4.7 Article

Antibiotic Consumption and Stewardship at a Hospital outside of an Early Coronavirus Disease 2019 Epicenter

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 64, Issue 11, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.01011-20

Keywords

COVID-19; SARS-CoV-2; antibiotics; antimicrobial stewardship

Funding

  1. Astellas
  2. Merck
  3. Melinta
  4. Medicines Company
  5. T2Biosystems
  6. Medicines Company, Scynexis
  7. Shionogi

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There are scant data on the impact of coronavirus disease 2019 (COVID19) on hospital antibiotic consumption, and no data from outside epicenters. At our nonepicenter hospital, antibiotic days of therapy (DOT) and bed days of care (BDOC) were reduced by 151.5/month and 285/month, respectively, for March to June 2020 compared to 2018-2019 (P = 0.001 and P < 0.001). DOT per 1,000 BDOC was increased (8.1/month; P = 0.001). COVID-19 will impact antibiotic consumption, stewardship, and resistance in ways that will likely differ temporally and by region.

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