Evidence map›Paper›PMID 32970587›Full record

ArticleThe western journal of emergency medicine2020

COVID-19: An Emerging Threat to Antibiotic Stewardship in the Emergency Department.

Michael S Pulia, Ian Wolf, Lucas T Schulz, Aurora Pop-Vicas, Rebecca J Schwei, Peter K Lindenauer

Abstract readEditorial
In one paragraph

Article in The western journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The sustained usefulness of online learning to educate nurses about antibiotic stewardship.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. A Perfect Storm: COVID-19 and Antimicrobial Resistance.EMJ. Microbiology & infectious diseases · 2022
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Management of COVID-19 Patients in the Emergency Department.Journal of personalized medicine · 2021
    Review
  19. Article
  20. 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

6 authors.

Michael S PuliaUniversity of Wisconsin Madison, School of Medicine and Public Health, Department of Emergency Medicine, Madison, Wisconsin.
Ian WolfUniversity of Wisconsin Madison, School of Medicine and Public Health, Madison, Wisconsin.
Lucas T SchulzUniversity of Wisconsin Madison, School of Medicine and Public Health, Department of Pharmacy, Madison, Wisconsin.
Aurora Pop-VicasUniversity of Wisconsin Madison, School of Medicine and Public Health, Department of Medicine, Madison, Wisconsin.
Rebecca J SchweiUniversity of Wisconsin Madison, School of Medicine and Public Health, Department of Emergency Medicine, Madison, Wisconsin.
Peter K LindenauerUniversity of Massachusetts Medical School - Baystate, Department of Medicine, Springfield, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While current research efforts focus primarily on identifying patient level interventions that mitigate the direct impact of COVID-19, it is important to consider the collateral effects of COVID-19 on antimicrobial resistance. Early reports suggest high rates of antibiotic utilization in COVID-19 patients despite their lack of direct activity against viral pathogens. The ongoing pandemic is exacerbating known barriers to optimal antibiotic stewardship in the ED, representing an additional direct threat to patient safety and public health. There is an urgent need for research analyzing overall and COVID-19 specific antibiotic prescribing trends in the ED. Optimizing ED stewardship during COVID-19 will likely require a combination of traditional stewardship approaches (e.g. academic detailing, provider education, care pathways) and effective implementation of host response biomarkers and rapid COVID-19 diagnostics. Antibiotic stewardship interventions with demonstrated efficacy in mitigating the impact of COVID-19 on ED prescribing should be widely disseminated and inform the ongoing pandemic response.

Indexed as

BetacoronavirusEmergency Service, HospitalPractice Patterns, Physicians'Anti-Bacterial AgentsAntimicrobial StewardshipClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingDiagnosis, DifferentialHumansInappropriate PrescribingPandemicsPneumonia, ViralSARS-CoV-2Anti-Bacterial Agents

Identifiers

PMID32970587
PMCPMC7514390

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.