Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance

The global COVID-19 pandemic has resulted in an upsurge in antimicrobial use. The increase in use is multifactorial, and is particularly related to the empirical treatment of SARS-CoV-2 and suspected coinfections with antimicrobials and the limited quality of diagnostics to differentiate viral and b...

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Main Authors: Itai Chitungo, Tafadzwa Dzinamarira, Tinashe K. Nyazika, Helena Herrera, Godfrey Musuka, Grant Murewanhema
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/11/2/244
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author Itai Chitungo
Tafadzwa Dzinamarira
Tinashe K. Nyazika
Helena Herrera
Godfrey Musuka
Grant Murewanhema
author_facet Itai Chitungo
Tafadzwa Dzinamarira
Tinashe K. Nyazika
Helena Herrera
Godfrey Musuka
Grant Murewanhema
author_sort Itai Chitungo
collection DOAJ
description The global COVID-19 pandemic has resulted in an upsurge in antimicrobial use. The increase in use is multifactorial, and is particularly related to the empirical treatment of SARS-CoV-2 and suspected coinfections with antimicrobials and the limited quality of diagnostics to differentiate viral and bacterial pneumonia. The lack of clear clinical guidelines across a wide range of settings, and the inadequacy of public health sectors in many countries, have contributed to this pattern. The increased use of antimicrobials has the potential to increase incidences of antimicrobial resistance, especially in low-resource countries such as Zimbabwe already grappling with multidrug-resistant micro-organism strains. By adopting the antimicrobial stewardship principles of the correct prescription and optimised use of antimicrobials, as well as diagnostic stewardship, revamping regulatory oversight of antimicrobial surveillance may help limit the occurrence of antimicrobial resistance during this pandemic.
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spelling doaj.art-3ae54e7b2cde4df9a22ead2cf6ca2db72023-11-23T18:28:54ZengMDPI AGAntibiotics2079-63822022-02-0111224410.3390/antibiotics11020244Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial ResistanceItai Chitungo0Tafadzwa Dzinamarira1Tinashe K. Nyazika2Helena Herrera3Godfrey Musuka4Grant Murewanhema5Chemical Pathology Unit, Department of Medical Laboratory Sciences, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, ZimbabweSchool of Health Systems & Public Health, University of Pretoria, Pretoria 0002, South AfricaDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UKSchool of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth PO1 2UP, UKSchool of Health Systems & Public Health, University of Pretoria, Pretoria 0002, South AfricaUnit of Obstetrics and Gynaecology, Department of Primary Health Care Sciences, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, ZimbabweThe global COVID-19 pandemic has resulted in an upsurge in antimicrobial use. The increase in use is multifactorial, and is particularly related to the empirical treatment of SARS-CoV-2 and suspected coinfections with antimicrobials and the limited quality of diagnostics to differentiate viral and bacterial pneumonia. The lack of clear clinical guidelines across a wide range of settings, and the inadequacy of public health sectors in many countries, have contributed to this pattern. The increased use of antimicrobials has the potential to increase incidences of antimicrobial resistance, especially in low-resource countries such as Zimbabwe already grappling with multidrug-resistant micro-organism strains. By adopting the antimicrobial stewardship principles of the correct prescription and optimised use of antimicrobials, as well as diagnostic stewardship, revamping regulatory oversight of antimicrobial surveillance may help limit the occurrence of antimicrobial resistance during this pandemic.https://www.mdpi.com/2079-6382/11/2/244COVID-19antimicrobial resistanceantimicrobial stewardship
spellingShingle Itai Chitungo
Tafadzwa Dzinamarira
Tinashe K. Nyazika
Helena Herrera
Godfrey Musuka
Grant Murewanhema
Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
Antibiotics
COVID-19
antimicrobial resistance
antimicrobial stewardship
title Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
title_full Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
title_fullStr Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
title_full_unstemmed Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
title_short Inappropriate Antibiotic Use in Zimbabwe in the COVID-19 Era: A Perfect Recipe for Antimicrobial Resistance
title_sort inappropriate antibiotic use in zimbabwe in the covid 19 era a perfect recipe for antimicrobial resistance
topic COVID-19
antimicrobial resistance
antimicrobial stewardship
url https://www.mdpi.com/2079-6382/11/2/244
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AT tinasheknyazika inappropriateantibioticuseinzimbabweinthecovid19eraaperfectrecipeforantimicrobialresistance
AT helenaherrera inappropriateantibioticuseinzimbabweinthecovid19eraaperfectrecipeforantimicrobialresistance
AT godfreymusuka inappropriateantibioticuseinzimbabweinthecovid19eraaperfectrecipeforantimicrobialresistance
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