Vol.72 No.4 July 2024

Results of a survey conducted before and after the use of J-SIPHE (Japan Surveillance for Infection Prevention and Healthcare Epidemiology) using an unmarked web-based questionnaire to ascertain the burden in terms of time and manpower for tabulating antimicrobial use

Chika Tanaka¹⁾, Mio Endo¹⁾, Taichi Tajima¹⁾, Ryuji Koizumi¹⁾, Akane Ono¹⁾, Mikiyo Sakaguchi¹⁾, Naoki Fujii¹⁾, Haruhiko Ishioka¹⁾, Hiroko Hashimoto¹⁾, Shinya Tsuzuki^{1, 2)}, Nobuyuki Matsunaga¹⁾, Kayoko Hayakawa^{1, 2)} and Norio Ohmagari^{1, 2)}

¹⁾AMR Clinical Reference Center, Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan
²⁾Disease Control and Prevention Center, National Center for Global Health and Medicine

Abstract

Background:
The AMR (Antimicrobial Resistance) Clinical Reference Center launched the J-SIPHE (Japan Surveillance for Infection Prevention and Healthcare Epidemiology) system in 2019, as a tool for use in infection control. J-SIPHE can automatically tally the AMU (antimicrobial use) status from receipt data generated by the medical affairs department. In our 2018 survey of hospital pharmacists, we found that compiling AMU information is labor-intensive. Therefore, we conducted a survey to determine if use of the J-SIPHE system might reduce the burden involved in AMU tabulation.
Methods:
An anonymous web-based survey questionnaire was distributed via email to 815 hospitals that participated in the J-SIPHE program on December 13, 2021. The survey period was from December 13, 2021, to January 14, 2022. Hospitals that did not register AMU information using J-SIPHE and those that had not tabulated information on AMU prior to joining J-SIPHE program were excluded from the analysis. The survey items included hospital attributes and the number of hours spent and number of personnel involved in compiling AMU information before and after instituting the J-SIPHE program.
Results:
The survey response rate was 45.0% (367/815). Of the 367, 247 hospitals were eligible for inclusion in this analysis. The time required to compile AMU information decreased after introduction of the J-SIPHE program in 64.4% (159/247) of the hospitals, and out of these, the number of staff involved in compiling AMU information also decreased in 35 hospitals.
Conclusion:
The time required for AMU tabulation decreased after the introduction of J-SIPHE in about 64% of the hospitals. For those hospitals that did not experience a reduction in workload, we believe that continued support is needed to familiarize them with the use of J-SIPHE. We would like to continue to provide support to these hospitals to allow them to familiarize themselves with the use of J-SIPHE so that they can focus on implementing antimicrobial resistance countermeasures.

Key word

J-SIPHE, antimicrobial, antimicrobial resistance, questionnaire, surveillance

Received

October 17, 2023

Accepted

April 4, 2024

Jpn. J. Chemother. 72 (4): 364-370, 2024