ANALYSIS OF ANTIBIOTIC CONSUMPTION IN THE NATIONAL CENTER OF CHILDREN’S REHABILITATION FOR 2019- 2020 IN THE CONDITIONS OF THE COVID-19 PANDEMIC

Abstract

The COVID-19 pandemic has posed a major challenge for all humanity and health systems in all countries. Excessive and unjustified use of antibiotics is one of the most important factors in the development of antibiotic resistance. Objective of the study: to identify the dynamics of antibiotic consumption in a children’s rehabilitation center during the COVID-19 pandemic for 2019-2020 and to identify factors affecting the incidence of infectious diseases and the consumption of antibiotics. Research methods: the calculation of antibiotic consumption was carried out according to the ATC / DDD methodology of the WHO Collaborating Center for Drug Statistics Methodology using the WHO database [4] to assign the ATC index and DDD values of drugs Results: The total consumption of antibacterial agents for systemic use (group J01) showed a decrease in DBD in 2020 compared to 2019 by 40% and amounted to 39.29 DBD in 2019 and 28.04 DBD in 2020. When assessing dynamic consumption antibiotics on arrival, we have identified a downward trend in antibiotic consumption after the introduction of strict quarantine measures at the Center. That, combined with data for 2020 on a decrease in the number of patients who were prescribed antibiotics and a decrease in the number of antibiotics per patient, showed the high effectiveness of restrictive measures at the Center related to the COVID-19 pandemic. Conclusions: the results of the study of antibiotic consumption for 2019-2020. according to the ATC / DDD methodology, it revealed an overall decrease in consumption in 2020 compared to 2019 by 40%, which is a positive result of the strict quarantine measures and an increase in the justification for prescribing antibiotics at the Center during the COVID-19 pandemic.