Evidence map›Paper›PMID 30786306›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2019

The Use of Mobile Educational Tools to Improve Antimicrobial Prescription for the Treatment of Acute Pyelonephritis in Pregnancy: A Retrospective Cross-sectional Study.

Vicente Sperb Antonello, Marjane Caroline Cunegatto, Elisa Tasca Rosin, Júlia Xavier Castilhos, Fabrícia Gamba Beduschi, Daniela Benzano Bumaguin, Ivan Carlos Ferreira Antonello, Mirela Foresti Jimenez

Open access · diamondAbstract read
In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
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 3 institutions in 1 country.

Vicente Sperb AntonelloDepartment of Prevention and Infection Control, Hospital Fêmina, Porto Alegre, RS, Brazil.ORCID 0000-0002-4977-3819
Marjane Caroline CunegattoDepartment of Gynecology and Obstetrics, Hospital Fêmina, Porto Alegre, RS, Brazil.
Elisa Tasca RosinDepartment of Gynecology and Obstetrics, Hospital Fêmina, Porto Alegre, RS, Brazil.
Júlia Xavier CastilhosDepartment of Gynecology and Obstetrics, Hospital Fêmina, Porto Alegre, RS, Brazil.
Fabrícia Gamba BeduschiDepartment of Gynecology and Obstetrics, Hospital Fêmina, Porto Alegre, RS, Brazil.
Daniela Benzano BumaguinStatistics Advisory Center, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Ivan Carlos Ferreira AntonelloGraduate Program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
Mirela Foresti JimenezGraduate Program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
Pontifícia Universidade Católica do Rio Grande do Sul · BRUniversidade do Vale do Rio dos Sinos · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the prescription of antimicrobial agents for pregnant women admitted into the obstetrics service who presented with acute pyelonephritis.

methodsThree cross-sectional studies were performed comparing the prescription of antimicrobials for pyelonephritis in pregnant women in the time periods evaluated (2010-2011: 99 patients evaluated; 2013: 116 patients evaluated; 2015: 107 patients evaluated), at the Hospital Fêmina, Porto Alegre, in the state of Rio Grande do Sul, Brazil. The analysis was performed before and after the promotion of an institutional protocol for the treatment of pyelonephritis during pregnancy, and on a third occasion after the introduction of a smartphone-based mobile educational tool.

resultsThe evaluation of the prescribing physicians and the adequacy of the prescriptions between the different periods studied revealed a significant increase in appropriate conduct for the choice of antimicrobial (2010: 83.8%; 2013: 95.7%; and 2015: 100%), route of administration (2010: 97%; 2013: 100%; and 2015: 100%), and interval (2010: 91.9%; 2013: 95.7%; and 2015: 100%), following the introduction of the protocol, and again after the implementation of the software application with orientations on the antimicrobial treatment.

conclusionThe use of specific mobile applications should be encouraged to attain a better quality and accuracy in prescriptions and to include strategies that not only reduce the risk of negative outcomes, but also improve the quality of care and treatment for maintaining the health both of the mother and of the baby.

Indexed as

Mobile ApplicationsAcute DiseaseAnti-Bacterial AgentsBrazilCell PhoneClinical ProtocolsCross-Sectional StudiesDrug PrescriptionsEducation, MedicalFemaleHospitalizationHumansObstetricsPractice Patterns, Physicians'PregnancyPregnancy Complications, InfectiousAnti-Bacterial Agents

Identifiers

PMID30786306
PMCPMC10418367
OpenAlexW2919266953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.