Since first identified in late 2019, the acute respiratory syndrome coronavirus (SARS-CoV2) and the resulting coronavirus disease (COVID-19) pandemic has overwhelmed healthcare systems worldwide, often diverting key resources in a bid to meet unprecedented challenges. To measure its impact on national antimicrobial stewardship (AMS) activities, a questionnaire was designed and disseminated to antimicrobialstewardship leads in the United Kingdom (UK). Most respondents reported a reduction in AMS activity with 64% (61/95) reporting that COVID-19 had a negative impact on routine AMS activities. Activities reported to have been negatively affected by the pandemic include audit, quality improvement initiatives, education, AMS meetings, and multidisciplinary working including ward rounds. However, positive outcomes were also identified, with technology being increasingly used as a tool to facilitate stewardship e.g., virtual meetings and ward rounds and increased the acceptance of using procalcitonin tests to distinguish between viral and bacterial infections. The COVID-19 pandemic has had a significant impact on the AMS activities undertaken across the UK. The long-term impact of the reduced AMS activities on incidence of AMR are not yet known. The legacy of innovation, use of technology, and increased collaboration from the pandemic could strengthen AMS in the post-pandemic era and presents opportunities for further development of AMS.

中文翻译：

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评估COVID-19对联合王国抗菌管理活动/计划的影响

自2019年底首次发现以来，急性呼吸系统综合症冠状病毒（SARS-CoV2）和由此引起的冠状病毒病（COVID-19）大流行已经席卷全球医疗系统，经常转移主要资源以应对前所未有的挑战。为了衡量其对国家抗菌管理（AMS）活动的影响，设计了一份调查表，并分发给了英国（UK）的抗菌管理主管。大多数受访者报告说AMS活动减少了64％（61/95），报告COVID-19对常规AMS活动产生了负面影响。据报告受到该流行病负面影响的活动包括审计，质量改进措施，教育，AMS会议以及包括病房巡查在内的多学科工作。但是，也确定了积极的成果，随着越来越多的技术被用作促进管理的工具，例如虚拟会议和病房巡查，并增加了使用降钙素检测来区分病毒感染和细菌感染的接受度。COVID-19大流行对整个英国开展的AMS活动产生了重大影响。AMS活动减少对AMR发生率的长期影响尚不清楚。创新，技术使用以及大流行病带来的更多协作的遗产可以在大流行后时代加强AMS，并为AMS的进一步发展提供机遇。COVID-19大流行对整个英国开展的AMS活动产生了重大影响。AMS活动减少对AMR发生率的长期影响尚不清楚。创新，技术使用以及大流行病带来的更多协作的遗产可以在大流行后时代加强AMS，并为AMS的进一步发展提供机遇。COVID-19大流行对整个英国开展的AMS活动产生了重大影响。AMS活动减少对AMR发生率的长期影响尚不清楚。创新，技术使用以及大流行病带来的更多协作的遗产可以在大流行后时代加强AMS，并为AMS的进一步发展提供机遇。