The economic burden of antibiotic resistance: A systematic review and meta-analysis Article Swipe
Ak Narayan Poudel
,
Shihua Zhu
,
Nicola J. Cooper
,
Paul Little
,
Carolyn Tarrant
,
Matthew Hickman
,
Guiqing Yao
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0285170
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0285170
Introduction Antibiotic resistance (ABR) has substantial global public health concerns. This systematic review aimed to synthesise recent evidence estimating the economic burden of ABR, characterised by study perspectives, healthcare settings, study design, and income of the countries. Methods This systematic review included peer-reviewed articles from PubMed, Medline, and Scopus databases, and grey literature on the topic of the economic burden of ABR, published between January 2016 and December 2021. The study was reported in line with ‘Preferred Reporting Items for Systematic Review and Meta-Analysis’ (PRISMA). Two reviewers independently screened papers for inclusion first by title, then abstract, and then the full text. Study quality was assessed using appropriate quality assessment tools. Narrative synthesis and meta-analyses of the included studies were conducted. Results A total of 29 studies were included in this review. Out of these studies, 69% (20/29) were conducted in high-income economies and the remainder were conducted in upper-and-middle income economies. Most of the studies were conducted from a healthcare or hospital perspective (89.6%, 26/29) and 44.8% (13/29) studies were conducted in tertiary care settings. The available evidence indicates that the attributable cost of resistant infection ranges from -US$2,371.4 to +US$29,289.1 (adjusted for 2020 price) per patient episode; the mean excess length of stay (LoS) is 7.4 days (95% CI: 3.4–11.4), the odds ratios of mortality for resistant infection is 1.844 (95% CI: 1.187–2.865) and readmission is 1.492 (95% CI: 1.231–1.807). Conclusion Recent publications show that the burden of ABR is substantial. There is still a lack of studies on the economic burden of ABR from low-income economies, and lower-middle-income economies, from a societal perspective, and in relation to primary care. The findings of this review may be of value to researchers, policymakers, clinicians, and those who are working in the field of ABR and health promotion. Systematic review registration CRD42020193886
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0285170
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285170&type=printable
- OA Status
- gold
- Cited By
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- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4375956009Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pone.0285170Digital Object Identifier
- Title
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The economic burden of antibiotic resistance: A systematic review and meta-analysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-08Full publication date if available
- Authors
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Ak Narayan Poudel, Shihua Zhu, Nicola J. Cooper, Paul Little, Carolyn Tarrant, Matthew Hickman, Guiqing YaoList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0285170Publisher landing page
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285170&type=printableDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285170&type=printableDirect OA link when available
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Meta-analysis, Medicine, MEDLINE, Systematic review, Scopus, Health care, Odds ratio, Public health, Family medicine, Grey literature, Economic evaluation, Nursing, Internal medicine, Political science, Pathology, LawTop concepts (fields/topics) attached by OpenAlex
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177Total citation count in OpenAlex
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2025: 100, 2024: 63, 2023: 14Per-year citation counts (last 5 years)
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66Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5000073653, https://openalex.org/A5030537169, https://openalex.org/A5019727393, https://openalex.org/A5108069380, https://openalex.org/A5039982304, https://openalex.org/A5029134034, https://openalex.org/A5033589624 |
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| corresponding_institution_ids | https://openalex.org/I133837150, https://openalex.org/I153648349, https://openalex.org/I36234482, https://openalex.org/I43439940 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
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| sustainable_development_goals[0].display_name | No poverty |
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| citation_normalized_percentile.is_in_top_10_percent | True |