Evidence map›Paper›PMID 34207567›Full record

ArticleAntibiotics (Basel, Switzerland)2021

An Assessment of the Impact of Coronavirus Disease (COVID-19) Pandemic on National Antimicrobial Consumption in Jordan.

Sayer Al-Azzam, Nizar Mahmoud Mhaidat, Hayaa A Banat, Mohammad Alfaour, Dana Samih Ahmad, Arno Muller, Adi Al-Nuseirat, Elizabeth A Lattyak, Barbara R Conway, Mamoon A Aldeyab

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Prevalence and Antibiogram Pattern ofAntibiotics (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 5 countries.

Sayer Al-AzzamClinical Pharmacy Department, Jordan University of Science and Technology, Irbid 22110, Jordan.
Nizar Mahmoud MhaidatClinical Pharmacy Department, Jordan University of Science and Technology, Irbid 22110, Jordan.
Hayaa A BanatJordan Food and Drug Administration (JFDA), Amman 11181, Jordan.
Mohammad AlfaourJordan Food and Drug Administration (JFDA), Amman 11181, Jordan.
Dana Samih AhmadJordan Food and Drug Administration (JFDA), Amman 11181, Jordan.
Arno MullerAntimicrobial Resistance Division, World Health Organization, Avenue Appia 20, 1211 Geneva, Switzerland.
Adi Al-NuseiratWorld Health Organization Regional Office for the Eastern Mediterranean, Cairo 11371, Egypt.ORCID 0000-0002-7259-7577
Elizabeth A LattyakScientific Computing Associates Corp., River Forest, IL 60305, USA.
Barbara R ConwayDepartment of Pharmacy, School of Applied Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.ORCID 0000-0001-5570-3318
Mamoon A AldeyabDepartment of Pharmacy, School of Applied Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.
Water Authority of Jordan · JOJordan University of Science and Technology · JOUniversity of Huddersfield · GBScientific Computing Associates (United States) · USWorld Health Organization · CHWorld Health Organization Regional Office for the Eastern Mediterranean · EG

Funding

World Health Organization 001
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) has overlapping clinical characteristics with bacterial respiratory tract infection, leading to the prescription of potentially unnecessary antibiotics. This study aimed at measuring changes and patterns of national antimicrobial use for one year preceding and one year during the COVID-19 pandemic. Annual national antimicrobial consumption for 2019 and 2020 was obtained from the Jordan Food and Drug Administration (JFDA) following the WHO surveillance methods. The WHO Access, Watch, and Reserve (AWaRe) classification was used. Total antibiotic consumption in 2020 (26.8 DDD per 1000 inhabitants per day) decreased by 5.5% compared to 2019 (28.4 DDD per 1000 inhabitants per day). There was an increase in the use of several antibiotics during 2020 compared with 2019 (third generation cephalosporins (19%), carbapenems (52%), macrolides (57%), and lincosamides (106%)). In 2020, there was a marked reduction in amoxicillin use (-53%), while the use of azithromycin increased by 74%. National antimicrobial consumption of the Access group decreased by 18% from 2019 to 2020 (59.1% vs. 48.1% of total consumption). The use of the Watch group increased in 2020 by 26%. The study highlighted an increase in the use of certain antibiotics during the pandemic period that are known to be associated with increasing resistance. Efforts to enhance national antimicrobial stewardship are needed to ensure rational use of antimicrobials.

Indexed as

antimicrobial consumptionantimicrobial resistanceantimicrobial stewardshipAWaRe classificationdrug utilization

Identifiers

PMID34207567
PMCPMC8229725
OpenAlexW3172337071

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.