Impact of the COVID-19 pandemic on the utilization and quality of antibiotic use in the Scottish primary care setting: a population-based segmented interrupted time series analysis.
Antimicrobial resistance
COVID-19
Scotland
antibiotic utilization
primary care
quality indicator
segmented regression
Journal
Expert review of anti-infective therapy
ISSN: 1744-8336
Titre abrégé: Expert Rev Anti Infect Ther
Pays: England
ID NLM: 101181284
Informations de publication
Date de publication:
05 Jun 2024
05 Jun 2024
Historique:
medline:
5
6
2024
pubmed:
5
6
2024
entrez:
5
6
2024
Statut:
aheadofprint
Résumé
Inappropriate use of antibiotics is expected to increase during the COVID-19 pandemic but there is limited data on COVID-19's long-term impact. We assessed the impact of COVID-19 on the quantity and quality of antibiotic use in Scotland. A segmented interrupted time series was applied to monthly dispensed antibiotics using Prescription Cost analysis data from March/2019 to March/2023. Antibiotics use was quantified using number of items dispensed/1000 inhabitants (TID) and defined daily dose/1000 inhabitants/day (DID). Quality of antibiotic use was assessed using key quality indicators including the WHO AWaRe classification proportion of broad-spectrum and 4C-antibiotics. Overall, for all antibiotics, there was a non-significant increase in TID and DID before the first lockdown (March/2020) (β Neither the utilization nor the quality of total antibiotic use appeared to have been significantly affected by COVID-19.
Sections du résumé
BACKGROUND
UNASSIGNED
Inappropriate use of antibiotics is expected to increase during the COVID-19 pandemic but there is limited data on COVID-19's long-term impact. We assessed the impact of COVID-19 on the quantity and quality of antibiotic use in Scotland.
RESEARCH DESIGN AND METHODS
UNASSIGNED
A segmented interrupted time series was applied to monthly dispensed antibiotics using Prescription Cost analysis data from March/2019 to March/2023. Antibiotics use was quantified using number of items dispensed/1000 inhabitants (TID) and defined daily dose/1000 inhabitants/day (DID). Quality of antibiotic use was assessed using key quality indicators including the WHO AWaRe classification proportion of broad-spectrum and 4C-antibiotics.
RESULTS
UNASSIGNED
Overall, for all antibiotics, there was a non-significant increase in TID and DID before the first lockdown (March/2020) (β
CONCLUSIONS
UNASSIGNED
Neither the utilization nor the quality of total antibiotic use appeared to have been significantly affected by COVID-19.
Identifiants
pubmed: 38836493
doi: 10.1080/14787210.2024.2363485
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM