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Global surveillance of antimicrobial resistance 2018-2021

ABSTRACT: Global surveillance of antimicrobial resistance 2018-2021

PROVIDER: PRJEB84064 | ENA |

REPOSITORIES: ENA

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			Action	DRS
	DTU_2021_1011236_1_MG_US_SE_2_631_S0_L001.scaffolds.fasta.gz	Fasta.gz
	DTU_2022_1024632_1_MG_MX_QU_1167_S298_L004.scaffolds.fasta.gz	Fasta.gz
	DTU_2022_1024582_1_MG_RS_BE_1113_S175_L002.scaffolds.fasta.gz	Fasta.gz
	DTU_2022_1024605_1_MG_LB_HR_1140_S271_L004.scaffolds.fasta.gz	Fasta.gz
	DTU_2022_1024636_1_MG_MG_AN_1171_S302_L004.scaffolds.fasta.gz	Fasta.gz

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Project description:Changes in hospitals' daily practice due to COVID-19 pandemic may have an impact on antimicrobial resistance (AMR). We aimed to assess this possible impact as captured by the Greek Electronic System for the Surveillance of Antimicrobial Resistance (WHONET-Greece). Routine susceptibility data of 17,837 Gram-negative and Gram-positive bacterial isolates from blood and respiratory specimens of hospitalized patients in nine COVID-19 tertiary hospitals were used in order to identify potential differences in AMR trends in the last three years, divided into two periods, January 2018-March 2020 and April 2020-March 2021. Interrupted time-series analysis was used to evaluate differences in the trends of non-susceptibility before and after the changes due to COVID-19. We found significant differences in the slope of non-susceptibility trends of Acinetobacter baumannii blood and respiratory isolates to amikacin, tigecycline and colistin; of Klebsiella pneumoniae blood and respiratory isolates to meropenem and tigecycline; and of Pseudomonas aeruginosa respiratory isolates to imipenem, meropenem and levofloxacin. Additionally, we found significant differences in the slope of non-susceptibility trends of Staphylococcus aureus isolates to oxacillin and of Enterococcus faecium isolates to glycopeptides. Assessing in this early stage, through surveillance of routine laboratory data, the way a new global threat like COVID-19 could affect an already ongoing pandemic like AMR provides useful information for prompt action.

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