Evidence map›Paper›PMID 27602189›Full record

ArticleOman medical journal2016

Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program.

Humberto Guanche Garcell, Ariadna Villanueva Arias, Eliezer Alemán Fernandez, Yaquelín Batista Guerrero, Ramon N Alfonso Serrano

Abstract read
In one paragraph

Article in Oman medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

5 authors.

Humberto Guanche GarcellInfection Control Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Ariadna Villanueva AriasInfection Control Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Eliezer Alemán FernandezPharmacy Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Yaquelín Batista GuerreroPharmacy Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Ramon N Alfonso SerranoSurgical Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to evaluate the trend of antibiotic consumption in patients admitted to a community hospital in Qatar with an antimicrobial stewardship program.

methodsThis observational study was carried out in a 75-bed facility in Western Qatar over a 4-year period (2012-2015). The monitoring of antimicrobial consumption from inpatient wards was performed from the pharmacy records and presented as defined daily dose (DDD) divided by the patient days and expressed as 100 bed-days (DBD).

resultsThe consumption of antimicrobials in 2012 was 171.3 DBD, and increased to 252.7 DBD in 2013, 229.1 DBD in 2014, and 184.7 DBD in 2015. Cephalosporins use reduced from 98.2 DBD in 2013 to 51.5 DBD in 2015 while the consumption of penicillins increased during the beginning of 2014 with a slight decrease in 2015. Carbapenems consumption during 2014-2015 was lower than previous years, and vice-versa for aminoglycosides. Fluoroquinolones had a sustained increase with 37.1% increased consumption in 2015 compared to the two previous years. There was an increase in the use of intravenous (IV) (108.5%) and oral azithromycin (55.1%) and the use of oral (152.8%) and IV moxifloxacin (22.9%).

conclusionsWe observed a decrease in antibiotic use in patients admitted to a community hospital with an antimicrobial stewardship program, but the increase in fluoroquinolones consumption is a concern that requires focused strategies.

Indexed as

Antimicrobial AgentsHospitalsQatar.

Identifiers

PMID27602189
PMCPMC4996957

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