Consumo de antimicrobianos durante el período de la pandemia de COVID-19 en macrorregiones específicas de Brasil

Autores/as

DOI:

https://doi.org/10.17058/reci.v14i2.18259

Palabras clave:

Acute respiratory infections., Antimicrobials., Brazil., COVID-19., Pharmacovigilance.

Resumen

Justificación y Objetivos: El objetivo principal fue analizar el consumo de antimicrobianos (ATMs) sujetos a retención de ingresos con indicaciones para el tratamiento de infecciones respiratorias en Brasil de 2014 a 2021. Métodos: Se trata de un estudio ecológico de diseño mixto. Datos secundarios obtenidos del Sistema Nacional de Gestión de Productos Controlados (SNGPC). Los datos fueron presentados siguiendo la ecuación: número de consumo total de cajeros automáticos para cada macro región de Brasil por año o trimestre / número de residentes para cada macro región por año *1.000 habitantes. Los datos anuales fueron analizados por Prais-Winsten, y trimestralmente analizados por regresión paso a paso automática hacia adelante. Resultados: La región Sur mostró las mayores tasas medias de consumo en comparación con las demás macrorregiones. Para el análisis anual, la proporción de estabilidad, aumento y disminución de ATMs fue similar entre las macrorregiones. En el trimestre se registró aumento en el consumo de Amoxicilina, Amoxicilina+Clavulanato, Azitromicina y Cefalexina, en conjunto, en las regiones Sur, Sudeste y Norte. Conclusión:Nuestros datos revelan un mayor consumo de algunos ATMs durante el período de la pandemia en macro regiones específicas de Brasil, las cinco macro regiones han mostrado diferentes patrones de consumo de ATMs.

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Citas

Abreu JAC de, Silva FBA. Uma “espada-de-dois-gumes”: bactérias & Covid-19 / A double-edged sword: bacterias & Covid-19. Brazilian J Dev 2021; 7: 53750–53769. DOI: 10.34117/bjdv.v7i5.30577

Mirzaei R, Goodarzi P, Asadi M, et al. Bacterial co-infections with SARS-CoV-2. IUBMB Life; 72. Epub ahead of print 2020. DOI: 10.1002/iub.2356.

Jin YH, Cai L, Cheng ZS, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research; 7. Epub ahead of print 2020. DOI: 10.1186/s40779-020-0233-6.

Miranda C, Silva V, Capita R, et al. Implications of antibiotics use during the COVID-19 pandemic: Present and future. J Antimicrob Chemother; 75. Epub ahead of print 2020. DOI: 10.1093/jac/dkaa350.

Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet; 395. Epub ahead of print 2020. DOI: 10.1016/S0140-6736(20)30211-7.

Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet; 395. Epub ahead of print 2020. DOI: 10.1016/S0140-6736(20)30183-5.

Heimfarth L, Serafini MR, Martins-Filho PR, et al. Drug repurposing and cytokine management in response to COVID-19: A review. International Immunopharmacology; 88. Epub ahead of print 2020. DOI: 10.1016/j.intimp.2020.106947.

Elshaboury RH, Monk MM, Bebell LM, et al. Remdesivir use and outcomes during the FDA COVID-19 emergency use authorization period. Ther Adv Infect Dis; 8. Epub ahead of print 2021. DOI: 10.1177/20499361211046669.

Costa KS, de Barros MBA, Francisco PMSB, et al. Use of medication and associated factors: A population-based study in Campinas, São Paulo State, Brazil. Cad Saude Publica; 27. Epub ahead of print 2011. DOI: 10.1590/s0102-311x2011000400004.

Khalatbari-Soltani S, Cumming RC, Delpierre C, et al. Importance of collecting data on socioeconomic determinants from the early stage of the COVID-19 outbreak onwards. Journal of Epidemiology and Community Health; 74. Epub ahead of print 2020. DOI: 10.1136/jech-2020-214297.

Castro MC, Kim S, Barberia L, et al. Spatiotemporal pattern of COVID-19 spread in Brazil. Science (80- ) 2021; 372: 821–826. DOI: 10.1126/science.abh1558

Ge H, Wang X, Yuan X, et al. The epidemiology and clinical information about COVID-19. European Journal of Clinical Microbiology and Infectious Diseases; 39. Epub ahead of print 2020. DOI: 10.1007/s10096-020-03874-z.

IBGE. Instituto Brasileiro de Geografia e Estatística - IBGE Cidades. Cidades. https://www.ibge.gov.br/

Kliemann BS, Levin AS, Moura ML, et al. Socioeconomic determinants of antibiotic consumption in the state of são paulo, brazil: The effect of restricting over-the-counter sales. PLoS One; 11. Epub ahead of print 2016. DOI: 10.1371/journal.pone.0167885.

Chua KP, Fischer MA, Linder JA. Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. BMJ; 364. Epub ahead of print 2019. DOI: 10.1136/bmj.k5092.

Olesen SW, Barnett ML, Macfadden DR, et al. Trends in outpatient antibiotic use and prescribing practice among US older adults, 2011-15: Observational study. BMJ; 362. Epub ahead of print 2018. DOI: 10.1136/bmj.k3155.

Martins AFL. Desigualdades Regionais e Desenvolvimento entre as Cinco Macrorregiões do Brasil. Universidade de Montes Clarosvancouver, 2015. https://www.posgraduacao.unimontes.br/uploads/sites/20/2019/05/Andr%C3%A9-Martins-PPGDS.pdf

Thibodeau KP, Viera AJ. Atypical Pathogens and Challenges in Community-Acquired Pneumonia. American Family Physician; 69. PMID: 15086042 https://pubmed.ncbi.nlm.nih.gov/15086042/

De Francesco MA, Poiesi C, Gargiulo F, et al. Co-infection of chlamydia pneumoniae and mycoplasma pneumoniae with SARS-CoV-2 is associated with more severe features. Journal of Infection; 82. Epub ahead of print 2021. DOI: 10.1016/j.jinf.2021.01.009.

Mitidieri TL, Pimentel VP, Braga C de A, et al. Há espaços competitivos para a indústria farmoquímica brasileira? Reflexões e propostas para políticas públicas. BNDES Setorial; 41. http://web.bndes.gov.br/bib/jspui/handle/1408/4286

Buehrle DJ, Wagener MM, Nguyen MH, et al. Trends in Outpatient Antibiotic Prescriptions in the United States during the COVID-19 Pandemic in 2020. JAMA Netw Open; 4. Epub ahead of print 2021. DOI: 10.1001/jamanetworkopen.2021.26114.

Silva TM, Estrela M, Gomes ER, et al. The impact of the covid‐19 pandemic on antibiotic prescribing trends in outpatient care: A nationwide, quasi‐experimental approach. Antibiotics; 10. Epub ahead of print 2021. DOI: 10.3390/antibiotics10091040.

Gillies MB, Burgner DP, Ivancic L, et al. Changes in antibiotic prescribing following COVID-19 restrictions: Lessons for post-pandemic antibiotic stewardship. Br J Clin Pharmacol; 88. Epub ahead of print 2022. DOI: 10.1111/bcp.15000.

CFM. CONSELHO FEDERAL DE MEDICINA. RESOLUÇÃO CFM no2.299. Publicada no Diário Of da União 26 outubro 2021(2021). https://sistemas.cfm.org.br/normas/arquivos/resolucoes/BR/2021/2299_2021.pdf

Peñalva G, Benavente RS, Pérez-Moreno MA, et al. Effect of the coronavirus disease 2019 pandemic on antibiotic use in primary care. Clinical Microbiology and Infection; 27. Epub ahead of print 2021. DOI: 10.1016/j.cmi.2021.01.021.

Van de Pol AC, Boeijen JA, Venekamp RP, et al. Impact of the covid-19 pandemic on antibiotic prescribing for common infections in the netherlands: A primary care-based observational cohort study. Antibiotics; 10. Epub ahead of print 2021. DOI: 10.3390/antibiotics10020196.

Zhu N, Aylin P, Rawson T, et al. Investigating the impact of COVID-19 on primary care antibiotic prescribing in North West London across two epidemic waves. Clin Microbiol Infect; 27. Epub ahead of print 2021. DOI: 10.1016/j.cmi.2021.02.007.

Caetano MC, Campos MR, Emmerick ICM, et al. Consumo de antimicrobianos nas farmácias e drogarias privadas brasileiras à luz do PAN-BR e da pandemia de COVID-19 / Antimicrobial consumption in Brazilian private pharmacies and drugstores considering the PAN-BR and COVID-19 pandemic. Brazilian J Dev; 8. Epub ahead of print 2022. DOI: 10.34117/bjdv8n1-043.

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Publicado

2024-08-04

Cómo citar

Paludo Polesello, G., Silva Torres, I. L., Ferreira, C. F., Nunes Stanhke, D. ., Vieira Paniz, V. M., & Medeiros, L. (2024). Consumo de antimicrobianos durante el período de la pandemia de COVID-19 en macrorregiones específicas de Brasil. Revista De Epidemiologia E Controle De Infecção, 14(2). https://doi.org/10.17058/reci.v14i2.18259

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ARTIGO ORIGINAL