Use of the WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe): an analysis of paediatric survey data.

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Presentation transcript:

Use of the WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe): an analysis of paediatric survey data from 56 countries Yingfen Hsia, PhD, Brian R Lee, PhD, Ann Versporten, MPH, Yonghong Yang, PhD, Julia Bielicki, MD, Charlotte Jackson, PhD, Jason Newland, MD, Herman Goossens, PhD, Nicola Magrini, MD, Mike Sharland, MD The Lancet Global Health Volume 7, Issue 7, Pages e861-e871 (July 2019) DOI: 10.1016/S2214-109X(19)30071-3 Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 1 Regional patterns of AWaRe antibiotic prescribing to children by drug utilisation 90% AWaRe=Access, Watch, and Reserve. inhib=inhibitor. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 2 Regional patterns of AWaRe antibiotic prescribing to neonates by drug utilisation 90% AWaRe=Access Watch, and Reserve. inhib=inhibitor. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 3 Percentage of total antibiotic use in children by WHO AWaRe classification by country Only countries with prescriptions >25th percentile are included. AWaRe=Access, Watch, and Reserve. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 4 Percentage of total antibiotic use in neonates by WHO AWaRe classification by country Only countries with prescriptions >25th percentile are included. AWaRe=Access, Watch, and Reserve. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 5 Percentage of antibiotic use for children with lower respiratory tract infection (A) AWaRe classification and WHO region. (B) Percentage of antibiotic use for children with lower respiratory tract infection by AWaRe classification by WHO region and country. AWaRe=Access, Watch, and Reserve. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions

Figure 6 Percentage of antibiotic use for neonatal sepsis (A) AWaRe classification and WHO region. (B) Percentage of antibiotic use for neonatal sepsis by AWaRe classification and WHO region and country. AWaRe=Access, Watch, and Reserve. The Lancet Global Health 2019 7, e861-e871DOI: (10.1016/S2214-109X(19)30071-3) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Terms and Conditions