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The Impact of the COVID-19 Pandemic on Antibiotic Prescribing Trends in Outpatient Care: A Nationwide, Quasi-Experimental Approach.
Silva, Tânia Magalhães; Estrela, Marta; Gomes, Eva Rebelo; Piñeiro-Lamas, Maria; Figueiras, Adolfo; Roque, Fátima; Herdeiro, Maria Teresa.
  • Silva TM; Department of Medical Sciences, iBiMED-Institute of Biomedicine, University of Aveiro, 3810 Aveiro, Portugal.
  • Estrela M; Department of Medical Sciences, iBiMED-Institute of Biomedicine, University of Aveiro, 3810 Aveiro, Portugal.
  • Gomes ER; Allergy and Clinical Immunology Service, University Hospital Center of Porto, 4099 Porto, Portugal.
  • Piñeiro-Lamas M; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiology and Public Health-CIBERESP), 15706 Santiago de Compostela, Spain.
  • Figueiras A; Health Research Institute of Santiago de Compostela (IDIS), University of Santiago de Compostela, 15706 Santiago de Compostela, Spain.
  • Roque F; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiology and Public Health-CIBERESP), 15706 Santiago de Compostela, Spain.
  • Herdeiro MT; Health Research Institute of Santiago de Compostela (IDIS), University of Santiago de Compostela, 15706 Santiago de Compostela, Spain.
Antibiotics (Basel) ; 10(9)2021 Aug 25.
Article in English | MEDLINE | ID: covidwho-1374276
ABSTRACT
Coronavirus disease 2019 (COVID-19) has spread globally and is currently having a damaging impact on nearly all countries in the world. The implementation of stringent measures to stop COVID-19 dissemination had an influence on healthcare services and associated procedures, possibly causing antibiotic consumption fluctuations. This paper aims to evaluate the immediate and long-term impact of the COVID-19 pandemic on antibiotic prescribing trends in outpatient care of the Portuguese public health sector, including in primary healthcare centers and hospitals, as well as on specific antibiotic groups known to be closely associated with increased resistance. Segmented regression analysis with interrupted time series data was used to analyze whether the COVID-19 pandemic had an impact in antibiotic prescribing tendencies at a national level. The outcomes from this quasi-experimental approach demonstrate that, at the beginning of the pandemic, a significant, immediate decrease in the overall antibiotic prescribing trends was noticed in the context of outpatient care in Portugal, followed by a statistically non-significant fall over the long term. The data also showed a significant reduction in the prescription of particular antibiotic classes (antibiotics from the Watch group, 3rd-generation cephalosporins, fluoroquinolones, and clarithromycin) upon COVID-19 emergence. These findings revealed an important disruption in antibiotics prescribing caused by the current public health emergency.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Randomized controlled trials Language: English Year: 2021 Document Type: Article Affiliation country: Antibiotics10091040

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Randomized controlled trials Language: English Year: 2021 Document Type: Article Affiliation country: Antibiotics10091040