A global point prevalence survey of antimicrobial use in neonatal intensive care units: The no-more-antibiotics and resistance (NO-MAS-R) study

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Fältnamn	Indikatorer	Metadata
000		12094naa a2201285 4500
001		oai:DiVA.org:uu-443481
003		SwePub
008		210602s2021 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4434812 URI
024	7	a https://doi.org/10.1016/j.eclinm.2021.1007272 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Prusakov, Pavelu Nationwide Childrens Hosp, Dept Pharm, Columbus, OH USA.4 aut
245	1 0	a A global point prevalence survey of antimicrobial use in neonatal intensive care units :b The no-more-antibiotics and resistance (NO-MAS-R) study
264	1	b Elsevier,c 2021
338		a electronic2 rdacarrier
520		a Background: Global assessment of antimicrobial agents prescribed to infants in the neonatal intensive care unit (NICU) may inform antimicrobial stewardship efforts.Methods: We conducted a one-day global point prevalence study of all antimicrobials provided to NICU infants. Demographic, clinical, and microbiologic data were obtained including NICU level, census, birth weight, gestational/chronologic age, diagnoses, antimicrobial therapy (reason for use; length of therapy), antimicrobial stewardship program (ASP), and 30-day in-hospital mortality.Findings: On July 1, 2019, 26% of infants (580/2,265; range, 0-100%; median gestational age, 33 weeks; median birth weight, 1800 g) in 84 NICUs (51, high-income; 33, low-to-middle income) from 29 countries (14, high-income; 15, low-to-middle income) in five continents received >= 1 antimicrobial agent (92%, antibacterial; 19%, antifungal; 4%, antiviral). The most common reasons for antibiotic therapy were "rule-out" sepsis (32%) and "culture-negative" sepsis (16%) with ampicillin (40%), gentamicin (35%), amikacin (19%), vancomycin (15%), and meropenem (9%) used most frequently. For definitive treatment of presumed/confirmed infection, vancomycin (26%), amikacin (20%), and meropenem (16%) were the most prescribed agents. Length of therapy for culture-positive and "culture-negative" infections was 12 days (median; IQR, 8-14) and 7 days (median; IQR, 5-10), respectively. Mortality was 6% (42%, infection-related). An NICU ASP was associated with lower rate of antibiotic utilization (p = 0.02).Interpretation: Global NICU antibiotic use was frequent and prolonged regardless of culture results. NICU-specific ASPs were associated with lower antibiotic utilization rates, suggesting the need for their implementation worldwide.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng
653		a Global point prevalence study
653		a Neonatal infection
653		a Neonatal antimicrobial stewardship
653		a Antibiotics
653		a Antifungal
700	1	a Goff, Debra A.u Ohio State Univ, Coll Pharm, Wexner Med Ctr, Dept Pharm, 500 W 12Th Ave, Columbus, OH 43210 USA.4 aut
700	1	a Wozniak, Phillip S.u Ohio State Univ, Coll Med, Columbus, OH 43210 USA.4 aut
700	1	a Cassim, Azraau Chris Hani Baragwanath Hosp, Johannesburg, South Africa.4 aut
700	1	a Scipion, Catherine E. A.u Hlth Equ Int, Fond Des Blancs, Haiti.4 aut
700	1	a Urzua, Soledadu Pontificia Univ Catolica, Dept Neonatol, Santiago, Chile.4 aut
700	1	a Ronchi, Andreau Fdn IRCCS CaGranda Osped Maggiore Policlin, Div Neonatol & NICU, Milan, Italy.4 aut
700	1	a Zeng, Lingkongu Huazhong Univ Sci & Technol, Dept Neonatol, Wuhan Childrens Hosp, Wuhan Maternal & Child Healthcare Hosp,Tongji Med, Wuhan, Peoples R China.4 aut
700	1	a Ladipo-Ajayi, Oluwaseunu Lagos Univ Teaching Hosp, Dept Pediat Surg, Lagos, Nigeria.4 aut
700	1	a Aviles-Otero, Noeliau Univ Virginia, Sch Med, Charlottesville, VA 22908 USA.4 aut
700	1	a Udeigwe-Okeke, Chisom R.u Natl Hosp, Div Paediat Surg, Abuja, Nigeria.4 aut
700	1	a Melamed, Rimmau Ben Gurion Univ Negev, Soroka Univ Med Ctr, Pediat Infect Dis Unit, Beer Sheva, Israel.;Ben Gurion Univ Negev, Soroka Univ Med Ctr, Fac Hlth Sci, Beer Sheva, Israel.4 aut
700	1	a Silveira, Rita C.u Univ Fed Rio Grande Do Sul, Dept Pediat, Newborn Sect, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil.4 aut
700	1	a Auriti, Cinziau Bambino Gesu Pediat Hosp, Dept Neonatol, Rome, Italy.4 aut
700	1	a Beltran-Arroyave, Claudiau Clin Prado, Medellin, Colombia.;Clin El Rosario, Medellin, Colombia.4 aut
700	1	a Zamora-Flores, Elenau Gregorio Maranon Univ Hosp, Div Neonatol, Hosp Materno Infantil, Madrid, Spain.4 aut
700	1	a Sanchez-Codez, Mariau Puerta Mar Univ Hosp, Div Pediat Infect Dis, Cadiz, Spain.4 aut
700	1	a Donkor, Eric S.u Univ Ghana, Dept Med Microbiol, Med Sch, Accra, Ghana.4 aut
700	1	a Kekomaki, Satuu Helsinki Univ Hosp, Childrens Hosp, Div Pediat Infect Dis, Helsinki, Finland.4 aut
700	1	a Mainini, Nicolettau Treviso Hosp, Div Neonatol, Treviso, Italy.4 aut
700	1	a Trochez, Rosalba Vivasu CES Univ, Procaren NICU, Clin Soma, Medellin, Colombia.4 aut
700	1	a Casey, Jamalynu St Vincent Womens Hosp, Dept Pharm, Indianapolis, IN USA.4 aut
700	1	a Graus, Juan M.u Hosp Nacl Cayetano Heredia, Dept Neonatol, Lima, Peru.4 aut
700	1	a Muller, Malloryu Arnold Palmer Hosp Children, Dept Pharm, Orlando, FL USA.4 aut
700	1	a Singh, Sarau Univ Guyana, Sch Med, Georgetown, Guyana.4 aut
700	1	a Loeffen, Yvetteu Wilhelmina Childrens Hosp, Div Pediat Immunol & Infect Dis, Utrecht, Netherlands.4 aut
700	1	a Tamayo Perez, Maria Eulaliau Univ Antioquia, Hosp San Vicente Fdn, Head Neonatal Intens Care, Coordinator Neonatol Fellow Program, Medellin, Colombia.4 aut
700	1	a Ferreyra, Gloria Isabelu Inst Maternidad Ntra Sra Las Mercedes, Dept Neonatol, San Miguel De Tucuman, Tucuman, Argentina.4 aut
700	1	a Lima-Rogel, Victoriau Hosp Gen Dr Ignacio Morones Prieto, Div Neonatol, San Luis Potosi, San Luis Potosi, Mexico.4 aut
700	1	a Perrone, Barbarau G Salesi Childrens Hosp, Div Neonatol, Ancona, Italy.;NICU, Ancona, Italy.4 aut
700	1	a Izquierdo, Gianninau Hosp Barros Luco, Div Neonatol & Pediat Infect Dis, Santiago, Chile.4 aut
700	1	a Cernada, Mariau La Fe Univ, Div Neonatol, Valencia, Spain.;La Fe Univ, Neonatal Res Grp, Valencia, Spain.;Polytech Hosp, Valencia, Spain.4 aut
700	1	a Stoffella, Sylviau UCSF, Dept Pharm, Benioff Childrens Hosp, San Francisco, CA USA.4 aut
700	1	a Ekenze, Sebastian Okwuchukwuu Univ Nigeria Teaching Hosp, Sub Dept Pediat Surg, Enugu, Nigeria.4 aut
700	1	a de Alba-Romero, Concepcionu Hosp 12 Octubre, Div Neonatol, Madrid, Spain.4 aut
700	1	a Tzialla, Chryssoulau Fdn IRCCS Policlin San Matteo, Pavia, Italy.4 aut
700	1	a Pham, Jennifer T.u Univ Illinois, Coll Pharm, Hosp & Hlth Sci Syst, Chicago, IL USA.4 aut
700	1	a Hosoi, Kenichirou Kyorin Univ, Dept Pediat, Sch Med, Tokyo, Japan.4 aut
700	1	a Consuegra, Magdalena Cecilia Calerou Hosp Gen San Francisco, Div Neonatol, Quito, Ecuador.4 aut
700	1	a Betta, Pasquau AOU Policlin G Rodol, Div Neonatol & NICU, Catania, Italy.4 aut
700	1	a Hoyos, O. Alvarou Univ Pontificia Bolivariana, Clin Univ Bolivariana, Medellin, Colombia.4 aut
700	1	a Roilides, Emmanuelu Aristotle Univ Thessaloniki, Fac Med, Dept Pediat 3, Infect Dis Unit,Sch Hlth Sci, Thessaloniki, Greece.4 aut
700	1	a Naranjo-Zuniga, Gabrielau Hosp Nacl Ninos Dr Carlos Saenz Herrera, Div Pediat Infect Dis, San Jose, Costa Rica.4 aut
700	1	a Oshiro, Makotou Nagoya Red Cross Daiichi Hosp, Dept Pediat, Nagoya, Aichi, Japan.4 aut
700	1	a Garay, Victoru Alberto Sabogal Hosp, Div Neonatol, Lima, Peru.4 aut
700	1	a Mondi, Vitou Policlin Casilino, Rome, Italy.4 aut
700	1	a Mazzeo, Danilau AOU Policlin Messina, Div Patol & Intens Neonatal Care, Messina, Italy.4 aut
700	1	a Stahl, James A.u Norton Childrens Hosp, Dept Pharm, Louisville, KY USA.4 aut
700	1	a Cantey, Joseph B.u Univ Hosp UT Hlth San Antonio, Dept Pediat, Div Neonatol, San Antonio, TX USA.4 aut
700	1	a Monsalve, Juan Gonzalo Mesau Hosp Gen Medellin, Pediat Infect Dis, Medellin, Colombia.4 aut
700	1	a Normann, Eriku Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning4 aut0 (Swepub:uu)ernor031
700	1	a Landgrave, Lindsay C.u Parkview Reg Med Ctr, Dept Pharm, Ft Wayne, IN USA.4 aut
700	1	a Mazouri, Aliu Iran Univ Med Sci, Tehran, Iran.4 aut
700	1	a Avila, Claudia Alarconu Nueva Granada Mil Univ, Cent Mil Hosp, Dept Perinatol & Neonatol, Bogota, Colombia.4 aut
700	1	a Piersigilli, Fiammettau Clin Univ St Luc, Dept Neonatol, Brussels, Belgium.4 aut
700	1	a Trujillo, Monicau Clin Univ Bolivariana, Hosp Pablo Tobon Uribe, Program Coordinator Pediat Infect Dis, Medellin, Colombia.4 aut
700	1	a Kolman, Sonyau Nelson Mandela Children Hosp, Dept Pharm, Johannesburg, South Africa.4 aut
700	1	a Delgado, Veronicau Hosp Los Valles, Head Neonatal Intens Care, Quito, Ecuador.4 aut
700	1	a Guzman, Veronicau Pontificia Univ Catolica Ecuador, Hosp Metropolitano Quito, Quito, Ecuador.4 aut
700	1	a Abdellatif, Mohamedu Sultan Qaboos Univ Hosp, Child Hlth Dept, Muscat, Oman.4 aut
700	1	a Monterrosa, Luisu St Johns Hosp, Div Neonatol, Dept Pediat, St John, NB, Canada.4 aut
700	1	a Tina, Lucia Gabriellau ARNAS Garibaldi, NICU Dept, Catania, Italy.4 aut
700	1	a Yunis, Khalidu Amer Univ Beirut, Div Neonatol, Med Ctr, Beirut, Lebanon.4 aut
700	1	a Belzu Rodriguez, Marco Antoniou Maternal & Children Hosp Tigre Dr Florencio Escar, Div Neonatol, Tigre, Argentina.4 aut
700	1	a Le Saux, Nicoleu Childrens Hosp Eastern Ontario, Dept Pediat, Div Infect Dis, Ottawa, ON, Canada.4 aut
700	1	a Leonardi, Valentinau Careggi Univ Hosp, Div Neonatol & NICU, Florence, Italy.4 aut
700	1	a Porta, Alessandrou G Fornaroli Hosp, Magenta, Milan, Italy.4 aut
700	1	a Latorre, Giuseppeu Osped Miulli, Acquaviva, Italy.4 aut
700	1	a Nakanishi, Hidehikou Kitasato Univ, Res & Dev Ctr New Med Frontiers, Dept Adv Med, Div Neonatal Intens Care Med,Sch Med, Sagamihara, Kanagawa, Japan.4 aut
700	1	a Meir, Michalu Ruth Rappaport Childrens Hosp, Div Pediat Infect Dis, Rambam Hlth Care Campus, Haifa, Israel.4 aut
700	1	a Manzoni, Paolou Infermi Hosp, Div Pediat & Neonatol, Biella, Italy.4 aut
700	1	a Norero, Ximenau Hosp Nino, Panama City, Panama.4 aut
700	1	a Hoyos, Angelau Clin La Colina, Div Neonatol, Clin Country, Bogota, Colombia.4 aut
700	1	a Arias, Dianau Hosp San Jose, Bogota, Colombia.4 aut
700	1	a Sanchez, Ruben Garciau Hosp Univ Salamanca, Salamanca, Spain.4 aut
700	1	a Medoro, Alexandra K.u Ohio State Univ, Coll Med, Columbus, OH 43210 USA.;Nationwide Childrens Hosp, Abigail Wexner Res Inst, Ctr Perinatal Res, Dept Pediat,Div Neonatol & Pediat Infect Dis, Columbus, OH USA.4 aut
700	1	a Sanchez, Pablo J.u Ohio State Univ, Coll Med, Columbus, OH 43210 USA.;Nationwide Childrens Hosp, Abigail Wexner Res Inst, Ctr Perinatal Res, Dept Pediat,Div Neonatol & Pediat Infect Dis, Columbus, OH USA.4 aut
710	2	a Nationwide Childrens Hosp, Dept Pharm, Columbus, OH USA.b Ohio State Univ, Coll Pharm, Wexner Med Ctr, Dept Pharm, 500 W 12Th Ave, Columbus, OH 43210 USA.4 org
773	0	t eClinicalMedicined : Elsevierg 32q 32x 2589-5370
856	4	u https://doi.org/10.1016/j.eclinm.2021.100727y Fulltext
856	4	u https://uu.diva-portal.org/smash/get/diva2:1559501/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u http://www.thelancet.com/article/S2589537021000079/pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-443481
856	4 8	u https://doi.org/10.1016/j.eclinm.2021.100727

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By the author/editor: Prusakov, Pavel; Goff, Debra A.; Wozniak, Phillip ...; Cassim, Azraa; Scipion, Catheri ...; Urzua, Soledad; show more...; Ronchi, Andrea; Zeng, Lingkong; Ladipo-Ajayi, Ol ...; Aviles-Otero, No ...; Udeigwe-Okeke, C ...; Melamed, Rimma; Silveira, Rita C ...; Auriti, Cinzia; Beltran-Arroyave ...; Zamora-Flores, E ...; Sanchez-Codez, M ...; Donkor, Eric S.; Kekomaki, Satu; Mainini, Nicolet ...; Trochez, Rosalba ...; Casey, Jamalyn; Graus, Juan M.; Muller, Mallory; Singh, Sara; Loeffen, Yvette; Tamayo Perez, Ma ...; Ferreyra, Gloria ...; Lima-Rogel, Vict ...; Perrone, Barbara; Izquierdo, Giann ...; Cernada, Maria; Stoffella, Sylvi ...; Ekenze, Sebastia ...; de Alba-Romero, ...; Tzialla, Chrysso ...; Pham, Jennifer T ...; Hosoi, Kenichiro; Consuegra, Magda ...; Betta, Pasqua; Hoyos, O. Alvaro; Roilides, Emmanu ...; Naranjo-Zuniga, ...; Oshiro, Makoto; Garay, Victor; Mondi, Vito; Mazzeo, Danila; Stahl, James A.; Cantey, Joseph B ...; Monsalve, Juan G ...; Normann, Erik; Landgrave, Linds ...; Mazouri, Ali; Avila, Claudia A ...; Piersigilli, Fia ...; Trujillo, Monica; Kolman, Sonya; Delgado, Veronic ...; Guzman, Veronica; Abdellatif, Moha ...; Monterrosa, Luis; Tina, Lucia Gabr ...; Yunis, Khalid; Belzu Rodriguez, ...; Le Saux, Nicole; Leonardi, Valent ...; Porta, Alessandr ...; Latorre, Giusepp ...; Nakanishi, Hideh ...; Meir, Michal; Manzoni, Paolo; Norero, Ximena; Hoyos, Angela; Arias, Diana; Sanchez, Ruben G ...; Medoro, Alexandr ...; Sanchez, Pablo J ...; show less...

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