Evidence map›Paper›PMID 32041102›Full record

ArticleAntibiotics (Basel, Switzerland)2020

How Does Antimicrobial Stewardship Affect Inappropriate Antibiotic Therapy in Urological Patients?

Atsushi Uda, Katsumi Shigemura, Koichi Kitagawa, Kayo Osawa, Kenichiro Onuma, Shigeaki Inoue, Joji Kotani, Yonmin Yan, Yuzo Nakano, Tatsuya Nishioka and 3 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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  5. Article
  6. Risk Factors for the Acquisition ofAntibiotics (Basel, Switzerland) · 2021
    Article
  7. Article
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

13 authors.

Atsushi UdaDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, Japan.
Katsumi ShigemuraDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, Japan.
Koichi KitagawaDivision of Infectious Diseases, Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan.
Kayo OsawaDivision of Infectious Diseases, Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan.
Kenichiro OnumaDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, Japan.
Shigeaki InoueDepartment of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Joji KotaniDepartment of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Yonmin YanDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Yuzo NakanoDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Tatsuya NishiokaDepartment of Pharmacy, Kobe University Hospital, Kobe 650-0017, Japan.
Ikuko YanoDepartment of Pharmacy, Kobe University Hospital, Kobe 650-0017, Japan.
Takayuki MiyaraDepartment of Infection Control and Prevention, Kobe University Hospital, Kobe 650-0017, Japan.
Masato FujisawaDivision of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial stewardship teams (ASTs) have been well-accepted in recent years; however, their clinical outcomes have not been fully investigated in urological patients. The purpose of this study was to evaluate the outcomes of intervention via a retrospective review of urological patients, as discussed in the AST meetings, who were treated with broad-spectrum antibiotics between 2014 and 2018 at the Department of Urology, Kobe University Hospital in Japan. Interventions were discussed in AST meetings for patients identified by pharmacists as having received inappropriate antibiotic therapy. The annual changes in numbers of inappropriate medications and culture submissions over five years at the urology department were statistically analyzed. Among 1,033 patients audited by pharmacists, inappropriate antibiotic therapy was found in 118 cases (11.4%). The numbers of inappropriate antibiotic use cases and of interventions for indefinite infections had significantly decreased during the study period (

Indexed as

antimicrobial stewardship teaminterventionurological patient

Identifiers

PMID32041102
PMCPMC7168275

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Registered trials

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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.