ArticleAntimicrobial resistance and infection control2019
Antibiotic prescribing in general medical and surgical specialties: a prospective cohort study.
Article in Antimicrobial resistance and infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evidence Suggests Prophylactic Antibiotics May Be Unnecessary in Anorectal Surgery-A Systematic Review and Meta-Analysis.World journal of surgery · 2026Pooled it
- Utility of preoperative prophylactic antibiotics for preventing surgical site infections in children with infantile hypertrophic pyloric stenosis: a systematic review and meta-analysis.Pediatric surgery international · 2024Pooled it
- Pooled it
- Packaged intervention targeting oral antimicrobials in Japanese tertiary care outpatient setting: a quasi-experimental study.JAC-antimicrobial resistance · 2026Article
- The current status and influencing factors of prophylactic antibacterial drug use in patients with hypertriglyceridemic acute pancreatitis.Naunyn-Schmiedeberg's archives of pharmacology · 2026Article
- Antimicrobial Consumption and Resistance Dynamics Across Healthcare Level: Global Evidence and Stewardship Implications.Pathogens (Basel, Switzerland) · 2026Review
- Garrod lecture: achieving the UNGA AMR mortality reduction goals.The Journal of antimicrobial chemotherapy · 2026Article
- Strategies to improve antimicrobial stewardship in surgery: insights from an ethnographic study.BMJ open · 2026Article
- [Perioperative antibiotic prophylaxis-The new German S3 guideline].Die Anaesthesiologie · 2025Review
- Adequacy and implications of antimicrobial prophylaxis for elective surgeries in a tertiary hospital: a cross sectional and retrospective cohort study (ADEQUAP).Antimicrobial resistance and infection control · 2025Article
- Surgeons' Contributions to Antibiotic Stewardship and Resistance Prevention.JAMA network open · 2025Article
- Cultural differences in attitudes towards surgical site infections among French anesthetists and surgeons in digestive surgery in 2022.Antimicrobial resistance and infection control · 2025Article
- Surgical Antibiotic Prophylaxis Used in A University Clinics Hospital and Antibiotic Costs: A 3-year Survey.Current therapeutic research, clinical and experimental · 2025Article
- Rationalizing irrational prescribing-infection-related attitudes and practices across paediatric surgery specialties in a hospital in South India.JAC-antimicrobial resistance · 2024Article
- The impact of antibiotic stewardship interventions and patient related factors on antibiotic prescribing in a vascular surgical department.Infection · 2024Article
- Article
- Antimicrobial Resistance Patterns of Pathogens Isolated from Patients with Wound Infection at a Teaching Hospital in Vietnam.Infection and drug resistance · 2024Article
- Assessment of antimicrobial prescribing patterns, guidelines compliance, and appropriateness of antimicrobial prescribing in surgical-practice units: point prevalence survey in Malaysian teaching hospitals.Frontiers in pharmacology · 2024Article
- The threat of antimicrobial resistance in surgical care: the surgeon's role and ownership of antimicrobial stewardship.The British journal of surgery · 2023Article
- Choosing Wisely internationally - helpful recommendations for antimicrobial stewardship!Infection · 2023Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Background: Qualitative work has described the differences in prescribing practice across medical and surgical specialties. This study aimed to understand if specialty impacts quantitative measures of prescribing practice. Methods: We prospectively analysed the antibiotic prescribing across general medical and surgical teams for acutely admitted patients. Over a 12-month period (June 2016 - May 2017) 659 patients (362 medical, 297 surgical) were followed for the duration of their hospital stay. Antibiotic prescribing across these cohorts was assessed using Chi-squared or Wilcoxon rank-sum, depending on normality of data. The t-test was used to compare age and length of stay. A logistic regression model was used to predict escalation of antibiotic therapy. Results: Surgical patients were younger ( Conclusions: Across both specialties, microbiology investigation results are not adequately used to diagnose infections and optimise their management. There is significant variation in antibiotic decision-making (including escalation patterns) between general surgical and medical teams. Antibiotic stewardship interventions targeting surgical specialties need to go beyond surgical prophylaxis. It is critical to focus on of review the patients initiated on therapeutic antibiotics in surgical specialties to ensure that escalation and continuation of therapy is justified.
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