Sokolović Dragana, Drakul Dragana, Joksimović Bojan, Lalović Nenad, Avram Nada, Milić Marija, Nogo-Živanović Dajana, Mijović Biljana
Faculty of Medicine Foča, University of East Sarajevo, Studentska 5, 73300 Foča, Bosnia and Herzegovina.
Department of Surgery, University Hospital Foča, Studentska 5, 73300 Foča, Bosnia and Herzegovina.
Antibiotics (Basel). 2022 Sep 28;11(10):1319. doi: 10.3390/antibiotics11101319.
The pandemic of COVID-19 has brought many changes in health care systems at all levels of health care. The increase in the number of cases of COVID-19 has led to overuse and misuse of antibiotics.The aim of this study was to compare the consumption of antibiotics for systemic use in outpatients in the Republic of Srpska (RS), before and during the first year of the COVID-19 pandemic, as well as the association between antibiotic consumption and the rate of incidence and mortality of COVID-19. The total consumption of the antibiotics for systemic use (J01) in outpatients in the Republic of Srpska during 2019 was 19.40 DDD/TID, with an increase to 30.80 DDD/TID in 2020.Significantly higher use of penicillin (10.58 ± 11.01 DDD/TID in 2019 vs. 17.10 ± 13.63 DDD/TID in 2020), cephalosporins (2.68 ± 1.90 DDD/TID in 2019 vs. 5.93 ± 2.77 DDD/TID in 2020) and macrolides (2.14 ± 2.22 DDD/TID in 2019 vs. 3.40 ± 3.44 DDD/TID in 2020) was observed during the pandemic period. It is necessary to improve the prescribing practice of antibiotics at the primary health care level, public awareness about rational use of antibiotics, as well as the current antibiotic stewardship programs and control their implementation.
新型冠状病毒肺炎(COVID-19)大流行给各级医疗保健系统带来了诸多变化。COVID-19病例数的增加导致了抗生素的过度使用和滥用。本研究的目的是比较COVID-19大流行第一年之前和期间,塞尔维亚共和国(RS)门诊患者全身用抗生素的消耗量,以及抗生素消耗量与COVID-19发病率和死亡率之间的关联。2019年塞尔维亚共和国门诊患者全身用抗生素(J01)的总消耗量为19.40限定日剂量/千人口日,2020年增至30.80限定日剂量/千人口日。在大流行期间,观察到青霉素(2019年为10.58±11.01限定日剂量/千人口日,2020年为17.10±13.63限定日剂量/千人口日)、头孢菌素(2019年为2.68±1.90限定日剂量/千人口日,2020年为5.93±2.77限定日剂量/千人口日)和大环内酯类药物(2019年为2.14±2.22限定日剂量/千人口日,2020年为3.40±3.44限定日剂量/千人口日)的使用量显著增加。有必要改善初级卫生保健层面抗生素的处方行为、提高公众对抗生素合理使用的认识,以及完善当前的抗生素管理计划并监督其实施情况。