ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019
The Relative Impact of Community and Hospital Antibiotic Use on the Selection of Extended-spectrum Beta-lactamase-producing Escherichia coli.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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.
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Who cites it
19 citing papers in PubMed.
- Antibiotics and priority effects on colonizing resistant Escherichia coli strain assemblages in a community setting.PloS one · 2026Article
- The contribution of community transmission to the burden of hospital-associated pathogens: A systematic scoping review of epidemiological models.One health (Amsterdam, Netherlands) · 2025Review
- Article
- Understanding the impact of COVID-19 on antibiotic use in Canadian primary care: a matched-cohort study using EMR data.Antimicrobial resistance and infection control · 2024Article
- Protocol for a parallel cluster randomized trial of a participatory tailored approach to reduce overuse of antibiotics at hospital discharge: the ROAD home trial.Implementation science : IS · 2024Article
- Postdischarge prophylactic antibiotics following mastectomy with and without breast reconstruction.Infection control and hospital epidemiology · 2022Article
- Antimicrobial resistance in commensalJAC-antimicrobial resistance · 2022Article
- Lack of association of post-discharge prophylactic antibiotics with decreased risk of surgical site infection following spinal fusion.The Journal of antimicrobial chemotherapy · 2022Article
- Ethics and antibiotic resistance.British medical bulletin · 2022Article
- Analysis of multiple bacterial species and antibiotic classes reveals large variation in the association between seasonal antibiotic use and resistance.PLoS biology · 2022Article
- The impact of COVID-19 on community antibiotic use in Canada: an ecological study.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022Article
- Antimicrobial-ResistantFrontiers in microbiology · 2022Article
- Rise in the prevalence of resistance to extended-spectrum cephalosporins in the USA, nursing homes and antibiotic prescribing in outpatient and inpatient settings.The Journal of antimicrobial chemotherapy · 2021Review
- Article
- The role of "spillover" in antibiotic resistance.Proceedings of the National Academy of Sciences of the United States of America · 2020Article
- Rates of increase of antibiotic resistance and ambient temperature in Europe: a cross-national analysis of 28 countries between 2000 and 2016.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020Article
- The relation between prescribing of different antibiotics and rates of mortality with sepsis in US adults.BMC infectious diseases · 2020Article
- Mathematical modelling for antibiotic resistance control policy: do we know enough?BMC infectious diseases · 2019Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Antibiotic stewardship programs have traditionally focused on reducing hospital antibiotic use. However, reducing community antibiotic prescribing could have substantial impacts in both hospital and community settings. We developed a deterministic model of transmission of extended-spectrum beta-lactamase-producing Escherichia coli in both the community and hospitals. We fit the model to existing, national-level antibiotic use and resistance prevalence data from Sweden. Across a range of conditions, a given relative change in antibiotic use in the community had a greater impact on resistance prevalence in both the community and hospitals than an equivalent relative change in hospital use. However, on a per prescription basis, changes in antibiotic use in hospitals had the greatest impact. The magnitude of changes in prevalence were modest, even with large changes in antimicrobial use. These data support the expansion of stewardship programs/interventions beyond the walls of hospitals, but also suggest that such efforts would benefit hospitals themselves.
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Registered trials
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