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Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis
OBJECTIVE: To describe the evolution of respiratory antibiotic prescribing during the coronavirus disease 2019 (COVID-19) pandemic across 3 large hospitals that maintained antimicrobial stewardship services throughout the pandemic. DESIGN: Retrospective interrupted time-series analysis. SETTING: A m...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726493/ https://www.ncbi.nlm.nih.gov/pubmed/36483375 http://dx.doi.org/10.1017/ash.2022.268 |
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author | Elligsen, Marion Wan, Michael Lam, Philip W. Lo, Jennifer Taggart, Linda R. Chan, April J. Downing, Mark Gough, Kevin Seah, Jenny Leung, Elizabeth |
author_facet | Elligsen, Marion Wan, Michael Lam, Philip W. Lo, Jennifer Taggart, Linda R. Chan, April J. Downing, Mark Gough, Kevin Seah, Jenny Leung, Elizabeth |
author_sort | Elligsen, Marion |
collection | PubMed |
description | OBJECTIVE: To describe the evolution of respiratory antibiotic prescribing during the coronavirus disease 2019 (COVID-19) pandemic across 3 large hospitals that maintained antimicrobial stewardship services throughout the pandemic. DESIGN: Retrospective interrupted time-series analysis. SETTING: A multicenter study was conducted including medical and intensive care units (ICUs) from 3 hospitals within a Canadian epicenter for COVID-19. METHODS: Interrupted time-series analysis was used to analyze rates of respiratory antibiotic utilization measured in days of therapy per 1,000 patient days (DOT/1,000 PD) in medical units and ICUs. Each of the first 3 waves of the pandemic were compared to the baseline. RESULTS: Within the medical units, use of respiratory antibiotics increased during the first wave of the pandemic (rate ratio [RR], 1.76; 95% CI, 1.38–2.25) but returned to the baseline in waves 2 and 3 despite more COVID-19 admissions. In ICU, the use of respiratory antibiotics increased in wave 1 (RR, 1.30; 95% CI, 1.16–1.46) and wave 2 of the pandemic (RR, 1.21; 95% CI, 1.11–1.33) and returned to the baseline in the third wave, which had the most COVID-19 admissions. CONCLUSIONS: After an initial surge in respiratory antibiotic prescribing, we observed the normalization of prescribing trends at 3 large hospitals throughout the COVID-19 pandemic. This trend may have been due to the timely generation of new research and guidelines developed with frontline clinicians, allowing for the active application of new research to clinical practice. |
format | Online Article Text |
id | pubmed-9726493 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-97264932022-12-07 Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis Elligsen, Marion Wan, Michael Lam, Philip W. Lo, Jennifer Taggart, Linda R. Chan, April J. Downing, Mark Gough, Kevin Seah, Jenny Leung, Elizabeth Antimicrob Steward Healthc Epidemiol Original Article OBJECTIVE: To describe the evolution of respiratory antibiotic prescribing during the coronavirus disease 2019 (COVID-19) pandemic across 3 large hospitals that maintained antimicrobial stewardship services throughout the pandemic. DESIGN: Retrospective interrupted time-series analysis. SETTING: A multicenter study was conducted including medical and intensive care units (ICUs) from 3 hospitals within a Canadian epicenter for COVID-19. METHODS: Interrupted time-series analysis was used to analyze rates of respiratory antibiotic utilization measured in days of therapy per 1,000 patient days (DOT/1,000 PD) in medical units and ICUs. Each of the first 3 waves of the pandemic were compared to the baseline. RESULTS: Within the medical units, use of respiratory antibiotics increased during the first wave of the pandemic (rate ratio [RR], 1.76; 95% CI, 1.38–2.25) but returned to the baseline in waves 2 and 3 despite more COVID-19 admissions. In ICU, the use of respiratory antibiotics increased in wave 1 (RR, 1.30; 95% CI, 1.16–1.46) and wave 2 of the pandemic (RR, 1.21; 95% CI, 1.11–1.33) and returned to the baseline in the third wave, which had the most COVID-19 admissions. CONCLUSIONS: After an initial surge in respiratory antibiotic prescribing, we observed the normalization of prescribing trends at 3 large hospitals throughout the COVID-19 pandemic. This trend may have been due to the timely generation of new research and guidelines developed with frontline clinicians, allowing for the active application of new research to clinical practice. Cambridge University Press 2022-07-28 /pmc/articles/PMC9726493/ /pubmed/36483375 http://dx.doi.org/10.1017/ash.2022.268 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http://creativecommons.org/licenses/by-nc-sa/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use. |
spellingShingle | Original Article Elligsen, Marion Wan, Michael Lam, Philip W. Lo, Jennifer Taggart, Linda R. Chan, April J. Downing, Mark Gough, Kevin Seah, Jenny Leung, Elizabeth Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title | Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title_full | Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title_fullStr | Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title_full_unstemmed | Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title_short | Trends in hospital antibiotic utilization during the coronavirus disease 2019 (COVID-19) pandemic: A multicenter interrupted time-series analysis |
title_sort | trends in hospital antibiotic utilization during the coronavirus disease 2019 (covid-19) pandemic: a multicenter interrupted time-series analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726493/ https://www.ncbi.nlm.nih.gov/pubmed/36483375 http://dx.doi.org/10.1017/ash.2022.268 |
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