Volume 23, Issue 3 (9-2025)
Nursing and Midwifery Journal 2025, 23(3): 84-90 |
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Research code: 30671
Ethics code: IR.IAU.URMIA.REC.1401.142
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pashaei N, Heidari S, parizad N, nouri M, mohamadpouri M, ghanipour badelbuu S, et al . Comparison of the Consumption of Expensive Antibiotics Based on Stewardship Guidelines Before, During, and After the Coronavirus Pandemic in Urmia in the Years 2019-2024. Nursing and Midwifery Journal 2025; 23 (3) :84-90
URL: http://unmf.umsu.ac.ir/article-1-5398-en.html
URL: http://unmf.umsu.ac.ir/article-1-5398-en.html
Neda Pashaei1 
, Shiva Heidari2 , Naser Parizad3 , Mohammad Nouri2 , Mahnaz Mohamadpouri1 , Sima Ghanipour badelbuu *4 
, Violeta Lopez5 , Tuba Şengül6
, Shiva Heidari2 , Naser Parizad3 , Mohammad Nouri2 , Mahnaz Mohamadpouri1 , Sima Ghanipour badelbuu *4 , Violeta Lopez5 , Tuba Şengül6
1- Clinical Research Development Unit, Shahid Motahari Educational and Medical Center,Urmia University of Medical Sciences, Urmia, Iran
2- Department of Midwifery Nursing, Urmia Branch, Islamic Azad University, Urmia, Iran
3- Nursing Department, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
4- Department of Midwifery Nursing, Urmia Branch, Islamic Azad University, Urmia, Iran ,ghanipourfrnzvsf@gmail.com
5- School of Health – Nursing, University of New England, Australia
6- School of Nursing, Koç University, Turkey
2- Department of Midwifery Nursing, Urmia Branch, Islamic Azad University, Urmia, Iran
3- Nursing Department, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
4- Department of Midwifery Nursing, Urmia Branch, Islamic Azad University, Urmia, Iran ,
5- School of Health – Nursing, University of New England, Australia
6- School of Nursing, Koç University, Turkey
Abstract: (27 Views)
Background Using antibiotics thoughtfully not only protects patients from the risks of unnecessary treatment but also helps preserve the effectiveness of these medications by slowing the spread of antimicrobial resistance. Stewardship is an organized strategy to monitor the rational use of antibiotics, reduce drug resistance, and improve clinical outcomes. It is designed based on evidence-based guidelines and can help manage antibiotic use by providing guidance on rational antibiotic prescribing, educating physicians, limiting use, managing antibiotic prescribing software, and rotating antibiotics. This study aimed to compare the consumption of costly antibiotics based on stewardship guidelines before, during, and after the coronavirus pandemic.
Methods This descriptive comparative study was conducted at Shahid Motahari Educational and Medical Center in Urmia. Data on the consumption of expensive and inexpensive antibiotics were extracted from the hospital's HIS system, in accordance with the Ministry of Health's Stewardship Guidelines and the DOT criteria, during the period 2019-2024. Then, the percentage of consumption of costly antibiotics was calculated and compared according to the Ministry of Health Stewardship Guidelines. Finally, the data were analyzed using SPSS version 20 using repeated-measures ANOVA, and Bonferroni post-hoc test.
Results The results of comparing the three time periods showed that the use of antibiotics significantly increased during the COVID-19 period with significant changes compared to the pre-pandemic period (p < 0.001, mean = 4879.56). However, antibiotic use in the post-COVID-19 period significantly decreased compared during the COVID-19 (p < 0.001, mean = - 3604.46), although it remained higher than the pre-pandemic level (p < 0.081, mean = - 1275.10).
Conclusion The findings of this study emphasize the need to optimize antibiotic use and implement an antibiotic stewardship program to reduce side effects, costs, and drug resistance
Methods This descriptive comparative study was conducted at Shahid Motahari Educational and Medical Center in Urmia. Data on the consumption of expensive and inexpensive antibiotics were extracted from the hospital's HIS system, in accordance with the Ministry of Health's Stewardship Guidelines and the DOT criteria, during the period 2019-2024. Then, the percentage of consumption of costly antibiotics was calculated and compared according to the Ministry of Health Stewardship Guidelines. Finally, the data were analyzed using SPSS version 20 using repeated-measures ANOVA, and Bonferroni post-hoc test.
Results The results of comparing the three time periods showed that the use of antibiotics significantly increased during the COVID-19 period with significant changes compared to the pre-pandemic period (p < 0.001, mean = 4879.56). However, antibiotic use in the post-COVID-19 period significantly decreased compared during the COVID-19 (p < 0.001, mean = - 3604.46), although it remained higher than the pre-pandemic level (p < 0.081, mean = - 1275.10).
Conclusion The findings of this study emphasize the need to optimize antibiotic use and implement an antibiotic stewardship program to reduce side effects, costs, and drug resistance
Type of Study: Research |
Subject:
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