Evidence map›Paper›PMID 32677903›Full record

ArticleBMC infectious diseases2020

Hospital physicians' experiences with procalcitonin - implications for antimicrobial stewardship; a qualitative study.

Ingrid Christensen, Jon Birger Haug, Dag Berild, Jørgen Vildershøj Bjørnholt, Lars-Petter Jelsness-Jørgensen

Open access · goldAbstract read
In one paragraph

Article in BMC 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.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 17% 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, 15 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

5 authors at 4 institutions in 1 country.

Ingrid ChristensenDepartment of INFECTION Control, Østfold Hospital Trust, Kalnes, Norway. Ingrid.Christensen2@so-hf.no.ORCID http://orcid.org/0000-0002-5126-9267
Jon Birger HaugDepartment of INFECTION Control, Østfold Hospital Trust, Kalnes, Norway.
Dag BerildDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Jørgen Vildershøj BjørnholtOslo University, Faculty of Medicine, Institute of Clinical Medicine, Oslo, Norway.
Lars-Petter Jelsness-JørgensenFaculty of Health and Social Studies, Østfold University College, Fredrikstad, Norway.
Oslo University Hospital · NOØstfold Hospital Trust · NOØstfold University College · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProcalcitonin is an inflammatory biomarker that is sensitive for bacterial infections and a promising clinical decision aid in antimicrobial stewardship programs. However, there are few studies of physicians' experiences concerning the use of PCT. The objective of this study was to investigate whether hospital physicians' experience with procalcitonin after 18 months of use can inform the PCT implementation in antimicrobial stewardship programs. MATERIALS/

methodsWe deployed a qualitative approach using semi-structured interviews with 14 hospital physicians who had experience with procalcitonin in clinical practice. Interviews were audio-taped, transcribed verbatim and analysed using thematic analysis.

resultsPhysicians reported a knowledge gap, which made them uncertain about the appropriate procalcitonin use, interpretation, and trustworthiness. Simultaneously, the physicians experienced procalcitonin as a useful clinical decision aid but emphasised that their clinical evaluation of the patient was the most important factor when deciding on antibiotic treatment.

conclusionsProcalcitonin was regarded a helpful clinical tool, but the physicians called for more knowledge about its appropriate uses. Active implementation of unambiguous procalcitonin algorithms and physician education may enhance the utility of the test as an antimicrobial stewardship adjunct.

Indexed as

Antimicrobial StewardshipAdultAgedAlgorithmsAnti-Bacterial AgentsBacterial InfectionsBiological AssayBiomarkersFemaleGuideline AdherenceHospitalsHumansInterviews as TopicMaleMiddle AgedNorwayAnti-Bacterial AgentsBiomarkersProcalcitoninAntimicrobial stewardshipHospital physiciansProcalcitoninQualitative studySemi-structured interviews

Identifiers

PMID32677903
PMCPMC7364625
OpenAlexW3042664432

What OpenQuestion holds

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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.