Antibiotic consumption in secondary and tertiary hospitals in Colombia: national surveillance from 2018–2020

Author:

Lopez Mónica12,Martinez Adriana1,Celis Bustos Yamile3,Thekkur Pruthu4,Nair Divya4,Verdonck Kristien5,Perez Freddy67

Affiliation:

1. Ministry of Health and Social Protection, Bogotá, Colombia

2. mlopezco21@gmail.com

3. Pan American Health Organization, Bogotá, Colombia

4. International Union Against Tuberculosis and Lung Disease, Paris, France

5. Institute of Tropical Medicine, Antwerp, Belgium

6. Pan American Health Organization, Washington, D.C., United States of America

7. Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil

Abstract

Objective.

To assess the compliance in secondary and tertiary level hospitals with monthly reporting of antibiotic consumption to the Colombian National Public Health Surveillance System (SIVIGILA-INS), and to describe reported antibiotic consumption during 2018–2020.

Methods.

This study involved a secondary analysis of antibiotic consumption data reported to SIVIGILA-INS. Frequency of hospital reporting was assessed and compared against expected reports, disaggregated by intensive care units (ICU)/non-ICU wards and geographical regions. Consumption was expressed as defined daily dose (DDD) per 100 occupied beds for seven antibiotics.

Results.

More than 70% of hospitals reported antibiotic consumption at least once in each of the three years (79% in ICU and 71% in non-ICU wards). Of these, ICU monthly reporting was complete (12 monthly reports per year) for 59% in the period 2018–2019 but only 4% in 2020. Non-ICU reporting was complete for 52% in 2019 and for 2% in 2020. Most regions had an overall decrease in reporting in 2020. Analysis of antibiotic consumption showed an increase for piperacillin/tazobactam, ertapenem, and cefepime from 2019 to 2020.

Conclusions.

There were gaps in the consistency and frequency of reporting. Efforts are needed to improve compliance with monthly reporting, which declined in 2020, possibly due to the COVID-19 pandemic. Non-compliance on reporting and data quality issues should be addressed with the hospitals to enable valid interpretation of antibiotic consumption trends.

Publisher

Pan American Health Organization

Subject

Public Health, Environmental and Occupational Health

Reference20 articles.

1. World Health Organization. Global action plan on antimicrobial resistance. Geneva: WHO; 2015 Available from: https://apps.who.int/iris/handle/10665/193736.

2. Instituto Nacional de Salud. Informe final de evento: Consumo de antibióticos en el ámbito hospitalario, Colombia, 2016. Bogotá: INS; 2016. Available from: https://www.ins.gov.co/buscador-eventos/Informesdeevento/Consumo%20de%20antibiotico%20intrahospi​talario%202016.pdf.

3. Prada-Ríos SI, Pérez-Castaño AM, Rivera-Triviño AF. Clasificación de instituciones prestadores de servicios de salud según el sistema de cuentas de la salud de la Organización para la Cooperación y el Desarrollo Económico: El caso de Colombia. Rev Gerenc Polit Salud. 2017;16(32):51–65.

4. Instituto Nacional de Salud. Informe de evento: Consumo de antibióticos en el ambito hospitalario en Colombia, 2018. Bogotá: INS; 2018. Available from: https://www.ins.gov.co/buscador-eventos/Informesdeevento/CONSUMO%20DE%20ANTIBIÓTICOS%20EN%20ÁMBITO%20HOSPITALARIO_2018.pdf.

5. Ministerio de Salud y Protección Social. Plan nacional de respuesta a la resistencia a los antimicrobianos (PNRAM). Bogotá: MSPS; 2018. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/MET/plan-respuesta-resisten​cia-antimicrobianos.pdf.

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