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Table 3 Antibiotic use in patients with COVID-19

From: Bacterial co-infection and antibiotic stewardship in patients with COVID-19: a systematic review and meta-analysis

Author

n

N

Patient groups

Antibiotics used

Amit et al., 2020 (3)

131

156

Critically ill

NR

Asmarawati et al., 2021 (4)*

164

218

Moderate to critically ill

Quinolones (60.1%), cephalosporins (28.4%), carbapenem (23.8%), and aminoglycosides (5.6%)

Baraboutis et al., 2020 (7)

33

49

Not specific: General

NR

Bardi et al., 2021 (8)

105

140

Critically ill

Ceftriaxone (120, 86%) and/or azithromycin (118, 84%)

Barrasa et al., 2020 (9)

42

48

Critically ill

Ceftriaxone, levofloxacin, beta-lactams, azithromycin, linezolid

Barry et al., 2020 (10)

53

99

Not specific: General including critically ill

NR

Basakaran et al., 2021 (11)

241

254

Critically ill

NR

Bhatt et al., 2021 (12)

301

375

Not specific: General including critically ill

Most common: ceftriaxone, azithromycin, and piperacillin-tazobactam

Buckner et al., 2020 (13)

51

105

Not specific: General including critically ill

NR

Chen et al., 2021 (15)

60

408

Not specific: General

NR

Cheng et al., 2020 (16)*

52

147

Not specific: General

Penicillin & cephalosporins = 46, tetracyclines = 14, quinolones = 3, macrolides = 3

Chengy et al., 2020 (17)

45

64

Not specific: General

NR

Chong et al., 2021 (18)

205

244

Not specific: General including critically ill

NR

D’Onofrio et al., 2020 (21)*

93

110

Not specific: General including critically ill

NR

Desai et al., 2020 (22)

494

536

Not specific: General

Included a combination of ceftriaxone 2 g intramuscular/intravenous twice daily for 7–10 days and azithromycin 500 mg oral once daily for 3 consecutive days. levofloxacin 750 mg oral/intravenous once daily for 5 days was administered when contraindication

Elabbadi et al., 2021 (25)*

58

101

Critically ill

NR

Fan et al., 2021 (27)

29

55

Not specific: General

Moxifloxacin (19/29, 65.52%), Linezolid (3/29, 10.34%)

Goncalves et al., 2021 (30)*

162

242

Not specific: General

NR

Huang et al., 2020 (34)

41

41

Not specific: General including critically ill

NR

Huang et al., 2020 (34)

13

13

Critically ill

NR

Hunieres et al., 2021 (37)

88

197

Critically ill

NR

Karaba et al., 2021 (38)*

717

1016

Not specific: General

NR

Karami et al., 2021 (39)*

556

925

Not specific: General

Amoxicillin/benzylpenicillin (34, 6.1%), Ceftriaxone (95, 17.1%), Cefuroxime (350, 62.9%)

Other antibiotics (48, 8.6%)

Kolenda et al., 2020 (41)

15

99

Critically ill

Mainly amoxicillin and clavulanic acid or third generation cephalosporins associated with macrolides

Li et al., 2020 (43)

148

225

Not specific: General

Moxifloxacin and others

Liu et al., 2020 (45)

128

140

Not specific: General

NR

Liu et al., 2021 (47)

792

1123

Not specific: General

Fluoroquinolones (59.3%)

Moxifloxacin (36.4%)

Mousav Movahed et al., 2021 (51)

243

854

Not specific: General including critically ill

NR

Nassir et al., 2021 (52)

82

100

Not specific: General including critically ill

NR

Nebreda et al., 2020 (53)

84

712

Not specific: General including critically ill

NR

Pulia et al., 2021 (54)

27

73

Not specific: General

NR

Quatuccio et al., 2020 (55)

9

69

SOC overall

NR

Rothe et al., 2020 (58)*

22

56

critically ill

Various mentioned: most common piperacillin-tazobactam

Rothe et al., 2020 (58)*

109

135

Not specific: General including critically ill

Various mentioned: most common ampicillin/sulbactam

Seaton et al., 2020 (59)*

219

421

Not specific: General including critically ill

Various antibiotics, most common including: doxycycline, amoxicillin, co-amoxiclav, piperacillin-tazobactam and vancomycin among others

Seaton et al., 2020 (59)*

71

110

Critically ill

Various antibiotics, most common including: meropenem, piperacillin-tazobactam and co-amoxiclav

Shah et al., 2020 (60)

17

26

Not specific: General including critically ill

Majority received vancomycin, tazocin, cefepime, or ceftriaxone

Shao et al., 2020 (61)

81

126

Not specific: General l

NR

Sharifipour et al., 2020 (62)

19

19

Critically ill

NR

Soogard et al., 2021 (65)

71

162

Not specific: General including critically ill

Antibiotics or antifungals

Soogard et al., 2021 (65)

36

41

Critically ill

Antibiotics or antifungals

Staub et al., 2021 (66)

86

131

Not specific: General

NR

Stevens et al., 2021 (67)

33

346

Not specific: General including critically ill

Most common: piperacillin-tazobactam, ceftriaxone and azithromycin

Tang et al., 2021 (68)

58

72

Not specific: General including critically ill

Levofloxacin = 21, moxifloxacin = 22, levofloxacin swapped to moxifloxacin = 5, among others

Towsend et al., 2020 (70)*

84

117

Not specific: General including critically ill

Treated as lower respiratory tract infection

Vanhomwegen et al., 2021 (71)*

54

66

Critically ill

NR

Vaughn et al., 2021 (72)

965

1705

Not specific: General

The most commonly prescribed empirical antibiotics were ceftriaxone (663/1705, 38.9%), vancomycin (235/1705, 13.8%), doxycycline (185/1705, 10.9%), and cefepime (177/1705, 10.4%)

Wan et al., 2020 (73)

59

135

Not specific: General including critically ill

NR

Wan et al., 2020 (73)

35

40

Severe and critically ill

NR

Wang et al., 2020 (74)

27

28

Not specific: General including critically ill

NR

Wang et al., 2020 (74)

14

14

Critically ill

NR

Yang et al., 2020 (78)

172

251

Not specific: General

NR

Zhang et al., 2020 (82)

131

134

Critically ill

NR

Zhang et al., 2021 (83)

21

91

Elderly

NR

Zhang et al., 2020 (84)

251

365

Not specific: General

NR

Zhao et al., 2020 (85)

783

1000

Not specific: General including critically ill

NR

Xu et al., 2021 (77)

58

62

Critically ill

NR

  1. n: number of patients prescribed antibiotics. N: total number of patients. ITU: intensive treatment unit
  2. **Clearly referred to as empirical use
  3. Full list of references are in Additional file 1: Material S4