Evidence map›Paper›PMID 26157589›Full record

ArticleInfection & chemotherapy2015

Impact of an Antimicrobial Stewardship Program on Unnecessary Double Anaerobic Coverage Prescription.

Young Joo Song, Moonsuk Kim, Saemi Huh, Junghwa Lee, Eunsook Lee, Kyoung-Ho Song, Eu Suk Kim, Hong Bin Kim

Abstract read
In one paragraph

Article in Infection & chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. The role of the clinical pharmacist in antimicrobial stewardship in Asia: A review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Review
  6. Review
  7. Redundant combinations of antianaerobic antimicrobials: impact of pharmacist-based prospective audit and feedback and prescription characteristics.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  8. Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Young Joo SongDepartment of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea.
Moonsuk KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Saemi HuhDepartment of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea.
Junghwa LeeDepartment of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea.
Eunsook LeeDepartment of Pharmacy, Seoul National University Bundang Hospital, Seongnam, Korea.
Kyoung-Ho SongDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Internal medicine, Seoul National University College of Medicine, Seoul, Korea.
Eu Suk KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Internal medicine, Seoul National University College of Medicine, Seoul, Korea.
Hong Bin KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Internal medicine, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCo-administration of two or more antimicrobials with anti-anaerobic activity is not recommended except in certain circumstances. We therefore conducted an intervention to reduce unnecessary double anaerobic coverage (DAC) prescription. MATERIALS AND

methodsThe intervention consisted of education using an institutional intranet and prospective audits and feedback provided through collaboration between a pharmacist and an infectious diseases physician in Seoul National University Bundang Hospital, a tertiary hospital in Seongnam, Republic of Korea, in 2013. The study period was 1 year which contained 6 months of pre-intervention period and 6 months of intervention period. To estimate the overall effect of the intervention, we compared the monthly number of patients receiving unnecessary DAC for more than 3 days and the proportion of patients receiving unnecessary DAC for more than 3 days among all patients receiving DAC.

resultsThe average monthly number of patients receiving unnecessary DAC for more than 3 days after screening decreased by 73.9% in the intervention period from 26.8 to 7.0. Wilcoxon rank sum test revealed there was a significant statistical difference in the monthly number of patients receiving unnecessary DAC for more than 3 days (P = 0.005). The proportion of patients receiving unnecessary DAC for more than 3 days after screening among all patients identified as receiving necessary or unnecessary DAC also decreased by 67.8% in the intervention period from 42.3% to 13.6% (P < 0.001).

conclusionThe multidisciplinary antimicrobial stewardship program with combined methods reduced unnecessary DAC prescription successfully.

Indexed as

Anaerobic bacteriaAntimicrobial stewardship programInappropriate prescribing

Identifiers

PMID26157589
PMCPMC4495269

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.