Table 1.
February (DOT/100 DP) | March (DOT/100 DP) | April (DOT/100 DP) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Year | Non-PICU | PICU | Total | Non-PICU | PICU | Total | Non-PICU | PICU | Total | |
AU (Ab+Af) | 2019 | 62.9 | 109.2 | 172.1 | 63.3 | 91.9 | 155.2 | 63.3 | 82.8 | 146.0 |
2020 | −0.4 | −10.0 | −10.4 | +6.6 | +6.6 | +13.2 | −1.4 | +56.9 | +55.5 | |
Total Antibiotics | 2019 | 57.4 | 103.5 | 160.9 | 57.4 | 89.6 | 147.0 | 57.2 | 79.5 | 136.7 |
2020 | −0.8 | −9.9 | −10.7 | +4.5 | −2.9 | +1.6 | −2.0 | +37.5 | +35.5 | |
Total Antifungals | 2019 | 5.5 | 5.7 | 11.2 | 5.9 | 2.3 | 8.2 | 6.1 | 3.2 | 9.3 |
2020 | +0.5 | −0.2 | +0.3 | +2.1 | +9.5 | +11.6 | +0.6 | +19.4 | +19.9 | |
Selected Antibiotics | ||||||||||
Amikacin | 2019 | 1.1 | 6.1 | 7.2 | 0.4 | 1.5 | 1.9 | 0.7 | 0.5 | 1.2 |
2020 | −0.3 | −4.6 | −4.9 | +0.8 | −0.7 | +0.1 | +0.2 | +0.8 | +1.0 | |
Amoxicillin | 2019 | 3.8 | 2.6 | 6.4 | 3.4 | 4.6 | 8.0 | 4.3 | 0.5 | 4.8 |
2020 | +0.7 | −1.0 | −0.3 | +0.6 | −1.1 | −0.5 | −2.1 | +5.3 | +3.2 | |
Amoxicillin/clavulanate | 2019 | 11.2 | 12.9 | 24.0 | 12.7 | 9.6 | 22.3 | 12.7 | 8.5 | 21.2 |
2020 | −0.9 | +0.4 | −0.6 | −2.0 | −2.1 | −4.1 | −5.4 | −2.3 | −7.7 | |
Ampicillin | 2019 | 5.2 | 1.3 | 6.5 | 4.2 | 5.1 | 9.3 | 3.6 | 1.4 | 5.0 |
2020 | −1.9 | +0.8 | −1.1 | −0.7 | −2.6 | −3.3 | −1.4 | +0.2 | −1.2 | |
Azithromycin | 2019 | 1.5 | 3.3 | 4.8 | 2.1 | 4.8 | 6.9 | 2.2 | 6.0 | 8.1 |
2020 | +0.2 | +1.2 | +1.4 | +0.9 | +4.2 | +5.1 | +0.4 | +4.1 | +4.5 | |
Cefazolin | 2019 | 1.4 | 17.9 | 19.2 | 1.9 | 15.8 | 17.8 | 2.1 | 15.7 | 17.8 |
2020 | +1.4 | −4.4 | −3.0 | +0.3 | −2.5 | −2.2 | −1.1 | −2.5 | −3.6 | |
Cefotaxime | 2019 | 2.3 | 12.4 | 14.7 | 2.8 | 6.8 | 9.6 | 1.3 | 9.7 | 11.0 |
2020 | −0.8 | −4.1 | −4.9 | −1.0 | −2.4 | −3.4 | +0.6 | −3.5 | −2.9 | |
Ceftazidime | 2019 | 0.7 | 5.0 | 5.7 | 0.6 | 0.8 | 1.4 | 0.2 | 0.9 | 1.1 |
2020 | +0.1 | −4.7 | −4.7 | +0.2 | 0 | +0.2 | +0.3 | −0.9 | −0.6 | |
Ceftriaxone | 2019 | 5.2 | 1.7 | 7.0 | 5.4 | 2.6 | 8.1 | 5.8 | 1.4 | 7.1 |
2020 | −1.3 | +1.7 | +0.4 | 0 | +0.2 | +0.2 | +0.1 | +1.8 | +1.8 | |
Ciprofloxacin | 2019 | 1.2 | 3.1 | 4.2 | 1.3 | 4.5 | 5.7 | 1.5 | 6.8 | 8.3 |
2020 | +0.2 | +1.7 | +1.9 | +0.6 | −2.0 | −1.4 | +1.3 | +0.3 | +1.7 | |
Linezolid | 2019 | 0.1 | 3.1 | 3.1 | 0.2 | 2.3 | 2.5 | 0.3 | 1.0 | 1.3 |
2020 | +0.3 | +0.7 | +1.0 | −0.1 | −2.1 | −2.3 | −0.2 | −0.1 | −0.4 | |
Meropenem | 2019 | 5.0 | 3.7 | 8.7 | 4.0 | 2.8 | 6.8 | 5.1 | 4.6 | 9.7 |
2020 | −2.2 | −1.2 | −3.4 | −0.9 | +0.9 | −0.1 | −1.9 | +4.8 | +2.9 | |
Piperacillin/tazobactam | 2019 | 2.3 | 6.8 | 9.0 | 1.2 | 10.7 | 12.0 | 1.9 | 4.9 | 6.9 |
2020 | +1.4 | +0.7 | +2.0 | +3.2 | +2.9 | +6.2 | +2.6 | +12.3 | +14.9 | |
Teicoplanin | 2019 | 0.1 | 0.4 | 0.5 | 0.2 | 1.0 | 1.2 | 0.2 | 1.2 | 1.4 |
2020 | +0.7 | +0.6 | +1.3 | +0.7 | +2.0 | 2.7 | +0.2 | +7.1 | +7.3 | |
Vancomycin | 2019 | 3.8 | 15.0 | 18.8 | 3.1 | 10.9 | 14.0 | 3.3 | 7.2 | 10.5 |
2020 | +0.3 | −2.0 | −1.7 | +2.4 | −1.4 | +1.0 | +0.7 | +0.9 | +1.5 | |
Selected Antifungals | ||||||||||
Fluconazole | 2019 | 1.6 | 0.7 | 2.2 | 0 | 2.3 | 2.3 | 2.6 | 3.2 | 5.8 |
2020 | +1.9 | −0.4 | +1.5 | +2.7 | −1.6 | +1.1 | −2.4 | −3.2 | −5.7 | |
Liposomal amphotericin | 2019 | 1.6 | 0.4 | 2.0 | 1.7 | 0 | 1.7 | 1.5 | 0 | 1.5 |
2020 | −0.7 | +1.0 | +0.4 | +1.5 | +1.0 | +2.5 | +1.8 | +1.6 | +3.4 | |
Micafungin | 2019 | 0.6 | 3.9 | 4.6 | 0 | 0 | 0 | 0 | 0 | 0 |
2020 | +0.1 | −0.7 | −0.6 | +0.1 | +7.0 | +7.1 | +0.3 | +13.2 | +13.5 | |
Posaconazole | 2019 | 1.0 | 0 | 1.0 | 0.3 | 0 | 0.3 | 1.2 | 0 | 1.2 |
2020 | −0.5 | +0.4 | 0 | +1.2 | +0.3 | +1.5 | +1.0 | +0.7 | +1.6 | |
Voriconazole | 2019 | 0.7 | 0.7 | 1.4 | 1.4 | 0 | 1.4 | 0.4 | 0 | 0.4 |
2020 | −0.3 | −0.7 | −1.0 | −1.0 | +2.8 | +1.8 | +0.2 | +7.2 | +7.3 |
Note. Ab, antibiotic; Af, antifungal; AU, antimicrobial use; DOT, days of therapy; DP, days present; PICU, pediatric intensive care unit.
Year 2020 data are given as increases or decreases compared to the same month in year 2019.