Research examines antibiotic use during COVID-19 by age Antibiotic Research Coronavirus Disease COVID amoxicillin azithromycin azithromycin JAMAHealthForum PittTweet harvardmed
The coronavirus disease 2019 pandemic has caused unprecedented morbidity and mortality across the globe. A considerable proportion of outpatient SARS-CoV-2 infection-associated visits among Medicare-insured individuals result in antibiotic prescribing. Analyzing COVID-19-associated antibiotic prescribing could inform antibiotic stewardship policies and programs.
The cross-sectional study was conducted to assess trends in antibiotic prescribing to COVID-19 outpatients with the U07.1 international statistical classification of diseases and related health problems, tenth revision code, between 1 April 2020 and 31 May 2022. The study comprised pediatric individuals aged ≤17.0 years and adult individuals aged between 18 years and 64 years, identified from the OptumLabs data warehouse, comprising de-identified health claims data of 10.0 percent to 20.
Twenty percent and seven percent of health visits and antibiotic prescribing for acute respiratory tract infection were among COVID-19 patients across ages. In the sensitivity analysis, antibiotic prescribing within two days of outpatient visits was four percent versus five percent among pediatric individuals and 11.0% versus 13.0% among adults.
Conclusions Based on the findings, antibiotic prescribing among COVID-19 outpatients was considerably lower among pediatric individuals than adults, with rates varying by care sites and the US regions. Elevated antibiotic prescribing rates among adults might be related to greater comorbidity prevalence and might enhance the risk of adverse COVID-19 outcomes.
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Higher anxiety and perceived trauma among COVID-19 patients: a prospective comparative study - BMC PsychiatryBackground and purpose Psychiatric disorders such as anxiety, depression, and traumatic stress are not rare during infectious outbreaks, as the COVID-19 pandemic has posed a great concern to the general population. In this study, we aimed to investigate whether experiencing psychiatric symptoms during COVID-19 is the result of the burden of carrying an illness or the COVID-19 itself. Method Two hundred ten subjects and three different groups of participants (COVID-19 patients, university staff, and orthopedic patients) were recruited. They answered a demographic questionnaire, Yale-Brown Obsessive–Compulsive Scale (YBOCS) test for OCD symptoms, Impact of Event Scale-Revised (IES-R) for perceived trauma, Beck Anxiety Inventory (BAI) for anxiety, and Beck Depression Inventory (BDI) for depression assessments using phone or face-to-face interviews. Result At least one OCD symptom was observed in 85.7% of the subjects. However, there was no significant difference between the 3 groups (p = 0.2194). Perceived trauma was significantly higher among COVID-19 patients followed by university staff and orthopedic patients (23.73, 16.21, 11.51 mean IES-R scores respectively, p = 8.449e−14). COVID-19 patients also showed higher anxiety (mean BAI score: 17.00) than the university staff and orthopedic patients’ group (9.22 and 5.56 respectively) (p = 6.175e−08). BDI score did not show much variation for depression, the mean score was 9.66, 9.49, and 6.7 for the COVID-19 patients, university staff, and orthopedic patients respectively, (p = 0.2735). Conclusion Perceived trauma and anxiety symptoms are significantly higher in COVID-19 patients and the symptoms of OCD and depression do not differ between COVID-19 and non-COVID-19 people, so the necessity of screening and following treatment of patients with COVID-19 should be kept in mind. Trial registration IR.IUMS.FMD.REC.1399.761.
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Overcrowded specialist schools: ‘We’re teaching in cupboards’Half of England's special educational needs schools are over-subscribed, BBC research finds.
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Overcrowded specialist schools: ‘We’re teaching in cupboards’Half of England's special educational needs schools are over-subscribed, BBC research finds.
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Toews still dealing with long COVID symptomsChicago Blackhawks captain Jonathan Toews is still dealing with long COVID symptoms and Chronic Immune Response Syndrome, he said in a statement Sunday. Toews last played on Jan. 28 against Edmonton before taking a break to focus on his health.
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Nottinghamshire's worst-rated schools shown in new mapThe Government said the Covid pandemic has had a 'huge impact on pupils' learning'
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