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Vol.37 No.2 contents | Japanese/English |
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Full Text of PDF (330K) Article in Japanese |
A Brief Report of Antimicrobial Stewardship Activities in a Community Hospital after the Revision of the Japanese Medical Payment System
Asuka SUYAMA1) and Yoshiko SUZUKI2)
1)Department of Pharmacy, Itabashi Chuo General Hospital, 2)Department of Nursing, Itabashi Chuo General Hospital
After the antimicrobial stewardship program (ASP) was introduced in many community hospitals, decreased consumption of broad-spectrum antimicrobials and improved drug susceptibility rates have been reported. Itabashi Chuo General Hospital introduced ASP in May 2018 after the addition of support for the appropriate use of antimicrobial agents, which was newly established in the 2018 revision of medical service fees. There have been few reports from community hospitals that organized antimicrobial stewardship teams (AST) and implemented ASP in response to the revision of the medical fees. To confirm the changes before and after the introduction of ASP in community hospitals, we conducted a retrospective study with the primary endpoint being the consumption of antimicrobial agents with enhanced surveillance, and secondary endpoints being the change in drug susceptibility of Pseudomonas aeruginosa and the incidence of Clostridioides difficile infection (CDI), the economic effect, and the acceptance rate of intervention cases by AST. The primary endpoint of carbapenem and quinolone antimicrobial consumption decreased significantly after the introduction of ASP, which suggested an effect of ASP introduction.
Key words：days of therapy (DOT), antimicrobial stewardship program (ASP), antimicrobial stewardship team (AST)
e-mail: asuka0226s＠gmail.com
Received: April 2, 2021
Accepted: December 23, 2021
37 (2)：57─61,2022
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