Trend of Antibiotic Usage for Hospitalized Community-acquired Pneumonia Cases in Korea Based on the 2010-2015 National Health Insurance Data
DC Field | Value | Language |
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dc.contributor.author | Kim, Bongyoung | - |
dc.contributor.author | Myung, Rangmi | - |
dc.contributor.author | Lee, Myoung-jae | - |
dc.contributor.author | Kim, Jieun | - |
dc.contributor.author | Pai, Hyunjoo | - |
dc.date.accessioned | 2021-08-30T06:03:34Z | - |
dc.date.available | 2021-08-30T06:03:34Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-12-07 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/50839 | - |
dc.description.abstract | Background: This study is to describe the changes in prescribing practices of antibiotics to treat community-acquired pneumonia (CAP) in Korea during 2010-2015. Methods: The claim database of the Health Insurance Review and Assessment Service in Korea was used to select adult patients (>= 18 years of age) admitted between 2010 and 2015, with the International Classification of Diseases, Tenth Revision codes relevant to all-cause pneumonia for the first or second priority discharge diagnosis. The episodes with hospital-acquired or healthcare-associated pneumonia were excluded. Consumption of each antibiotic was converted to defined daily dose (DDD) per episode. The amount of antibiotic consumption was compared between patients with CAP aged < 65 years and those aged >= 65 years. Results: The average amount of antibiotic consumption per episode was 15.5 DDD, which remained stable throughout the study period (P = 0.635). Patients aged >= 65 years received more antibiotics than those aged < 65 years (15.7 vs. 15.3 DDD). Third-generation cephalosporin (4.9 DDD/episode, 31.4%) was the most commonly prescribed, followed by macrolide (2.7 DDD/episode, 17.1%) and beta-lactam/beta-lactamase inhibitor (BL/BLI) (2.1 DDD/episode, 13.6%). The consumption amount of fourth-generation cephalosporin (4th CEP) (P = 0.001), BL/BLI (P = 0.003) and carbapenem (P = 0.002) increased each year during the study period. The consumption of 4th CEP and carbapenem was doubled during 2010-2015. Conclusion: The prescription of broad-spectrum antibiotics such as 4th CEP and carbapenem to treat CAP increased in Korea during 2010-2015. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | INFECTIOUS-DISEASES-SOCIETY | - |
dc.subject | ANTIMICROBIAL RESISTANCE | - |
dc.subject | ADULTS | - |
dc.subject | FLUOROQUINOLONE | - |
dc.subject | GUIDELINES | - |
dc.subject | OUTCOMES | - |
dc.title | Trend of Antibiotic Usage for Hospitalized Community-acquired Pneumonia Cases in Korea Based on the 2010-2015 National Health Insurance Data | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Myoung-jae | - |
dc.identifier.doi | 10.3346/jkms.2020.35.e390 | - |
dc.identifier.scopusid | 2-s2.0-85097484036 | - |
dc.identifier.wosid | 000600132100001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.35, no.47 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 35 | - |
dc.citation.number | 47 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002654566 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | INFECTIOUS-DISEASES-SOCIETY | - |
dc.subject.keywordPlus | ANTIMICROBIAL RESISTANCE | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordPlus | FLUOROQUINOLONE | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordAuthor | Antibiotics | - |
dc.subject.keywordAuthor | Pneumonia | - |
dc.subject.keywordAuthor | Resistance | - |
dc.subject.keywordAuthor | Stewardship | - |
dc.subject.keywordAuthor | Korea | - |
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