"Trends in US Outpatient Antibiotic Prescriptions During the Coronavirus Disease 2019 "
Substantial decreases during the spring 2020 mortality event months.
How many people died as a result?
Authors: "From Jan. 2020 to May 2020, the number of outpatients w/antibiotic prescriptions decreased substantially more than would be expected b/c of seasonal trends alone, possibly related to the [covid-19] pandemic & associated mitigation measures." ncbi.nlm.nih.gov/pmc/articles/P…
CDC "Antibiotic Use in the United States" corroborates.
Outpatient Antibiotic Prescribing ⬇️
Attributed to "changes in healthcare access, fewer ppl seeking HC for mild illness, and few infections overall due to school closures & social distancing." 🙄 cdc.gov/antibiotic-use…
Here's inpatient ⬇️
Shows increases in "prescribed for treatment of community-acquired pneumonia"
These data seem...incomplete.
And here's Nursing Home
CDC notes "a modest decrease" from Jan to Jan 2020 v same months in 2019, & an increase in azithromycin use in March & Apr 2020.
CDC: "Antibiotic stewardship efforts #Newspeak continue to be critically important to ensure patient safety #Newspeak in the changing landscape of healthcare #Newspeak during the COVID-19 pandemic #Newspeak."
Antibiotic Resistance Threats in the United States (Revised Dec 2019) cdc.gov/drugresistance……
New York City experienced a staggering 5,300-death increase in deaths occurring at home in spring 2020, vs. the same weeks in 2018 & 2019.
1/🧵
Calls to EMS service show fear mounting as federal, state, & local officials issued statements and advisories to the public, hospitals, and care homes.
That is, calls classified as Non Life-Threatening Incidents rose before those classified as Life-Threatening Incidents
2/🧵
There were no signs of a silent, super-spreading, deadlier-than-flu respiratory virus killing people in their homes in the weeks leading up to increasingly formal orders & alerts.
"Medication Utilization in patients in New York Hospitals During the COVID-19 Pandemic"
Drug utilization trends for 7 medications used to treat patients with suspected or confirmed COVID-19 at 47 New York hospitals (March - April 2020) pubmed.ncbi.nlm.nih.gov/32712675/
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Figure 1: Trends in daily count of patients who received HCQ or CQ at the study hospitals and corresponding net charge-unit quantities from March 1 through May 16, 2020.
Figure 2: Trends in daily count of patients who received MIDAZOLAM at the study hospitals and corresponding net charge-unit quantities from March 1 through May 16, 2020.