Publication: Impact of the COVID-19 pandemic on the outcomes of a multifaceted program on antibiotic prescribing in primary care among children under three years of age
Authors
Martín-Ayala, Gema ; Alfayate-Miguélez, Santiago ; Jiménez-Guillén, Casimiro ; Alcaraz-Quiñonero, Manuel ; Iofrío-De Arce, Antonio ; Arnau Sánchez, José
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Facultad de Enfermería
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Publisher
MDPI
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DOI
https://doi.org/10.3390/antibiotics15010101
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info:eu-repo/semantics/article
Description
Abstract
Background/objective: Inappropriate antibiotic use in paediatric populations is a leading driver of antimicrobial resistance. In the Murcia Region, Spain, the Purapi program promotes the rational use of antibiotics among children under 3 years of age. This study aimed to analyse antibiotic use in this age group during the pandemic period (2020–2023) and to assess the impact of the COVID-19 pandemic on the effectiveness of a multifaceted program promoting appropriate antibiotic use. Methods: A retrospective, multicentre, population-based study was conducted in primary care using data from 2019 to 2024. Systemic antibiotic use (ATC J01 group) among children under three years was measured as defined daily doses per 1000 inhabitants per day (DHD). Differences across years and healthcare areas were assessed using analysis of variance (ANOVA) with Bonferroni correction. Results: Antibiotic consumption decreased by 49% in 2020 compared to 2019, coinciding with the implementation of national COVID-19 containment measures. From 2021 onward, agradualincrease wasobserved; however, by2024, levels remained 9%below pre-pandemic values. Penicillins account for 75% of prescriptions, mainly amoxicillin and amoxicillin–clavulanic acid. While variability across healthcare areas decreased during the pandemic, variability among primary care centres increased. Conclusions: The pandemic resulted in a temporary reduction in antibiotic use, followed by a partial rebound
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Citation
Martín-Ayala G, Alfayate-Miguélez S, Jiménez-Guillén C, Alcaraz-Quiñonero M, Iofrío-De Arce A, Arnau-Sánchez J. Impact of the COVID-19 Pandemic on the Outcomes of a Multifaceted Program on Antibiotic Prescribing in Primary Care Among Children Under Three Years of Age. Antibiotics (Basel). 2026 Jan 19;15(1):101. doi: 10.3390/antibiotics15010101. PMID: 41594137; PMCID: PMC12837799.
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