Antimicrobial Stewardship Intervention During The COVID-19 Pandemic in the Acute Settings: A Systematic Literature Review

Rasha Abdelsalam Elshenawy; Nikkie Umaru; Amal Bandar Alharbi; Zoe Aslanpour

doi:10.21203/rs.3.rs-1947571/v1

Antimicrobial Stewardship Intervention During The COVID-19 Pandemic in the Acute Settings: A Systematic Literature Review

Rasha Abdelsalam Elshenawy, Nikkie Umaru, Amal Bandar Alharbi, Zoe Aslanpour

Research output: Working paper

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Abstract

This systematic review investigates Antimicrobial Stewardship (AMS) interventions before (PP) and during the COVID-19 pandemic (DP) in acute care settings. The review synthesises evidence from 16 primary studies published between 2000 and March 2021, sourced from Medline, Embase, OVID, CINAHL, Scopus, and other databases. The studies were critically appraised using the Critical Appraisal Skills Programme (CASP). AMS strategies were identified as core and supplemental measures to maintain appropriate antibiotic use and mitigate the threat of antimicrobial resistance (AMR). The Public Health England (PHE) toolkit served as the benchmark for AMS interventions. The review highlights that AMS implementation, particularly during the pandemic, effectively supported rational antibiotic use and reduced AMR risks. These findings emphasise the importance of sustained AMS interventions to optimise antibiotic stewardship in acute care hospitals. Future research should further evaluate the impact of AMS measures identified in this review to enhance global efforts against AMR.

Original language	English
Publisher	Research Square Preprints
Pages	1-14
Number of pages	14
DOIs	https://doi.org/10.21203/rs.3.rs-1947571/v1
Publication status	E-pub ahead of print - 28 Aug 2022

Keywords

Antimicrobial Stewardship (AMS)
antimicrobial stewardship (AMS)
antimicrobial
Antimicrobial Classification
antimicrobial cultures
antimicrobial efficacy
antimicrobial resistance
Antibiotic awareness week
Antibiotic guardian
Antibiotic Prescribing
Antibiotic Guidelines
Antibiotic research
antibiotic resistance
Antibiotic safety
antibiotic utilitsation
antibiotics
antibacterial
antibacterial activity
Anti-Infective Agents
Anti-Infective Agents/therapeutic use
Infection management
Infectious disease
Acute Care Settings
Acute Settings
COVID-19 Pandemic
Covid-19
Antimicrobial Resistance (AMR)
Antimicrobial resistance
Systematic review
systematic review
systematic reviews
Systematic literature review
systematic literature reviews
Antibiotic Use
Antibiotic sensitivity
Core and Supplemental Strategies
Public Health England (PHE) Toolkit
Public Health England
Critical Appraisal Skills Programme (CASP)
Critical Appraisal
Rational Antibiotic Use
Rational choice theory

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© 2022 Research Square. This work is distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
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abstract = "This systematic review investigates Antimicrobial Stewardship (AMS) interventions before (PP) and during the COVID-19 pandemic (DP) in acute care settings. The review synthesises evidence from 16 primary studies published between 2000 and March 2021, sourced from Medline, Embase, OVID, CINAHL, Scopus, and other databases. The studies were critically appraised using the Critical Appraisal Skills Programme (CASP). AMS strategies were identified as core and supplemental measures to maintain appropriate antibiotic use and mitigate the threat of antimicrobial resistance (AMR). The Public Health England (PHE) toolkit served as the benchmark for AMS interventions. The review highlights that AMS implementation, particularly during the pandemic, effectively supported rational antibiotic use and reduced AMR risks. These findings emphasise the importance of sustained AMS interventions to optimise antibiotic stewardship in acute care hospitals. Future research should further evaluate the impact of AMS measures identified in this review to enhance global efforts against AMR.",

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ER -

Antimicrobial Stewardship Intervention During The COVID-19 Pandemic in the Acute Settings: A Systematic Literature Review

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Keywords

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