{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:04:16Z","timestamp":1768543456710,"version":"3.49.0"},"reference-count":57,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>COVID\u201019 has brought unprecedented challenges to the healthcare system. The rapid spread of the virus, laboratory burn\u2010out, exhausted staff, diagnostic uncertainty and lack of guidelines cumulatively disrupted hospital antimicrobial stewardship (AMS) programs. This scoping review evaluated how the COVID\u201019 pandemic has impacted the implementation of AMS, particularly within the context of clinical audits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An initial trend analysis was performed using a database search from 2000 to 2022. This review was developed following PRISMA\u2010Scr guidelines. Databases such as Medline, Embase, Cochrane Library and CINAHL were searched using Medical Subject Headings and free text for \u2018Children\u2019, \u2018antimicrobial stewardship\u2019 and \u2018COVID\u201019\u2019. Primary studies that reported data on antimicrobial use among hospitalised children during COVID\u201019 from December 2019 to December 2022 were considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Paediatric AMS\u2010related research output changed annually by \u22124.94% in 2022 compared to 14.44% in 2019. Of 677 articles, 15 were included, with 3 added through snowballing technique. All the studies were observational and from countries of all income levels. A quantitative measure of antibiotic use was the commonly assessed sub\u2010category of AMS, while three studies performed the audit for a reason for antibiotic use, microbiological cultures, and surgical prophylaxis. Most studies reported antimicrobial use as prevalence, while two reported the days of therapy, and two used the AWaRe classification and the antibiotic spectrum index (ASI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Paediatric AMS activities were disrupted during the COVID\u201019 pandemic. A basic quantitative measure of antibiotic use was the only measure of assessment, with other AMS components unreported. A robust paediatric\u2010focused AMS resilient to future pandemics and evidence\u2010informed stewardship approach\u00a0is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16786","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T04:48:07Z","timestamp":1737607687000},"page":"333-343","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of <scp>COVID<\/scp>\u201019 on Antimicrobial Stewardship Activities in Hospitalised Children: A Scoping Review"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2856-3000","authenticated-orcid":false,"given":"Zabiuddin Ahad","family":"Mohammed","sequence":"first","affiliation":[{"name":"School of Pharmacy and Medical Sciences, Griffith University  Gold Coast Queensland 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