SynthesisPloS one2020
Use of stewardship smartphone applications by physicians and prescribing of antimicrobials in hospitals: A systematic review.
Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07347015 (Impact Evaluation of a Prescription Search Support), which is not on this map. Cited by 21 papers.
What it found
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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.
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.
Impact Evaluation of a Prescription Search Support (PSS) for Antimicrobials Using a Stepped-Wedge Cluster Randomized Design in Belgian Primary Care
Who cites it
21 citing papers in PubMed.
- Article
- Antimicrobial Consumption and Resistance Dynamics Across Healthcare Level: Global Evidence and Stewardship Implications.Pathogens (Basel, Switzerland) · 2026Review
- Stewardship in your pocket: launching Colorado's free antimicrobial mobile application.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Development, implementation, and usability evaluation of an mHealth-based clinical decision-support system for strengthening antimicrobial stewardship among physicians in Pakistan: a mixed-methods study.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Pre-treatment pathogen testing rates before antimicrobial therapy in emergency departments: a four-year retrospective study from two hospital campuses.Frontiers in cellular and infection microbiology · 2026Article
- Impact of the ABxSG Mobile Application on Antibiotic Prescribing: An Interrupted Time Series Study.Antibiotics (Basel, Switzerland) · 2025Article
- Impact of integrating guidelines into an antimicrobial stewardship smartphone application on outpatient antibiotic prescribing: a segmented interrupted time series analysis.Frontiers in digital health · 2025Article
- Article
- Healthcare as a driver, reservoir and amplifier of antimicrobial resistance: opportunities for interventions.Nature reviews. Microbiology · 2024Review
- Evaluation of Hospital Antimicrobial Stewardship Programs: Implementation, Process, Impact, and Outcomes, Review of Systematic Reviews.Antibiotics (Basel, Switzerland) · 2024Review
- Evaluating the impact of incorporating clinical practice guidelines for the management of infectious diseases into an electronic application (e-app).Infection control and hospital epidemiology · 2023Article
- One Health in a Digital World: Technology, Data, Information and Knowledge.Yearbook of medical informatics · 2023Article
- Interventions to Improve Antibiotic Use in Hospitals with Different Levels of Complexity in Colombia: Findings from a Before-and-After Study and Suggestions for the Future.Antibiotics (Basel, Switzerland) · 2023Article
- Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study.Journal of medical Internet research · 2023Article
- Digital Antimicrobial Stewardship Decision Support to Improve Antimicrobial Management.Applied clinical informatics · 2023Article
- An Evidence-Based Serious Game App for Public Education on Antibiotic Use and Antimicrobial Resistance: Protocol of a Randomized Controlled Trial.JMIR research protocols · 2023Article
- Collaboration on antimicrobial stewardship practices amongst university health systems, Veterans Affairs medical centers, and other affiliates: opportunities for greater harmony.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- The impact of digital interventions on antimicrobial stewardship in hospitals: a qualitative synthesis of systematic reviews.The Journal of antimicrobial chemotherapy · 2022Review
- Making the APPropriate choice: Utilization of a smartphone application to optimize antimicrobial decisions among internal medicine trainees.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Clinicians' Intention to Submit Microbiological Pathogenic Test Before Antibiotics Use and Its Influencing Factors: New Evidence from the Perspective of Hospital Management.Infection and drug resistance · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntimicrobial stewardship (AMS) programs promote appropriate use of antimicrobials and reduce antimicrobial resistance. Technological developments have resulted in smartphone applications (apps) facilitating AMS. Yet, their impact is unclear.
objectivesSystematically review AMS apps and their impact on prescribing by physicians treating in-hospital patients. DATA SOURCES: EMBASE, MEDLINE (Ovid), Cochrane Central, Web of Science and Google Scholar. STUDY ELIGIBILITY CRITERIA: Studies focusing on smartphone or tablet apps and antimicrobial therapy published from January 2008 until February 28th 2019 were included.
participantsPhysicians treating in-hospital patients.
interventionsAMS apps.
methodsSystematic review.
resultsThirteen studies met the eligibility criteria. None was a randomized controlled trial. Methodological study quality was considered low to moderate in all but three qualitative studies. The primary outcomes were process indicators, adherence to guidelines and user experience. Guidelines were more frequently accessed by app (53.0% - 89.6%) than by desktop in three studies. Adherence to guidelines increased (6.5% - 74.0%) significantly for several indications after app implementation in four studies. Most users considered app use easy (77.4%->90.0%) and useful (71.0%->90%) in three studies and preferred it over guideline access by web viewer or booklet in two studies. However, some physicians regarded app use adjacent to colleagues or patients unprofessional in three qualitative studies. Susceptibility to several antimicrobials changed significantly post-intervention (from 5% decrease to 10% - 14% increase) in one study.
conclusionsUse of AMS apps seems to promote access to and knowledge of antimicrobial prescribing policy, and increase adherence to guidelines in hospitals. However, this has been assessed in a limited number of studies and for specific indications. Good quality studies are necessary to properly assess the impact of AMS apps on antimicrobial prescribing. To improve adherence to antimicrobial guidelines, use of AMS apps could be considered.
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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.