Evidence map›Paper›PMID 32548206›Full record

ArticleOpen forum infectious diseases2020

Impact of Mandatory Infectious Diseases Consultation and Real-time Antimicrobial Stewardship Pharmacist Intervention on

Kellie Arensman, Jennifer Dela-Pena, Jessica L Miller, Erik LaChance, Maya Beganovic, Morgan Anderson, Anne Rivelli, Sarah M Wieczorkiewicz

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 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
0.3field-weighted citation impact, top 28% 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, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effect of a rapid bacteraemia response programme onJAC-antimicrobial resistance · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. The role of the clinical pharmacist in antimicrobial stewardship in Asia: A review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Review
  8. Article
  9. 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

8 authors at 6 institutions in 1 country.

Kellie ArensmanAdvocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Jennifer Dela-PenaAdvocate Lutheran General Hospital, Park Ridge, Illinois, USA.ORCID 0000-0002-9390-0475
Jessica L MillerAdvocate South Suburban Hospital, Hazel Crest, Illinois, USA.
Erik LaChanceAdvocate Illinois Masonic Medical Center, Chicago, Illinois, USA.
Maya BeganovicAdvocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Morgan AndersonAdvocate Condell Medical Center, Libertyville, Illinois, USA.
Anne RivelliRussel Center for Research and Innovation, Park Ridge, Illinois, USA.
Sarah M WieczorkiewiczWolters Kluwer, Chicago, Illinois, USA.
Advocate Lutheran General Hospital · USAdvocate Good Samaritan Hospital · USAdvocate Illinois Masonic Medical Center · USAdvocate Trinity Hospital · USCenter for Innovation · USWolters Kluwer Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to evaluate the impact of infectious diseases consultation (IDC) and a real-time antimicrobial stewardship (AMS) review on the management of

methodsThis retrospective study included adult inpatients with SAB from January 2016 to December 2018 at 7 hospitals. Outcomes were compared between 3 time periods: before mandatory IDC and AMS review (period 1), after mandatory IDC and before AMS review (period 2), and after mandatory IDC and AMS review (period 3). The primary outcome was bundle adherence, defined as appropriate intravenous antimicrobial therapy, appropriate duration of therapy, appropriate surveillance cultures, echocardiography, and removal of indwelling intravenous catheters, if applicable. Secondary end points included individual bundle components, source control, length of stay (LOS), 30-day bacteremia-related readmission, and in-hospital all-cause mortality.

resultsA total of 579 patients met inclusion criteria for analysis. Complete bundle adherence was 65% in period 1 (n = 241/371), 54% in period 2 (n = 47/87), and 76% in period 3 (n = 92/121). Relative to period 3, bundle adherence was significantly lower in period 1 (odds ratio [OR], 0.58; 95% confidence interval [CI], 0.37-0.93;

conclusionsThe addition of AMS pharmacist review to mandatory IDC was associated with significantly improved quality care bundle adherence.

Indexed as

antimicrobial stewardshipbacteremiabundle adherenceStaphylococcus aureus

Identifiers

PMID32548206
PMCPMC7288607
OpenAlexW3027218379

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.