Pediatric antimicrobial stewardship in the COVID-19 outbreak

Growing evidence supports the positive impact of antimicrobial stewardship programs (ASPs) on antimicrobial use, including pediatrics.1 Although short of the level of acceptance these have reached in the United States, the implementation of pediatric ASPs in European hospitals has increased over the...

Descripción completa

Detalles Bibliográficos
Autores: Velasco Arnaiz, Eneritz, López Ramos, Maria Goretti, Simó Nebot, Sílvia, Jordán García, Iolanda, Ríos Barnés, María, Urrea Ayala, Mireia, Monsonís, Manuel, Fortuny Guasch, Claudia, Noguera Julian, Antoni
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/174778
Acceso en línea:https://hdl.handle.net/2445/174778
Access Level:acceso abierto
Palabra clave:Agents antiinfecciosos
COVID-19
Hospitals infantils
Anti-infective agents
Children hospitals
id ES_cc75bb2a535f92acea9bc1ec7e39158d
oai_identifier_str oai:diposit.ub.edu:2445/174778
network_acronym_str ES
network_name_str España
repository_id_str
spelling Pediatric antimicrobial stewardship in the COVID-19 outbreakVelasco Arnaiz, EneritzLópez Ramos, Maria GorettiSimó Nebot, SílviaJordán García, IolandaRíos Barnés, MaríaUrrea Ayala, MireiaMonsonís, ManuelFortuny Guasch, ClaudiaNoguera Julian, AntoniAgents antiinfecciososCOVID-19Hospitals infantilsAnti-infective agentsCOVID-19Children hospitalsGrowing evidence supports the positive impact of antimicrobial stewardship programs (ASPs) on antimicrobial use, including pediatrics.1 Although short of the level of acceptance these have reached in the United States, the implementation of pediatric ASPs in European hospitals has increased over the last few years.1 It has been suggested that the ASP should be helpful in the preparation for and response to the SARS-CoV-2/COVID-19 outbreak, 2 but no formal recommendations have been published. Whether pediatric ASP remains an essential activity or not during the COVID-19 pandemic has yet to be clarified. Here, we describe how the COVID-19 pandemic has impacted antimicrobial use in a referral pediatric hospital, and we propose a supporting role for ASP teams in the local management of the outbreak. The first COVID-19 case in Catalonia, Spain, was reported on February 25, 2020. By mid-March, most pediatric and obstetrics departments in the region were shut to increase the capacity for adult COVID-19 patients. Hospital Sant Joan de Déu Barcelona (SJD) remained the largest pediatric and maternal referral center in the region. COVID-19 and non-COVID-19 pediatric and young adult patients were transferred to our wards and pediatric ICU (PICU), and the number of daily deliveries tripled, whereas all nonemergency clinical, teaching, and research activities were postponed. Compared to the same months in 2019, in March 2020, total hospital stays decreased by 0.8% in the PICU and 15.2% in non-PICU areas, and in April 2020, total hospital stays decreased by 23.7% in the PICU and 22.2% in non-PICU areas.SLACK2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/174778Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1017/ice.2020.312Infection Control and Hospital Epidemiology, 2020, vol. 2020https://doi.org/10.1017/ice.2020.312(c) cc-by Velasco Arnaiz et. al., 2020http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1747782026-05-27T06:46:51Z
dc.title.none.fl_str_mv Pediatric antimicrobial stewardship in the COVID-19 outbreak
title Pediatric antimicrobial stewardship in the COVID-19 outbreak
spellingShingle Pediatric antimicrobial stewardship in the COVID-19 outbreak
Velasco Arnaiz, Eneritz
Agents antiinfecciosos
COVID-19
Hospitals infantils
Anti-infective agents
COVID-19
Children hospitals
title_short Pediatric antimicrobial stewardship in the COVID-19 outbreak
title_full Pediatric antimicrobial stewardship in the COVID-19 outbreak
title_fullStr Pediatric antimicrobial stewardship in the COVID-19 outbreak
title_full_unstemmed Pediatric antimicrobial stewardship in the COVID-19 outbreak
title_sort Pediatric antimicrobial stewardship in the COVID-19 outbreak
dc.creator.none.fl_str_mv Velasco Arnaiz, Eneritz
López Ramos, Maria Goretti
Simó Nebot, Sílvia
Jordán García, Iolanda
Ríos Barnés, María
Urrea Ayala, Mireia
Monsonís, Manuel
Fortuny Guasch, Claudia
Noguera Julian, Antoni
author Velasco Arnaiz, Eneritz
author_facet Velasco Arnaiz, Eneritz
López Ramos, Maria Goretti
Simó Nebot, Sílvia
Jordán García, Iolanda
Ríos Barnés, María
Urrea Ayala, Mireia
Monsonís, Manuel
Fortuny Guasch, Claudia
Noguera Julian, Antoni
author_role author
author2 López Ramos, Maria Goretti
Simó Nebot, Sílvia
Jordán García, Iolanda
Ríos Barnés, María
Urrea Ayala, Mireia
Monsonís, Manuel
Fortuny Guasch, Claudia
Noguera Julian, Antoni
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Agents antiinfecciosos
COVID-19
Hospitals infantils
Anti-infective agents
COVID-19
Children hospitals
topic Agents antiinfecciosos
COVID-19
Hospitals infantils
Anti-infective agents
COVID-19
Children hospitals
description Growing evidence supports the positive impact of antimicrobial stewardship programs (ASPs) on antimicrobial use, including pediatrics.1 Although short of the level of acceptance these have reached in the United States, the implementation of pediatric ASPs in European hospitals has increased over the last few years.1 It has been suggested that the ASP should be helpful in the preparation for and response to the SARS-CoV-2/COVID-19 outbreak, 2 but no formal recommendations have been published. Whether pediatric ASP remains an essential activity or not during the COVID-19 pandemic has yet to be clarified. Here, we describe how the COVID-19 pandemic has impacted antimicrobial use in a referral pediatric hospital, and we propose a supporting role for ASP teams in the local management of the outbreak. The first COVID-19 case in Catalonia, Spain, was reported on February 25, 2020. By mid-March, most pediatric and obstetrics departments in the region were shut to increase the capacity for adult COVID-19 patients. Hospital Sant Joan de Déu Barcelona (SJD) remained the largest pediatric and maternal referral center in the region. COVID-19 and non-COVID-19 pediatric and young adult patients were transferred to our wards and pediatric ICU (PICU), and the number of daily deliveries tripled, whereas all nonemergency clinical, teaching, and research activities were postponed. Compared to the same months in 2019, in March 2020, total hospital stays decreased by 0.8% in the PICU and 15.2% in non-PICU areas, and in April 2020, total hospital stays decreased by 23.7% in the PICU and 22.2% in non-PICU areas.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
info:eu-repo/semantics/publishedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/174778
url https://hdl.handle.net/2445/174778
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1017/ice.2020.312
Infection Control and Hospital Epidemiology, 2020, vol. 2020
https://doi.org/10.1017/ice.2020.312
dc.rights.none.fl_str_mv (c) cc-by Velasco Arnaiz et. al., 2020
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) cc-by Velasco Arnaiz et. al., 2020
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SLACK
publisher.none.fl_str_mv SLACK
dc.source.none.fl_str_mv Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869419721523200000
score 15.301603

Similares en LA Referencia