Evidence map›Paper›PMID 31429801›Full record

ArticleBMC research notes2019

Antimicrobial stewardship effectiveness on rationalizing the use of last line of antibiotics in a short period with limited human resources: a single centre cohort study.

Darija Kuruc Poje, Vesna Mađarić, Vlatka Janeš Poje, Domagoj Kifer, Philip Howard, Srećko Marušić

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

6 authors at 5 institutions in 2 countries.

Darija Kuruc PojeHospital Pharmacy Ward, General Hospital "Dr. Tomislav Bardek", Željka Selingera 1, 48 000, Koprivnica, Croatia. darijakuruc21@gmail.com.ORCID http://orcid.org/0000-0002-7893-786X
Vesna MađarićPulmology and Infectology Ward, General Hospital "Dr. Tomislav Bardek", Željka Selingera 1, 48 000, Koprivnica, Croatia.
Vlatka Janeš PojeClinical Microbiology Ward, Department of Public Health Koprivnica County, Željka Selingera 1, 48 000, Koprivnica, Croatia.
Domagoj KiferDepartment of Biophysics, Faculty of Pharmacy and Biochemistry, University of Zagreb, A Kovačića 1, 10 000, Zagreb, Croatia.
Philip HowardLeeds Institute of Diagnostics and Therapeutics, Faculty of Medicine and Health, University of Leeds, Leeds, LS2 9JT, UK.
Srećko MarušićDepartment of Endocrinology, Diabetes and Metabolic Diseases, Clinical Hospital Dubrava, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia.
Genera (Croatia) · HRUniversity Hospital Dubrava · HRUniversity of Leeds · GBUniversity of Zagreb · HRZabok General Hospital · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAntibiotics reserve (ARs) are given as a last line of treatment when other antibiotics are no longer effective. Rising threat of antimicrobial resistance makes growing use of ARs a real problem to patient safety. A single centre interventional cohort study was conducted in order to measure impact on clinical outcomes of A-team programme with limited human resources in a short period. A-team programme started on 01. September 2017.

resultsIn 3 months preintervention and 3 months intervention period, from 3038 and 3156 hospitalized adult patients, 249 (59% of them were male, median age = 69 years) and 96 (51% of them were male, median age = 70 years) received parenteral ARs. Total duration of hospitalization of patients on AR was reduced from 28 to 17 days of hospitalization on 100 patient-days (OR = 1.92; 95% CI 1.83-2.01; p < 0.001) with no statistical significant difference in rehospitalisation due to infection of patients that were treated with ARs within 2 months after discharge. Despite short period of time and limited human resources, A-team restrictive interventions rationalised parenteral AR use and led to positive impact on clinical outcomes. These results could help our and other A-teams in similar situation in continuing with the programme to bring more evidence.

Indexed as

Antimicrobial StewardshipHealth ResourcesAdultAgedAged, 80 and overAnti-Bacterial AgentsCohort StudiesFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultAnti-Bacterial AgentsAntibiotic reserveAntimicrobial stewardshipCroatiaLimited human resourcesMultidisciplinary approach

Identifiers

PMID31429801
PMCPMC6702748
OpenAlexW2969856027

What OpenQuestion holds

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LicenceCC BY
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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.