BACKGROUND Antimicrobial stewardship programmes (ASPs) are suggested as a vital strategy to address antimicrobial resistance. AIM To examine the current status of ASPs in Korean hospitals, to identify problems and challenges for the implementation of proper ASPs, and to provide a reference for developing more effective ASP policies. METHODS A questionnaire based on the 'Seven Core Elements of Hospital Antibiotic Stewardship Programs' from the US Centers for Disease Control and Prevention was developed, modified from the previous questionnaire on ASPs in Korea, 2015. ASP-participating physicians such as infectious disease specialists (IDSs), paediatric IDSs, and directors of infection control departments were targeted. Only one ASP-associated physician per hospital participated in the survey. FINDINGS The survey response rate was 88.4% (84/95). The median number of medical personnel participating in ASPs was 3 (interquartile range (IQR): 1-5), most of whom were IDS (median: 2; IQR: 1-2). Only 6.0% (5/84) of hospitals had full-time workers for ASPs. Whereas restrictive measures for designated antimicrobials were widely implemented among Korean hospitals (88.1%, 74/84), the proportion of hospitals with interventions for inappropriate long-term antimicrobial use and a conversion strategy from parenteral to oral antimicrobial administration was only 9.5% (8/84) and 1.2% (1/84), respectively. Lack of time, personnel, and appropriate compensation was perceived as the major barrier to establishing an ASP in Korean hospitals. CONCLUSION ASPs in Korean hospitals were primarily carried out by one or two IDSs, and programmes mostly comprised restrictive measures for designated antimicrobials. National-level support to implement appropriate ASPs in Korean hospitals is necessary.

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韩国医院抗菌药物管理计划的现状：2018年全国调查的结果。

背景技术抗菌素管理计划（ASP）被建议作为解决抗菌素耐药性的重要策略。目的研究韩国医院中ASP的现状，找出实施适当ASP的问题和挑战，并为制定更有效的ASP政策提供参考。方法根据美国疾病控制与预防中心的“医院抗生素管理计划的七个核心要素”编制了调查表，该调查表是根据2015年韩国以前的ASP问卷进行修改的。参与ASP的医生，例如传染病专家（ IDS），儿科IDS和感染控制部门的负责人作为目标。每个医院中只有一名与ASP相关的医师参与了调查。结果调查的回复率为88。4％（84/95）。参加ASP的医务人员中位数为3（四分位间距（IQR）：1-5），其中大多数是IDS（中位数：2； IQR：1-2）。只有6.0％（5/84）的医院拥有全职员工使用ASP。在韩国医院中，针对指定抗菌药物的限制性措施得到了广泛实施（88.1％，74/84），而长期不适当使用抗菌药物以及从肠胃外向口服抗菌药物转换策略的干预措施的医院比例仅为9.5％（8 / 84）和1.2％（1/84）。缺乏时间，人员和适当的补偿被认为是在韩国医院建立ASP的主要障碍。结论韩国医院的ASP主要由一到两个IDS进行，和计划大多包括对指定抗菌素的限制性措施。在韩国医院中实施适当的ASP的国家级支持是必要的。