دوره 23، شماره 3 - ( 6-1404 )                   جلد 23 شماره 3 صفحات 90-84 | برگشت به فهرست نسخه ها

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-fa.html
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. مجله پرستاری و مامایی. 1404; 23 (3) :84-90

URL: http://unmf.umsu.ac.ir/article-1-5398-fa.html


:   (25 مشاهده)
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
 
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نوع مطالعه: پژوهشي | موضوع مقاله: متفرقه

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