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Trend of Antibiotic Usage for Hospitalized Community-acquired Pneumonia Cases in Korea Based on the 2010-2015 National Health Insurance Data

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dc.contributor.authorKim, Bongyoung-
dc.contributor.authorMyung, Rangmi-
dc.contributor.authorLee, Myoung-jae-
dc.contributor.authorKim, Jieun-
dc.contributor.authorPai, Hyunjoo-
dc.date.accessioned2021-08-02T08:28:43Z-
dc.date.available2021-08-02T08:28:43Z-
dc.date.created2021-05-11-
dc.date.issued2020-12-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/8179-
dc.description.abstractBackground: 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.language영어-
dc.language.isoen-
dc.publisherKOREAN ACAD MEDICAL SCIENCES-
dc.titleTrend of Antibiotic Usage for Hospitalized Community-acquired Pneumonia Cases in Korea Based on the 2010-2015 National Health Insurance Data-
dc.typeArticle-
dc.contributor.affiliatedAuthorKim, Bongyoung-
dc.contributor.affiliatedAuthorKim, Jieun-
dc.identifier.doi10.3346/jkms.2020.35.e390-
dc.identifier.scopusid2-s2.0-85097484036-
dc.identifier.wosid000600132100001-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN MEDICAL SCIENCE, v.35, no.47, pp.1 - 13-
dc.relation.isPartOfJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.citation.titleJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.citation.volume35-
dc.citation.number47-
dc.citation.startPage1-
dc.citation.endPage13-
dc.type.rimsART-
dc.type.docTypeArticle-
dc.identifier.kciidART002654566-
dc.description.journalClass1-
dc.description.isOpenAccessY-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.description.journalRegisteredClasskci-
dc.relation.journalResearchAreaGeneral & Internal Medicine-
dc.relation.journalWebOfScienceCategoryMedicine, General & Internal-
dc.subject.keywordPlusINFECTIOUS-DISEASES-SOCIETY-
dc.subject.keywordPlusANTIMICROBIAL RESISTANCE-
dc.subject.keywordPlusADULTS-
dc.subject.keywordPlusFLUOROQUINOLONE-
dc.subject.keywordPlusGUIDELINES-
dc.subject.keywordPlusOUTCOMES-
dc.subject.keywordAuthorAntibiotics-
dc.subject.keywordAuthorPneumonia-
dc.subject.keywordAuthorResistance-
dc.subject.keywordAuthorStewardship-
dc.subject.keywordAuthorKorea-
dc.identifier.urlhttps://jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e390-
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