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.

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

Grossi P
Membro del Collaboration Group
;
2022-01-01

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.
2022
2022
Antimicrobial stewardship; Antimicrobials use; COVID-19; Multidrug resistant organisms; SARS-CoV-2; Humans; Pandemics; SARS-CoV-2; Surveys and Questionnaires; Antimicrobial Stewardship; COVID-19; Communicable Diseases
Comelli, A; Genovese, C; Lombardi, A; Bobbio, C; Scudeller, L; Restelli, U; Muscatello, A; Antinori, S; Bonfanti, P; Casari, S; Castagna, A; Castelli, F; Monforte, Ad; Franzetti, F; Grossi, P; Lupi, M; Morelli, P; Piconi, S; Puoti, M; Pusterla, L; Regazzetti, A; Rizzi, M; Rusconi, S; Zuccaro, V; Gori, A; Bandera, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2147635
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