Description
Title: During the COVID-19 Pandemic, there was a paradigm shift in the bacterial isolates’ antimicrobial resistance patterns.
Abstract: Modern times have seen an increase in the public health issue of antimicrobial resistance (AMR), which has been made worse by the ongoing COVID-19 pandemic. During the pandemic, there has been an irrational consumption of antibiotics due to bacterial co-infection in COVID-19 cases. The objective of this study was to monitor COVID-19 patients who were hospitalized between 1 March 2019 and 31 December 2020 and to assess the bacterial agents’ AMR patterns. In this single-center study, 494 bacterial isolates (blood and urine) from SARS-CoV-2 patients who were admitted to the intensive care unit were examined in the microbiology department of a tertiary care hospital in Delhi, India. Gram negative pathogens made up 55.46% of the total number of bacterial isolates, while gram positive pathogens made up 4.53%. In the processed blood samples, CoNS (Coagulase Negative Staphylococcus) and Staphylococcus aureus were the most frequent isolates. The most prevalent pathogens among the urinary isolates were Escherichia coli and Staphylococcus aureus. MRSA was found in isolates of blood and urine in a total of 60%. When compared to pre-COVID-19 times, these isolates obtained during the COVID-19 period showed an AMR increase of up to 40%. The overuse of antibiotics provided the bacterial pathogens with plenty of opportunities to gradually develop mechanisms and acquire resistance. A compromise on hospital antibiotic policy may ultimately increase the burden of drug resistant pathogens in hospitals because the dynamics of SARS-COV-2 are unpredictable. In areas where the entire hospital staff is working to save lives, it is impossible to maintain these records due to a lack of trained personnel during the COVID-19 pandemic. This study emphasizes the dramatic increase in antibiotic use for respiratory illnesses as a result of COVID-19 when compared to antibiotic use in ICUs prior to COVID-19. Regular prescription audits, constant hospital infection control practice monitoring by devoted teams, and clinician training can all contribute to long-term medication quality improvement and the fight against the AMR threat.
Keywords: antibiotics; antimicrobial resistance; bacterial co-infection; COVID-19; irrational con-sumption
Paper Quality: SCOPUS / Web of Science Level Research Paper
Subject: Antibiotics
Writer Experience: 20+ Years
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