Evidence map›Paper›PMID 26895985›Full record

SynthesisBMJ open2016

STROBE-AMS: recommendations to optimise reporting of epidemiological studies on antimicrobial resistance and informing improvement in antimicrobial stewardship.

Evelina Tacconelli, Maria A Cataldo, M Paul, L Leibovici, Jan Kluytmans, Wiebke Schröder, Federico Foschi, Giulia De Angelis, Chiara De Waure, Chiara Cadeddu and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Reducing Pediatric Sternal Wound Infections: A Quality Improvement Project.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
    Trial
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Healthcare-associated infections in an intensive care unit: a descriptive study, Mato Grosso state, Brazil, 2018-2021.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Five steps to high quality antimicrobial stewardship research.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  15. Article
  16. Article
  17. Prevalence and antimicrobial susceptibility ofAnnals of medicine and surgery (2012) · 2023
    Article
  18. Article
  19. Article
  20. Article
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

13 authors.

Evelina TacconelliDivision of Infectious Diseases, Department of Internal Medicine I, University Hospital, Tübingen, Germany German Centre for Infection Research (DZIF), Tübingen, Germany.
Maria A CataldoNational Institute for Infectious Diseases "Lazzaro Spallanzani", 2nd Infectious Disease Division, Rome, Italy.
M PaulDepartment of Infectious Diseases, Rambam Health Care Campus, Haifa, Israel.
L LeiboviciDepartment of Medicine E, Rabin Medical Center, Beilinson Hospital, Sackler Faculty of Medicine, Tel Aviv University, Petach-Tikva, Israel.
Jan KluytmansAmphia Hospital Breda and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, location Molengracht, Laboratory for Microbiology and Infection Control, Breda, The Netherlands.
Wiebke SchröderDivision of Infectious Diseases, Department of Internal Medicine I, University Hospital, Tübingen, Germany German Centre for Infection Research (DZIF), Tübingen, Germany.
Federico FoschiDivision of Infectious Diseases, Department of Internal Medicine I, University Hospital, Tübingen, Germany German Centre for Infection Research (DZIF), Tübingen, Germany.
Giulia De AngelisNational Institute for Infectious Diseases "Lazzaro Spallanzani", 2nd Infectious Disease Division, Rome, Italy.
Chiara De WaureInstitute of Public Health, Catholic University of the Sacred Heart, Rome, Italy.
Chiara CadedduInstitute of Public Health, Catholic University of the Sacred Heart, Rome, Italy.
Nico T MuttersDepartment of Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Petra GastmeierInstitute for Hygiene and Environmental Health, Charité, Medical University Berlin, Berlin, Germany.
Barry CooksonDepartment of Infection and Immunity, University College London, London University, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the accuracy of application of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) tool in epidemiological studies focused on the evaluation of the role of antibiotics in selecting resistance, and to derive and test an extension of STROBE to improve the suitability of the tool in evaluating the quality of reporting in these area.

methodsA three-step study was performed. First, a systematic review of the literature analysing the association between antimicrobial exposure and acquisition of methicillin-resistant Staphylococcus aureus and/or multidrug-resistant Acinetobacter baumannii was performed. Second, articles were reviewed according to the STROBE checklist for epidemiological studies. Third, a set of potential new items focused on antimicrobial-resistance quality indicators was derived through an expert two-round RAND-modified Delphi procedure and tested on the articles selected through the literature review.

resultsThe literature search identified 78 studies. Overall, the quality of reporting appeared to be poor in most areas. Five STROBE items, comprising statistical analysis and study objectives, were satisfactory in <25% of the studies. Informative abstract, reporting of bias, control of confounding, generalisability and description of study size were missing in more than half the articles. A set of 21 new items was developed and tested. The new items focused particularly on the study setting, antimicrobial usage indicators, and patients epidemiological and clinical characteristics. The performance of the new items in included studies was very low (<25%).

conclusionsOur paper reveals that reporting in epidemiological papers analysing the association between antimicrobial usage and development of resistance is poor. The implementation of the newly developed STROBE for antimicrobial stewardship (AMS) tool should enhance appropriate study design and reporting, and therefore contribute to the improvement of evidence to be used for AMS programme development and assessment.

Indexed as

Anti-Bacterial AgentsChecklistDrug Resistance, BacterialEpidemiologic MethodsObservational Studies as TopicQuality ImprovementAcinetobacter baumanniiAcinetobacter InfectionsEpidemiologic StudiesHumansMethicillin-Resistant Staphylococcus aureusPractice Patterns, Physicians'Staphylococcal InfectionsAnti-Bacterial AgentsAntibiotic resistanceAntimicrobial stewarsdhipMDR-AcinetobacterMRSAReporting

Identifiers

PMID26895985
PMCPMC4762075

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.