Overview of Antibiotic Use in Korea

Kim, Baek-Nam

doi:10.3947/ic.2012.44.4.250

Cited by 18 publications

(9 citation statements)

References 52 publications

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“…Korea remains a country with heavy antimicrobial usage 16 , 24 ; its 2013 national average (28.4 DDD/1,000 inhabitants/day) exceeds the OECD average (20.4 DDD/1,000 inhabitants/day) 22 . New systems were introduced in Korea upon the turn of the 21 st century to increase the quality of medicine and reduce the use of antimicrobials 25 , 26 , including the separation of dispensing and prescribing in 2000, drug-use assessment (including antimicrobials) in 2001, public reporting of the rate of antibiotics use for URI in 2006, and assessment of antimicrobial use for surgical prophylaxis 27 .…”

Section: Discussionmentioning

confidence: 99%

Changes in Antimicrobial Usage Patterns in Korea: 12-Year Analysis Based on Database of the National Health Insurance Service-National Sample Cohort

Kim

Park

Youk

et al. 2018

Sci Rep

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National antimicrobial usage and prescription patterns during the 12 years from 2002 to 2013 were analyzed using the National Health Insurance Service-National Sample Cohort. Antimicrobial usage was analyzed by major illness, sex, age, area of residence, income rank, diagnosis, and type of medical institution for each year. Total antimicrobial prescriptions increased from 15.943 daily defined dose (DDD)/1,000 inhabitants/day in 2002 to 24.219 in 2013. In 2013, 72% of total prescriptions were administered in clinics. Antimicrobials were most frequently prescribed to children younger than 10 years, followed by adults aged 70 years or older and those aged 60–69 years. Penicillins and cephems were the most popular classes of antimicrobial used. In 2013, 48% of total antibiotic usage (11.683 DDD/1,000 inhabitants/day) was due to respiratory diseases. After the Korean government has implemented a series of healthcare policies, antibiotic prescription decreased for the treatment of upper respiratory infection, the causative agents are mostly viruses.

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Section: Discussionmentioning

confidence: 99%

Changes in Antimicrobial Usage Patterns in Korea: 12-Year Analysis Based on Database of the National Health Insurance Service-National Sample Cohort

Kim

Park

Youk

et al. 2018

Sci Rep

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“…These policies include separation of prescribing from dispensing, public educational campaigns, and public disclosure of physicians' antibiotic prescriptions (111213). Despite a significant decrease in the past decade, the antibiotic prescription rate in Korea remains higher than the rates in other developed countries (14). In addition, there is a steady upward trend for total consumption of antibiotics, with significantly higher rates in outpatient settings (15).…”

Section: Introductionmentioning

confidence: 99%

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

et al. 2017

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Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the ‘RTI clinical iceberg.’ A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9% reported having experienced an RTI in the previous six months; 59.3% visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16% of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1% non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.

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“…Koreans suffer from digestive diseases due to the preference of spicy and salty Foods, and frequent use of antibiotics [35,36]. In general, decoction types of THMs are used for treating digestive diseases [27].…”

Section: Discussionmentioning

confidence: 99%

The Utilization of Traditional Herbal Medicine for Treatment in Traditional Korean Medicine Clinics

Ryu¹,

Park²,

Sung³

et al. 2020

Medicinal Plants - Use in Prevention and Treatment of Diseases

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A cross-sectional study has been conducted to detect the facts about the use of traditional herbal medicines (THMs) in South Korea. The questionnaire has been adopted from the 2017 National Survey for the usage of traditional Korean medicine (TKM) and consumption of THMs. A total number of 1346 participants have been involved in this study. Results showed that the non-decoction types of herbal medicines, which are mostly used for therapeutic purposes (89.0%), and the decoction types of herbal medicines were not only used for the purpose of treatment of diseases (62.5%) but also health improvement purposes (21.9%). Results presented that decoction types of THMs are used for musculoskeletal diseases (56.0%), digestive diseases (21.3%), and respiratory diseases (6.3%), whereas the non-decoction types of THMs are commonly used in musculoskeletal diseases (55.6%), respiratory diseases (20.5%), and digestive diseases (18.1%). Future studies are highly recommended to detect more details about the medical use of THMs in South Korea.

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Overview of Antibiotic Use in Korea

Cited by 18 publications

References 52 publications

Changes in Antimicrobial Usage Patterns in Korea: 12-Year Analysis Based on Database of the National Health Insurance Service-National Sample Cohort

Changes in Antimicrobial Usage Patterns in Korea: 12-Year Analysis Based on Database of the National Health Insurance Service-National Sample Cohort

From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections

The Utilization of Traditional Herbal Medicine for Treatment in Traditional Korean Medicine Clinics

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