Evidence map›Paper›PMID 32300302›Full record

ArticleFrontiers in pharmacology2020

Impact of a Multifaceted Antimicrobial Stewardship Intervention in a Primary Health Care Area: A Quasi-Experimental Study.

Pablo March-López, Rosa Madridejos, Rosa Tomas, Lucía Boix, Paula Arcenillas, Lucía Gómez, Emma Padilla, Mariona Xercavins, Laura Martinez, Montserrat Riera and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Estimating cost savings from reducing antibiotic overprescription in european general practices.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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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

13 authors at 2 institutions in 1 country.

Pablo March-LópezHospital Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Rosa MadridejosPrimary Care Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Rosa TomasPrimary Care Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Lucía BoixMedicine Department, Universitat Internacional de Catalunya, Barcelona, Spain.
Paula ArcenillasHospital Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Lucía GómezInfectious Diseases Unit, Department of Internal Medicine, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Emma PadillaMicrobiology Department, Centre d'analítiques Terrassa (Catlab), Barcelona, Spain.
Mariona XercavinsMicrobiology Department, Centre d'analítiques Terrassa (Catlab), Barcelona, Spain.
Laura MartinezHospital Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Montserrat RieraInfection Control Nurse, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Cristina BadiaInfection Control Nurse, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Jordi NicolásHospital Pharmacy, Pharmacy Department, Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Esther CalboMedicine Department, Universitat Internacional de Catalunya, Barcelona, Spain.
Mútua Terrassa · ESUniversitat Internacional de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to evaluate the impact of a multifaceted antimicrobial stewardship intervention on antibiotic consumption in a primary health care (PHC) area in Spain. Quasi-experimental study conducted in a PHC area with nine PHC centers, a 400-bed acute care teaching hospital, and 18 nursing homes serving a population of 260,561. The intervention was based on the 2016 CDC Core Elements of Outpatient Antibiotic Stewardship publication and targeted 130 PHC physicians, 41 PHC pediatricians, 19 emergency physicians, and 18 nursing home physicians. The components were commitment, actions for improving antibiotic prescribing, tracking and feedback, and education and experience. The primary outcome was overall antibiotic consumption. Secondary outcomes were consumption of antibiotics to treat pharyngotonsillitis, acute otitis media, acute sinusitis, acute bronchitis, and urinary tract infection (UTI), percentage of patients treated with specific antibiotics, and dispensing costs. Consumption was measured in defined daily doses per 1,000 inhabitants per day (DID) and compared pre- and postintervention (2016

Indexed as

antibiotic-consumptionantimicrobial-stewardshipCenters for Disease Control and PreventionoutpatientPrimary-Health-Care

Identifiers

PMID32300302
PMCPMC7142248
OpenAlexW3015155873

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.