Evidence map›Paper›PMID 30057928›Full record

ArticleOpen forum infectious diseases2018

Microbiology Comment Nudge Improves Pneumonia Prescribing.

Mary A Musgrove, Rachel M Kenney, Ronald E Kendall, Michael Peters, Robert Tibbetts, Linoj Samuel, Susan L Davis

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
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

38 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Article
  3. Influence of a microbiological commentary on the management of asymptomatic bacteriuria.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
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  12. Review
  13. The importance of pharmacist engagement in diagnostic stewardship.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Respiratory culture nudge improves antibiotic prescribing forAntimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    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

7 authors at 4 institutions in 1 country.

Mary A MusgroveDepartment of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan.
Rachel M KenneyDepartment of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan.ORCID 0000-0003-3696-2204
Ronald E KendallDepartment of Pharmacy Services, Henry Ford Wyandotte Hospital, Wyandotte, Michigan.
Michael PetersDepartment of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan.
Robert TibbettsDivision of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.
Linoj SamuelDivision of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.
Susan L DavisDepartment of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan.
Henry Ford Hospital · USHenry Ford Health System · USEugene Applebaum College of Pharmacy and Health Sciences · USFord Motor Company (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystematic and behavioral interventions are needed to improve antibiotic use for common conditions like pneumonia.

methodsSingle pretest, post-test quasi-experiment in a 4-hospital health system in metropolitan Detroit, Michigan. Hospitalized patients treated with anti-methicillin-resistant

resultsTwo hundred ten patients were included in the study. De-escalation/discontinuation was more commonly performed in the intervention group (39% vs 73%,

conclusionA simple, behavioral nudge in microbiology reporting increased de-escalation and discontinuation of unnecessary broad-spectrum antibiotics. This highlights the importance of clear, persuasive communication of diagnostic testing in improving antibiotic prescribing behaviors.

Indexed as

antibiotic useantimicrobial stewardshipmicrobiologypneumoniavancomycin

Identifiers

PMID30057928
PMCPMC6057519
OpenAlexW2812583648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.