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Antibiotic consumption in secondary and tertiary hospitals in Colombia: national surveillance from 2018-2020. | LitMetric

Antibiotic consumption in secondary and tertiary hospitals in Colombia: national surveillance from 2018-2020.

Rev Panam Salud Publica

Pan American Health Organization Washington, D.C. United States of America Pan American Health Organization, Washington, D.C., United States of America.

Published: April 2023

AI Article Synopsis

Article Abstract

Objective: To assess the compliance in secondary and tertiary level hospitals with monthly reporting of antibiotic consumption to the Colombian National Public Health Surveillance System (SIVIGILA-INS), and to describe reported antibiotic consumption during 2018-2020.

Methods: This study involved a secondary analysis of antibiotic consumption data reported to SIVIGILA-INS. Frequency of hospital reporting was assessed and compared against expected reports, disaggregated by intensive care units (ICU)/non-ICU wards and geographical regions. Consumption was expressed as defined daily dose (DDD) per 100 occupied beds for seven antibiotics.

Results: More than 70% of hospitals reported antibiotic consumption at least once in each of the three years (79% in ICU and 71% in non-ICU wards). Of these, ICU monthly reporting was complete (12 monthly reports per year) for 59% in the period 2018-2019 but only 4% in 2020. Non-ICU reporting was complete for 52% in 2019 and for 2% in 2020. Most regions had an overall decrease in reporting in 2020. Analysis of antibiotic consumption showed an increase for piperacillin/tazobactam, ertapenem, and cefepime from 2019 to 2020.

Conclusions: There were gaps in the consistency and frequency of reporting. Efforts are needed to improve compliance with monthly reporting, which declined in 2020, possibly due to the COVID-19 pandemic. Non-compliance on reporting and data quality issues should be addressed with the hospitals to enable valid interpretation of antibiotic consumption trends.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10100593PMC
http://dx.doi.org/10.26633/RPSP.2023.63DOI Listing

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