Antimicrobial prescribing practices at a tertiary-care center in patients diagnosed with COVID-19 across the continuum of care

Stevens, Ryan W; Jensen, Kelsey; O’Horo, John C.; Shah, Aditya

doi:10.1017/ice.2020.370

Cited by 29 publications

(29 citation statements)

References 13 publications

(14 reference statements)

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“…This fact could be explained by the presence of patients with severe disease, long hospital stays, and hospital-acquired infections. This phenomenon has been proposed by other authors in previous studies [23,28].…”

Section: Discussionsupporting

confidence: 82%

Impact of the COVID-19 Pandemic on Antimicrobial Consumption and Hospital-Acquired Candidemia and Multidrug-Resistant Bloodstream Infections

et al. 2020

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During the COVID-19 pandemic, the implementation of antimicrobial stewardship strategies has been recommended. This study aimed to assess the impact of the COVID-19 pandemic in a tertiary care Spanish hospital with an active ongoing antimicrobial stewardship programme (ASP). For a 20-week period, we weekly assessed antimicrobial consumption, incidence density, and crude death rate per 1000 occupied bed days of candidemia and multidrug-resistant (MDR) bacterial bloodstream infections (BSI). We conducted a segmented regression analysis of time series. Antimicrobial consumption increased +3.5% per week (p = 0.016) for six weeks after the national lockdown, followed by a sustained weekly reduction of −6.4% (p = 0.001). The global trend for the whole period was stable. The frequency of empirical treatment of patients with COVID-19 was 33.7%. No change in the global trend of incidence of hospital-acquired candidemia and MDR bacterial BSI was observed (+0.5% weekly; p = 0.816), nor differences in 14 and 30-day crude death rates (p = 0.653 and p = 0.732, respectively). Our work provides quantitative data about the pandemic effect on antimicrobial consumption and clinical outcomes in a centre with an active ongoing institutional and education-based ASP. However, assessing the long-term impact of the COVID-19 pandemic on antimicrobial resistance is required.

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Section: Discussionsupporting

confidence: 82%

Impact of the COVID-19 Pandemic on Antimicrobial Consumption and Hospital-Acquired Candidemia and Multidrug-Resistant Bloodstream Infections

et al. 2020

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“…Antibiotics have been used in hospitals to empirically treat patients with suspected COVID-19 due to the overlapping clinical and radiological features with bacterial respiratory tract infection [1,2]. Initial data from hospitals with a high burden of COVID-19 indicates high rates of antibiotic prescribing despite relatively low detected rates of bacterial co-infections in COVID-19 [3,4].…”

Section: Introductionmentioning

confidence: 99%

Investigating the impact of COVID-19 on primary care antibiotic prescribing in North West London across two epidemic waves

Zhu

Aylin

Rawson

et al. 2021

Clinical Microbiology and Infection

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…The expected result is that antibiotic resistance increases as an outcome of increased antibiotic use. Covid-19 pandemic's effect on antimicrobial drug resistance is still not fully understood [21,[24][25][26][27][28]. Because the mode of SARS-CoV-2 transmission requires more attention on hand hygiene and use of personal protective equipment (PPE), these could have positive effects on antimicrobial drug resistance [29,30].…”

Section: Overuse Of Antibioticsmentioning

confidence: 99%

Global health emergencies during the pandemic and their solutions

ŞENCAN,

BULUT,

ŞENCAN

et al. 2021

Turk J Med Sci

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In this review, we evaluated health care problems which were not common before pandemic began but have been common issues after its appereance and approaches to control pandemic considering its influences on people. We revised present health care developing approaches under the light of experience obtained throughout the pandemic up to now. Aim is being prepared in advance for possible upcoming pandemics. As in Covid 19 pandemics, such long lasting and widely affecting situations, durability is also very important together with flexibility and quickness. To provide durability, we need global policies taking the health to its center as well as health system policies.

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Antimicrobial prescribing practices at a tertiary-care center in patients diagnosed with COVID-19 across the continuum of care

Cited by 29 publications

References 13 publications

Impact of the COVID-19 Pandemic on Antimicrobial Consumption and Hospital-Acquired Candidemia and Multidrug-Resistant Bloodstream Infections

Impact of the COVID-19 Pandemic on Antimicrobial Consumption and Hospital-Acquired Candidemia and Multidrug-Resistant Bloodstream Infections

Investigating the impact of COVID-19 on primary care antibiotic prescribing in North West London across two epidemic waves

Global health emergencies during the pandemic and their solutions

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