%, 9/12). For the benchmarking system, “tertiary- and secondary-care hospitals” were accepted as the scope of target institutions at the current moment. Furthermore, the National Health Insurance claims and prescription data of individual hospitals were considered appropriate data sources for the surveillance system. As for the measures to promote the participation of hospitals in the benchmarking system, “compensation through the establishment of antimicrobial management fees” and “set the participation in the program as a quality evaluation or accreditation index for hospital evaluation” were accepted. Conclusion: This study provides a roadmap for establishing an antimicrobial use monitoring and benchmarking system for medical institutions at a national level in Korea.

Original languageEnglish
Pages (from-to)483-492
Number of pages10
JournalInfection and Chemotherapy
Issue number3
Publication statusPublished - 2022 Sept

Bibliographical note

Funding Information:
This work was supported by the Research Program funded by the Korea Disease Control and Prevention Agency (grant number 2021040C37A-00), a grant from the Bio & Medical Technology Development Program of the National Research Foundation (NRF) and funded by the Korean government (MSIT) (Funding No. 2019M3E5D1A01066063). The funders had no role in the study design, data collection, analysis, preparation of the manuscript, or the decision to publish.

Publisher Copyright:
© 2022 by The Korean Society of Infectious Diseases, Korean Society for Antimicrobial Therapy, and The Korean Society for AIDS.

All Science Journal Classification (ASJC) codes

  • Infectious Diseases
  • Pharmacology (medical)


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