Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System

Paula Rojas-Garcia, Fernando Antoñanzas Department of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainCorrespondence: Paula Rojas-GarciaDepartment of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainEmail paula.rojas@unirioja.esIntroduction: The rationa...

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Autores principales:	Rojas-Garcia P, Antoñanzas F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	antibiotics covid-19 personal protection measures co-payment Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/ee53a32f3aec4559ae7e3b21a21616bf
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spelling	oai:doaj.org-article:ee53a32f3aec4559ae7e3b21a21616bf2021-11-16T18:47:50ZAnalysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System1178-6981https://doaj.org/article/ee53a32f3aec4559ae7e3b21a21616bf2021-11-01T00:00:00Zhttps://www.dovepress.com/analysis-of-the-prescription-of-antibiotics-during-the-implementation--peer-reviewed-fulltext-article-CEORhttps://doaj.org/toc/1178-6981Paula Rojas-Garcia, Fernando Antoñanzas Department of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainCorrespondence: Paula Rojas-GarciaDepartment of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainEmail paula.rojas@unirioja.esIntroduction: The rational consumption of antibiotics is a valuable goal for developed countries. Antibiotic resistance (AMR) was the main health threat before the coronavirus-19 (COVID-19) pandemic. To restrict COVID-19 transmission, the Spanish government implemented personal protection measures, including the decree of a lockdown. The objective of this study is to analyze the prescription of antibiotics during the implementation of COVID-19 personal protection measures in primary care in a Spanish region.Materials and Methods: Primary monthly official dispensations of antibacterials for systemic use (J01) were analyzed, disaggregating by clinical (active principle, age and sex of the patient) and socio-economic variables (basic health zone and level of income). Defined daily doses per thousand inhabitants (DID) prescribed in 2020 were compared with the prescription in 2019 using Chi-square test.Results: In 2020, the prescription of antibiotics (11.37 DID) was significantly lower (− 23.73%) than in 2019 (14.91 DID). The main reduction in the amount prescribed was found in May (− 42.64%). However, the prescription was significantly higher (71.34%) in February 2020 than in the same month in 2019 in nursing homes. In March 2020, prescriptions were lower (− 13.71%) than in the same month in 2019, except for the middle-income group, in which prescriptions were higher (9.67%), as well as azithromycin (10.11%). In April and May 2020, prescriptions were significantly lower than in 2019 in all age groups and both in women and men.Conclusion: Personal protection measures against COVID-19 transmission (lockdown, mask, social distance and increased hygiene) coincide in time with the greatest reduction in antibiotic prescription.Keywords: antibiotics, COVID-19, personal protection measures, co-paymentRojas-Garcia PAntoñanzas FDove Medical Pressarticleantibioticscovid-19personal protection measuresco-paymentMedicine (General)R5-920Therapeutics. PharmacologyRM1-950ENClinicoEconomics and Outcomes Research, Vol Volume 13, Pp 927-936 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotics covid-19 personal protection measures co-payment Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950
spellingShingle	antibiotics covid-19 personal protection measures co-payment Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950 Rojas-Garcia P Antoñanzas F Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
description	Paula Rojas-Garcia, Fernando Antoñanzas Department of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainCorrespondence: Paula Rojas-GarciaDepartment of Economics and Business, University of La Rioja, Logroño, La Rioja, SpainEmail paula.rojas@unirioja.esIntroduction: The rational consumption of antibiotics is a valuable goal for developed countries. Antibiotic resistance (AMR) was the main health threat before the coronavirus-19 (COVID-19) pandemic. To restrict COVID-19 transmission, the Spanish government implemented personal protection measures, including the decree of a lockdown. The objective of this study is to analyze the prescription of antibiotics during the implementation of COVID-19 personal protection measures in primary care in a Spanish region.Materials and Methods: Primary monthly official dispensations of antibacterials for systemic use (J01) were analyzed, disaggregating by clinical (active principle, age and sex of the patient) and socio-economic variables (basic health zone and level of income). Defined daily doses per thousand inhabitants (DID) prescribed in 2020 were compared with the prescription in 2019 using Chi-square test.Results: In 2020, the prescription of antibiotics (11.37 DID) was significantly lower (− 23.73%) than in 2019 (14.91 DID). The main reduction in the amount prescribed was found in May (− 42.64%). However, the prescription was significantly higher (71.34%) in February 2020 than in the same month in 2019 in nursing homes. In March 2020, prescriptions were lower (− 13.71%) than in the same month in 2019, except for the middle-income group, in which prescriptions were higher (9.67%), as well as azithromycin (10.11%). In April and May 2020, prescriptions were significantly lower than in 2019 in all age groups and both in women and men.Conclusion: Personal protection measures against COVID-19 transmission (lockdown, mask, social distance and increased hygiene) coincide in time with the greatest reduction in antibiotic prescription.Keywords: antibiotics, COVID-19, personal protection measures, co-payment
format	article
author	Rojas-Garcia P Antoñanzas F
author_facet	Rojas-Garcia P Antoñanzas F
author_sort	Rojas-Garcia P
title	Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
title_short	Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
title_full	Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
title_fullStr	Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
title_full_unstemmed	Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System
title_sort	analysis of the prescription of antibiotics during the implementation of covid-19 personal protection measures in a regional health system
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/ee53a32f3aec4559ae7e3b21a21616bf
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Analysis of the Prescription of Antibiotics During the Implementation of COVID-19 Personal Protection Measures in a Regional Health System

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