Evidence map›Paper›PMID 31583863›Full record

ArticleInfection & chemotherapy2019

Prescription of Antibiotics for Adults with Acute Infectious Diarrhea in Korea: A Population-based Study.

Hyo Jin Lee, Ki Ho Park, Dong Ah Park, Joonhong Park, Byoung Wook Bang, Seung Soon Lee, Eun Jung Lee, Youn Jeong Kim, Sung Kwan Hong, Yang Ree Kim

Open access · goldAbstract read
In one paragraph

Article in Infection & chemotherapy, 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
0.4field-weighted citation impact, top 36% 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, 5 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

10 authors at 9 institutions in 2 countries.

Hyo Jin LeeDivision of Infectious Diseases, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-9351-0779
Ki Ho ParkDivision of Infectious Diseases, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0000-9016
Dong Ah ParkDivision of Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0001-7225-3152
Joonhong ParkDepartment of Laboratory Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-7354-4234
Byoung Wook BangDivision of Gastroenterology, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0003-4104-7342
Seung Soon LeeDivision of Infectious Diseases, Department of Internal Medicine, Hallym University, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0003-1797-3426
Eun Jung LeeDivision of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7724-8288
Youn Jeong KimDivision of Infectious Diseases, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-5870-1801
Sung Kwan HongDivision of Infectious Diseases, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Sungnam, Korea.
Yang Ree KimDivision of Infectious Diseases, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yrkim@catholic.ac.kr.ORCID https://orcid.org/0000-0002-3585-3690
The Catholic University of Korea Incheon St. Mary's Hospital · KRCHA University Bundang Medical Center · KRInha University · KRKyung Hee University · KRNational Evidenc- based healthcare Collaborating Agency · KRSacred Heart Hospital · NGSoonchunhyang University Hospital Seoul · KRThe Catholic University of Korea Daejeon St. Mary's Hospital · KRThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KR

Funding

Korea Centers for Disease Control & Prevention 2018-E2803-00
6 · The paper itself

Abstract

backgroundAcute infectious diarrhea (AID) is a commonly observed condition globally. Several studies recommend against the use of empiric antibiotic therapy for AID, except in some cases of travelers' diarrhea. However, many physicians prescribe antimicrobial agents for AID. We aimed to determine the rate of antibiotic use and the associated prescription patterns among adults with AID. MATERIALS AND

methodsThis population-based, retrospective epidemiological study was performed using Korean National Health Insurance claims data from 2016 to 2017. The study population comprised adults (age ≥18 years) who had visited clinics with AID-related complaints. Exclusion criteria were the presence of Crohn's disease, ulcerative colitis, irritable bowel syndrome, and other non-infectious forms of colitis. Patients who underwent surgery during admission were also excluded.

resultsThe study population comprised 1,613,057 adult patients with AID (767,606 [47.6%] men). Young patients (age 18 - 39 years) accounted for 870,239 (54.0%) of the study population. Overall, 752,536 (46.7%) cases received antibiotic prescriptions. The rate of antibiotic administration tended to be higher among elderly patients (age ≥65 years) than among younger patients (49.5%

conclusionThis study revealed differences between the antibiotics used to treat AID in Korea and those recommended by the guidelines for AID treatment. Multifaceted efforts are necessary to strengthen physicians' adherence to published guidelines.

Indexed as

Anti-bacterial agentsDiarrheaDysenteryEpidemiologyGastroenteritis

Identifiers

PMID31583863
PMCPMC6779573
OpenAlexW2974762278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.