학술논문
What is the impact of SARS-CoV-2 pandemic on antimicrobial stewardship programs (ASPs)? The results of a survey among a regional network of infectious disease centres.
Document Type
Article
Author
Comelli, Agnese; Genovese, Camilla; Lombardi, Andrea; Bobbio, Chiara; Scudeller, Luigia; Restelli, Umberto; Muscatello, Antonio; Antinori, Spinello; Bonfanti, Paolo; Casari, Salvatore; Castagna, Antonella; Castelli, Francesco; Monforte, Antonella d'Arminio; Franzetti, Fabio; Grossi, Paolo; Lupi, Matteo; Morelli, Paola; Piconi, Stefania; Puoti, Massimo; Pusterla, Luigi
Source
Subject
*COVID-19 pandemic
*ANTIMICROBIAL stewardship
*COMMUNICABLE diseases
*MULTIDRUG resistance
*DRUG resistance in microorganisms
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Language
ISSN
2047-2994
Abstract
Discontinuation of antimicrobial stewardship programs (ASPs) and increased antibiotic use were described during SARS-CoV-2 pandemic. In order to measure COVID-19 impact on ASPs in a setting of high multidrug resistance organisms (MDRO) prevalence, a qualitative survey was designed. In July 2021, eighteen ID Units were asked to answer a questionnaire about their hospital characteristics, ASPs implementation status before the pandemic and impact of SARS-CoV-2 pandemic on ASPs after the 1st and 2nd pandemic waves in Italy. Nine ID centres (50%) reported a reduction of ASPs and in 7 cases (38.9%) these were suspended. After the early pandemic waves, the proportion of centres that restarted their ASPs was higher among the ID centres where antimicrobial stewardship was formally identified as a priority objective (9/11, 82%, vs 2/7, 28%). SARS-CoV-2 pandemic had a severe impact in ASPs in a region highly affected by COVID-19 and antimicrobial resistance but weaknesses related to the pre-existent ASPs might have played a role. [ABSTRACT FROM AUTHOR]