Evidence map›Paper›PMID 32973908›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2020

Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review.

Jennifer Hegewisch-Taylor, Anahí Dreser-Mansilla, Julián Romero-Mónico, Gabriel Levy-Hara

Abstract readScoping Review
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Article
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  6. Ampicillin- and Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2025
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  8. Review
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  19. Vancomycin Resistance inMicroorganisms · 2022
    Review
  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

4 authors.

Jennifer Hegewisch-TaylorHealth Systems Research Center, National Institute of Public Health Cuernavaca Mexico Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.
Anahí Dreser-MansillaHealth Systems Research Center, National Institute of Public Health Cuernavaca Mexico Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.
Julián Romero-MónicoHealth Systems Research Center, National Institute of Public Health Cuernavaca Mexico Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.
Gabriel Levy-HaraInfectious Diseases Unit, Hospital Carlos G. Durand Buenos Aires Argentina Infectious Diseases Unit, Hospital Carlos G. Durand, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine published antimicrobial stewardship (AMS) initiatives in hospitals in Latin America and the Caribbean (LAC) in order to characterize AMS terminology usage, geotemporality, and elements of structure (human resources), process (interventions), and outcomes, and to set priority areas for improving AMS reporting.

methodsThis was a scoping review that searched PubMed, LILACS, EMBASE, and 12 other databases, along with a manual search for academic and grey literature to identify documents on AMS initiatives in hospitals in 33 countries of LAC, up to August 2019. Keywords included 'antibiotic' or 'antimicrobial' AND 'stewardship, policy, strategies, management, control, rational use, appropriate use, surveillance, or interventions' and 33 country names.

resultsSelected articles totalled 147 studies published in 1985 - 2019; of those, 22% used 'antimicrobial stewardship' in the title. Eighteen countries published AMS hospital initiatives, one-half of which were implemented in capital cities. Brazil, Argentina, Colombia, Cuba, Mexico, and Chile, in descending frequency, made up > 59% of published initiatives. Educational interventions were the most frequently reported, followed by persuasive and restrictive strategies. Antimicrobial consumption was the most common outcome measure reported. About one-third of the studies (35%) referred to baseline measures-only in preparation for AMS interventions. Fifty-nine studies from 6 countries reported AMS comprehensively, using structure, process, and outcome (SPO) elements.

conclusionsPublished hospital AMS initiatives have increased over time and have expanded across LAC. However, more programs need to be developed. Complete reporting of SPO elements is imperative to evaluating and replicating AMS actions.

Indexed as

Antimicrobial stewardshipCaribbean regiondrug resistancehospitalLatin Americamicrobial

Identifiers

PMID32973908
PMCPMC7498295

What OpenQuestion holds

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Registered trials

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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.