The Need for Ongoing Antimicrobial Stewardship during the COVID-19 Pandemic and Actionable Recommendations

Wei Ping Khor1, Omotayo Olaoye1, Nikki D'Arcy1

  • 1Commonwealth Pharmacists Association, London E1W 1AW, UK.

Insights

The COVID-19 pandemic impacts healthcare, coinciding with a growing antimicrobial resistance crisis. Prudent antimicrobial use is vital to prevent worsening resistance during this global health challenge.

Area of Science:

  • Global Health
  • Infectious Diseases
  • Microbiology

Background:

  • The COVID-19 pandemic presents a significant challenge to global healthcare systems.
  • This health crisis unfolds alongside the persistent global threat of antimicrobial resistance.
  • Early evidence suggests low rates of bacterial and fungal co-infections in COVID-19 patients.

Purpose of the Study:

  • To highlight the critical need for antimicrobial stewardship amidst the COVID-19 pandemic.
  • To underscore the potential exacerbation of antimicrobial resistance due to indiscriminate antimicrobial use during the pandemic.

Main Methods:

  • Review of early data on COVID-19 co-infections.
  • Analysis of the impact of antimicrobial use during the pandemic on resistance trends.

Main Results:

  • Bacterial and fungal co-infections in COVID-19 patients were found to be relatively low.
  • Indiscriminate use of antimicrobials during the pandemic poses a risk of worsening antimicrobial resistance.

Conclusions:

  • Maintaining and strengthening antimicrobial stewardship activities globally is essential.
  • Continued vigilance and coordinated efforts are required across all sectors to combat antimicrobial resistance during and after the COVID-19 pandemic.

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