Evidence map›Paper›PMID 31119803›Full record

ArticleJournal of veterinary internal medicine2019

Usage patterns of carbapenem antimicrobials in dogs and cats at a veterinary tertiary care hospital.

Alison Smith, Annie S Wayne, Claire L Fellman, Marieke H Rosenbaum

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  8. Antibiotics (Basel, Switzerland) · 2024
    Article
  9. Review
  10. Article
  11. Carbapenem-resistantEpidemiology and infection · 2022
    Article
  12. Article
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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

4 authors at 1 institution in 1 country.

Alison SmithCummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Annie S WayneDepartment of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.ORCID https://orcid.org/0000-0002-8910-4724
Claire L FellmanDepartment of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Marieke H RosenbaumDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts.
Tufts University · US

Funding

SUMMER PROGRAMS FOR VETERINARY STUDENTS (T35)T35OD010963 · OD · TUFTS UNIVERSITY BOSTON · PI ANWER, MOHAMMED SAWKAT · 2012 to 2019
$882k
NIH HHS T35 OD010963NIH Short Term Training Grant (Tufts University) OD010963
6 · The paper itself

Abstract

backgroundCarbapenems are a class of antimicrobials reserved for resistant infections or systemically ill people, yet the extent and context in which they are prescribed in the small animals is understudied. HYPOTHESIS/

objectiveTo describe cases in dogs and cats treated with carbapenems to establish baseline data regarding the types of infections, outcomes, and resistance profiles of target infections. We hypothesize that prescribing practices for carbapenems at a veterinary tertiary care hospital would not comply with the recommended use guidelines in human medicine.

methodsRetrospective study of veterinary medical records from all dogs and cats prescribed carbapenems between May 1, 2016, and April 30, 2017.

resultsA total of 81 infections (71 in dogs and 10 in cats) representing 68 animals (58 dogs and 10 cats) involving carbapenem use were identified. Cultures were performed in 65/81 (80%) infections, and antimicrobial use was de-escalated or discontinued in 10/81 (12%) infections. The average duration of treatment was 27.5 days and ranged from 1 to 196 days. Resistance to more than 3 antimicrobial classes was present in 57/115 (50%) isolates. Resistance to carbapenems was found in 2/64 (3%) of the bacterial isolates with reported carbapenem susceptibility. CONCLUSIONS AND CLINICAL IMPORTANCE: The majority of carbapenem use at a veterinary tertiary care hospital was prescribed in conjunction with culture and sensitivity determination, with de-escalation performed in a minority of cases, and treatment durations longer than typically recommended in human medicine.

Indexed as

AnimalsAnti-Bacterial AgentsBacteriaBacterial InfectionsCarbapenemsCat DiseasesCatsDog DiseasesDogsDrug Resistance, BacterialDrug UtilizationFemaleHospitals, AnimalMaleMicrobial Sensitivity TestsRetrospective StudiesAnti-Bacterial AgentsCarbapenemsantimicrobial resistanceantimicrobial stewardshipguidelinesimipenemmeropenem

Identifiers

PMID31119803
PMCPMC6639476
OpenAlexW2946691614

What OpenQuestion holds

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LicenceCC BY-NC
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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.