ANALYSIS OF ANTIBIOTIC UTILIZATION PATTERNS AND EMERGING ANTIMICROBIAL RESISTANCE

Authors

  • Dr. Céline Pulcini
  • Dr. Herman Goossens
  • Dr. Dilip Nathwani
  • Dr. Marc Mendelson

Abstract

Antimicrobial resistance (AMR) has become a major global public health concern due to the increasing misuse and overuse of antibiotics in healthcare settings. Monitoring antibiotic utilization patterns and resistance profiles is essential for understanding prescribing practices and strengthening antimicrobial stewardship programs. The present study aimed to analyze antibiotic utilization patterns and evaluate antimicrobial resistance among patients receiving antibiotic therapy in a tertiary care hospital. A retrospective observational analysis was conducted using hospital electronic medical records, pharmacy prescription databases, and microbiology laboratory reports. A total of 80 patient records with confirmed bacterial infections and documented antibiotic prescriptions were included in the study. Data regarding demographic characteristics, antibiotic classes prescribed, bacterial isolates identified, and antimicrobial susceptibility results were collected and analyzed. Descriptive statistical methods were applied to determine frequencies and percentages of antibiotic utilization and bacterial isolates. Chi-square analysis was performed to evaluate the association between antibiotic class and antimicrobial resistance patterns. Pearson correlation and logistic regression analyses were also conducted to assess the relationship between antibiotic utilization score and resistance outcomes. The results showed
that most patients belonged to the middle-aged group and that cephalosporins and fluoroquinolones were the most frequently prescribed antibiotics. Microbiological findings revealed that Escherichia coli, Staphylococcus aureus, and Klebsiella pneumoniae were the predominant bacterial isolates identified. Correlation and regression analyses further indicated that antibiotic utilization score was not a significant predictor of antimicrobial resistance. Continuous monitoring of antibiotic use and resistance patterns remains essential for promoting rational antibiotic prescribing and improving antimicrobial stewardship practices.

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References

Aarestrup, F. M. (2015). The livestock reservoir for antimicrobial resistance: a personal view on changing patterns of

risks, effects of interventions and the way forward. Philosophical Transactions of the Royal Society B: Biological

Sciences, 370(1670).

Acharya, K. P., & Wilson, R. T. (2019). Antimicrobial resistance in Nepal. Frontiers in medicine, 6, 105.

Aftab, H., Miftahussurur, M., Subsomwong, P., Ahmed, F., Khan, A. A., & Yamaoka, Y. (2016). Helicobacter pylori

antibiotic susceptibility patterns in Bangladesh: Emerging levofloxacin resistance. The Journal of Infection in

Developing Countries, 10(03), 245-253.

Ahmed, S. S., Shariq, A., Alsalloom, A. A., Babikir, I. H., & Alhomoud, B. N. (2019). Uropathogens and their

antimicrobial resistance patterns: Relationship with urinary tract infections. International journal of health

sciences, 13(2), 48.

Baggs, J., Fridkin, S. K., Pollack, L. A., Srinivasan, A., & Jernigan, J. A. (2016). Estimating national trends in inpatient

antibiotic use among US hospitals from 2006 to 2012. JAMA internal medicine, 176(11), 1639-1648.

Davin-Regli, A., Lavigne, J. P., & Pagès, J. M. (2019). Enterobacter spp.: update on taxonomy, clinical aspects, and

emerging antimicrobial resistance. Clinical microbiology reviews, 32(4), 10-1128.

Ferri, M., Ranucci, E., Romagnoli, P., & Giaccone, V. (2017). Antimicrobial resistance: A global emerging threat to

public health systems. Critical reviews in food science and nutrition, 57(13), 2857-2876.

Frieri, M., Kumar, K., & Boutin, A. (2017). Antibiotic resistance. Journal of infection and public health, 10(4), 369-

Godman, B., Egwuenu, A., Haque, M., Malande, O. O., Schellack, N., Kumar, S., ... & Seaton, R. A. (2021). Strategies

to improve antimicrobial utilization with a special focus on developing countries. Life, 11(6), 528.

Hoque, R., Ahmed, S. M., Naher, N., Islam, M. A., Rousham, E. K., Islam, B. Z., & Hassan, S. (2020). Tackling

antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment

sectors. PloS one, 15(1), e0227947.

Hsia, Y., Lee, B. R., Versporten, A., Yang, Y., Bielicki, J., Jackson, C., ... & Dedeic-Ljubovic, A. (2019). Use of the

WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe): an analysis of

paediatric survey data from 56 countries. The Lancet Global Health, 7(7), e861-e871.

Kaur, D. C., & Chate, S. S. (2015). Study of antibiotic resistance pattern in methicillin resistant Staphylococcus aureus

with special reference to newer antibiotic. Journal of global infectious diseases, 7(2), 78-84.

Knight, G. M., Glover, R. E., McQuaid, C. F., Olaru, I. D., Gallandat, K., Leclerc, Q. J., ... & Chandler, C. I. (2021).

Antimicrobial resistance and COVID-19: Intersections and implications. Elife, 10, e64139.

Martinez-Guerra, B. A., Gonzalez-Lara, M. F., de-Leon-Cividanes, N. A., Tamez-Torres, K. M., Roman-Montes, C.

M., Rajme-Lopez, S., ... & Ponce-de-León, A. (2021). Antimicrobial resistance patterns and antibiotic use during

hospital conversion in the COVID-19 pandemic. Antibiotics, 10(2), 182.

Moradigaravand, D., Senok, A., Al-Dabal, L., Khansaheb, H. H., Habous, M., Alsuwaidi, H., & Alsheikh-Ali, A.

(2023). Unveiling the dynamics of antimicrobial utilization and resistance in a large hospital network over five years:

Insights from health record data analysis. PLOS Digital Health, 2(12), e0000424.

Muhie, O. A. (2019). Antibiotic Use and Resistance Pattern in Ethiopia: Systematic Review and Meta‐

Analysis. International journal of microbiology, 2019(1), 2489063.

Mukherjee, S., Sen, S., Era, N., Biswas, A., Datta, K., & Tripathi, S. K. (2015). Antibiotic usage pattern among

inpatients of a paediatric ward in a tertiary care hospital in Eastern India. Int J Res Med Sci, 3(12), 3681-3686.

Olesen, S. W., Barnett, M. L., MacFadden, D. R., Brownstein, J. S., Hernández-Díaz, S., Lipsitch, M., & Grad, Y. H.

(2018). The distribution of antibiotic use and its association with antibiotic resistance. Elife, 7, e39435.

Pauwels, I., Versporten, A., Drapier, N., Vlieghe, E., & Goossens, H. (2021). Hospital antibiotic prescribing patterns

in adult patients according to the WHO Access, Watch and Reserve classification (AWaRe): Results from a worldwide

point prevalence survey in 69 countries. Journal of Antimicrobial Chemotherapy, 76(6), 1614-1624.

Pourmand, A., Mazer-Amirshahi, M., Jasani, G., & May, L. (2017). Emerging trends in antibiotic resistance:

implications for emergency medicine. The American journal of emergency medicine, 35(8), 1172-1176.Xu, S., Yuan,

S., Kabba, J. A., Chen, C., Liu, W., Chang, J., & Fang, Y. (2020). Analysis of antibiotic use patterns and trends based

on procurement data of healthcare institutions in Shaanxi Province, Western China, 2015–2018. International Journal

of Environmental Research and Public Health, 17(20), 7536.

Puca, V., Marulli, R. Z., Grande, R., Vitale, I., Niro, A., Molinaro, G., ... & Di Giovanni, P. (2021). Microbial species

isolated from infected wounds and antimicrobial resistance analysis: Data emerging from a three-years retrospective

study. Antibiotics, 10(10), 1162.

Ramachandran, S. (2023). Comparative Analysis of Antibiotic Use and Resistance Patterns in Hospitalized

Patients. Clinical Journal for Medicine, Health and Pharmacy, 1(1), 73-82.

Tang, K. W. K., Millar, B. C., & Moore, J. E. (2023). Antimicrobial resistance (AMR). British journal of biomedical

science, 80, 11387.

Tran, G. M., Ho-Le, T. P., Ha, D. T., Tran-Nguyen, C. H., Nguyen, T. S., Pham, T. T., ... & Nguyen, T. V. (2017).

Patterns of antimicrobial resistance in intensive care unit patients: a study in Vietnam. BMC infectious diseases, 17(1),

Yevutsey, S. K., Buabeng, K. O., Aikins, M., Anto, B. P., Biritwum, R. B., Frimodt-Møller, N., & Gyansa-Lutterodt,

M. (2017). Situational analysis of antibiotic use and resistance in Ghana: policy and regulation. BMC public

health, 17(1), 896.

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Published

2024-03-24

How to Cite

Pulcini, D. C., Goossens, D. H., Nathwani, D. D., & Mendelson, D. M. (2024). ANALYSIS OF ANTIBIOTIC UTILIZATION PATTERNS AND EMERGING ANTIMICROBIAL RESISTANCE. International Journal For Research In Biology & Pharmacy, 10(1), 18–26. Retrieved from https://ijrbp.com/index.php/bp/article/view/2483