Evidence map›Paper›PMID 32134929›Full record

ArticlePloS one2020

Barriers and facilitators to the uptake of an antimicrobial stewardship program in primary care: A qualitative study.

Lianne Jeffs, Warren McIsaac, Michelle Zahradnik, Arrani Senthinathan, Linda Dresser, Mark McIntyre, David Tannenbaum, Chaim Bell, Andrew Morris

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

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  2. Improving Outpatient Antibiotic Prescribing for Respiratory Tract Infections in Primary Care: A Stepped-Wedge Cluster Randomized Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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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

9 authors.

Lianne JeffsLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.ORCID 0000-0002-6845-459X
Warren McIsaacRay D. Wolfe Department of Family and Community Medicine, Sinai Health System, Toronto Canada.
Michelle ZahradnikSt Michaels Hospital, Toronto, Canada.
Arrani SenthinathanAntimicrobial Stewardship Program, Sinai Health System and University Health Network, Toronto, Canada.
Linda DresserAntimicrobial Stewardship Program, Sinai Health System and University Health Network, Toronto, Canada.
Mark McIntyreAntimicrobial Stewardship Program, Sinai Health System and University Health Network, Toronto, Canada.
David TannenbaumRay D. Wolfe Department of Family and Community Medicine, Sinai Health System, Toronto Canada.
Chaim BellAntimicrobial Stewardship Program, Sinai Health System and University Health Network, Toronto, Canada.
Andrew MorrisAntimicrobial Stewardship Program, Sinai Health System and University Health Network, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The overuse of antimicrobials in primary care can be linked to an increased risk of antimicrobial-resistant bacteria for individual patients. Although there are promising signs of the benefits associated with Antimicrobial Stewardship Programs (ASPs) in hospitals and long-term care settings, there is limited knowledge in primary care settings and how to implement ASPs in these settings is unclear. In this context, a qualitative study was undertaken to explore the perceptions of primary care prescribers of the usefulness, feasibility, and experiences associated with the implementation of a pilot community-focused ASP intervention in three primary care clinics. Qualitative interviews were conducted with primary care clinicians, including local ASP champions, prescribers, and other primary health care team members, while they participated in an ASP initiative within one of three primary care clinics. An iterative conventional content analyses approach was used to analyze the transcribed interviews. Themes emerged around the key enablers and barriers associated with ASP implementation. Study findings point to key insights relevant to the scalability of community ASP activities with primary care providers.

Indexed as

Antimicrobial StewardshipPrimary Health CareDrug Resistance, MicrobialHumansInterviews as TopicNursesPharmacistsPhysiciansProgram EvaluationQualitative ResearchSurveys and Questionnaires

Identifiers

PMID32134929
PMCPMC7059986

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.