The effect of COVID-19 pandemic on antibiotic usage during pregnancy

Saudi Med J. 2023 Aug;44(8):782-787. doi: 10.15537/smj.2023.44.8.20230180.

Abstract

Objectives: To investigated the usage of antibiotic during pregnancy before and during COVID-19 pandemic in Kingdom of Bahrain.

Methods: This was a retrospective study of antibiotic usage in 2 groups of patients. The first group was 280 patients who attended the in active labor room pre-COVID pandemic. The second group was 193 patients who attended the labor room after the COVID-19 pandemic. Most of the data discussed below explores the impact of COVID-19 infection before the development of full vaccinations against COVID-19 in Bahrain.

Results: The analysis confirmed higher usage of antibiotics during pregnancy post-COVID-19 outbreak (27.9% vs [versus] 5%), and the most notable difference was observed during the third trimester (17.1% vs 3.2%) followed by the second trimester (7.3% vs 1.1%). Likewise, there were more patients treated for urinary tract infection (16.1% vs 3.6%) and bacterial vaginosis (10.4% vs 0.7%) during the post-COVID period. There was no difference in the percentage of patients treated for upper respiratory tract infection among the groups.

Conclusion: The analysis confirmed higher usage of antibiotic during pregnancy post COVID19.

Keywords: antibiotic; covid-19; fetal; infant; morbidity; neonatal; pregnancy; risk.

MeSH terms

  • Anti-Bacterial Agents* / therapeutic use
  • COVID-19*
  • Female
  • Humans
  • Pandemics
  • Pregnancy
  • Pregnancy Trimester, Third
  • Retrospective Studies

Substances

  • Anti-Bacterial Agents