ArticleInfection control and hospital epidemiology2011
Clinical vignettes provide an understanding of antibiotic prescribing practices in neonatal intensive care units.
Article in Infection control and hospital epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Impact of WHO AWaRe Antibiotic Handbook training on antibiotics prescribing knowledge among private primary care providers: a vignette-based, prep-post pilot study in Patna, India.Antimicrobial resistance and infection control · 2026Article
- Factorial vignettes describe suspected early onset sepsis practice variation in a multicenter NICU antibiotic stewardship collaborative.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Cardiology providers' recommendations for treatments and use of patient decision aids for multivessel coronary artery disease.BMC cardiovascular disorders · 2021Article
- Nursing knowledge of essential maternal and newborn care in a high-mortality urban African setting: A cross-sectional study.Journal of clinical nursing · 2019Article
- Optimizing the Use of Antibacterial Agents in the Neonatal Period.Paediatric drugs · 2016Article
- Barriers to guideline-concordant antibiotic use among inpatient physicians: A case vignette qualitative study.Journal of hospital medicine · 2016Article
- Antimicrobial stewardship in pediatrics: focusing on the challenges clinicians face.BMC pediatrics · 2014Article
- Developing clinical decision support within a commercial electronic health record system to improve antimicrobial prescribing in the neonatal ICU.Applied clinical informatics · 2014Article
- Clinicians' knowledge, attitudes, and practices regarding infections with multidrug-resistant gram-negative bacilli in intensive care units.Infection control and hospital epidemiology · 2013Article
- Principles and strategies of antimicrobial stewardship in the neonatal intensive care unit.Seminars in perinatology · 2012Review
- Development of an antimicrobial stewardship intervention using a model of actionable feedback.Interdisciplinary perspectives on infectious diseases · 2012Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveTo use clinical vignettes to understand antimicrobial prescribing practices in neonatal intensive care units (NICUs).
designVignette-based survey.
settingFour tertiary care NICUs.
participantsAntibiotic prescribers in NICUs.
methodsClinicians from 4 tertiary care NICUs completed an anonymous survey containing 12 vignettes that described empiric, targeted, or prophylactic antibiotic use. Responses were compared with Centers for Disease Control and Prevention guidelines for appropriate use.
resultsOverall, 161 (59% of 271 eligible respondents) completed the survey, 37% of whom had worked in NICUs for 7 or more years. Respondents were more likely to appropriately identify use of targeted therapy for methicillin-susceptible Staphylococcus aureus, that is, use of oxacillin rather than vancomycin, than for Escherichia coli, that is, use of first-generation rather than third-generation cephalosporin, (P < .01). Increased experience significantly predicted appropriate prescribing (P = .02). The proportion of respondents choosing appropriate duration of postsurgical prophylaxis (P < .01) and treatment for necrotizing enterocolitis differed by study site (P = .03).
conclusionsThe survey provides insight into antibiotic prescribing practices and informs the development of future antibiotic stewardship interventions for NICUs.
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