Evidence map›Paper›PMID 30185997›Full record

ArticleThe Canadian journal of hospital pharmacy

Antimicrobial Use at Acute Care Hospitals in Nova Scotia: A Point Prevalence Survey.

Emily Black, Heather Neville, Mia Losier, Megan Harrison, Kim Abbass, Kathy Slayter, Lynn Johnston, Ingrid Sketris

Open access · bronzeAbstract read
In one paragraph

Article in The Canadian journal of hospital pharmacy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Inappropriate use of clinical practices in Canada: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Pooled it
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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 at 4 institutions in 1 country.

Emily Black, BSc(Pharm), ACPR, PharmD, is with Dalhousie University, Halifax, Nova Scotia.
Heather Neville, BSc(Pharm), MSc, is with the Nova Scotia Health Authority, Halifax, Nova Scotia.
Mia Losier, BSc(Pharm), was, at the time this study was conducted, a student at Dalhousie University, Halifax, Nova Scotia. She is now a pharmacy resident with Horizon Health Network, Saint John, New Brunswick.
Megan Harrison, BSc(Pharm), MSc, was, at the time this study was conducted, a student at Dalhousie University, Halifax, Nova Scotia. She is now a staff pharmacist with Horizon Health Network, Saint John, New Brunswick.
Kim Abbass, BSc(Pharm), PharmD, is with the Nova Scotia Health Authority, Sydney, Nova Scotia.
Kathy Slayter, BSc(Pharm), PharmD, FCSHP, is with the IWK Health Centre, Halifax, Nova Scotia.
Lynn Johnston, MD, MSc, FRCPC, is with Dalhousie University and the Nova Scotia Health Authority, Halifax, Nova Scotia.
Ingrid Sketris, BSc(Pharm), PharmD, MPA(HSA), FCCP, FCSHP, FCAHS, is with Dalhousie University, Halifax, Nova Scotia.
Dalhousie University · CANova Scotia Health Authority · CAHorizon Health Network · CAIzaak Walton Killam Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint prevalence surveys are used to monitor antimicrobial use and identify targets for improvement through antimicrobial stewardship activities. Few studies have evaluated antimicrobial use in Nova Scotia acute care institutions.

objectivesTo determine the prevalence and characteristics of antimicrobial use in Nova Scotia hospitals.

methodsA point prevalence survey was conducted between June and November 2015 for patients admitted to hospitals with at least 30 acute care beds. On each survey day, charts were reviewed to identify patients receiving antimicrobial agents on that day. Data were gathered on the type of antimicrobial agent prescribed, route of administration, intended duration of use, and indication. Adherence to regional and local treatment guidelines was assessed. Results were summarized descriptively. Findings were compared using the Fisher exact test or the Cochran-Armitage trend test.

resultsTwelve of the 13 eligible hospitals participated, and a total of 1499 patient charts were examined. The overall prevalence of antimicrobial use was 30.6% (458/1499). The prevalence of antimicrobial use differed significantly according to area of specialty, with the highest prevalence occurring in intensive care wards (47.2%, 50/106) and surgical wards (43.4%, 179/412), as compared with medical wards (27.9%, 192/687) and "other" specialty wards (11.1%, 32/289) (

conclusionsAntimicrobial agents were prescribed for about one-third of acute care patients in Nova Scotia. Specific targets for improvement in antimicrobial use include decreases in prescribing of broad-spectrum and parenteral antimicrobials, better adherence to guidelines, and improved documentation. In developing initiatives, antimicrobial stewardship programs in Nova Scotia should focus on identified targets for improvement.

Indexed as

antibioticanti-microbial agentantimicrobial stewardshipantimicrobial utilization

Identifiers

PMID30185997
PMCPMC6118829
OpenAlexW2890444898

What OpenQuestion holds

Textmetadata
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.