Evidence map›Paper›PMID 33083704›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2020

Pharmacist-Driven MRSA Nasal PCR Screening and the Duration of Empirical Vancomycin Therapy for Suspected MRSA Respiratory Tract Infections.

Nathan L Woolever, Rachel J Schomberg, Songlin Cai, Ross A Dierkhising, Ala S Dababneh, Richard C Kujak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06272994 (Swab Testing to Optimize Pneumonia Treatment With Empiric Vancomycin), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.4field-weighted citation impact, top 25% 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.

NCT06272994 nacompletednot on this mapstarted 2024, after this paper: background citation

Swab Testing to Optimize Pneumonia Treatment With Empiric Vancomycin (STOP-Vanc)

TypeinterventionalSponsorVanderbilt University Medical CenterRan2024 to 2025Enrolled277ConditionsCommunity-acquired PneumoniaArmsMRSA Nasal Swab PCR
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. A Quality Improvement Project to Increase Pharmacist-Initiated Methicillin ResistantThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  2. Implementation of an automated methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  3. Article
  4. Antibiotic de-escalation in pneumonia with pharmacist education and ordering of methicillin-resistantEuropean journal of hospital pharmacy : science and practice · 2024
    Article
  5. Article
  6. Performance of Methicillin-ResistantThe Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2023
    Article
  7. Evaluation of Anti-Methicillin-ResistantPharmacy (Basel, Switzerland) · 2023
    Article
  8. Review
  9. Change in Methicillin-ResistantOchsner journal · 2023
    Article
  10. Article
  11. Effect of rapid methicillin-resistant Staphylococcus aureus nasal polymerase chain reaction screening on vancomycin use in the intensive care unit.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2021
    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 at 3 institutions in 1 country.

Nathan L WooleverDepartment of Pharmacy Services, Mayo Clinic Health System-Southwest Wisconsin Region, La Crosse, WI.
Rachel J SchombergDepartment of Pharmacy Services, Mayo Clinic Health System-Southwest Wisconsin Region, La Crosse, WI.
Songlin CaiDepartment of Pharmacy Services, Mayo Clinic Health System-Southwest Wisconsin Region, La Crosse, WI.
Ross A DierkhisingDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Ala S DababnehDivision of Infectious Diseases, Mayo Clinic, Rochester, MN.
Richard C KujakDepartment of Pharmacy Services, Mayo Clinic Health System-Southwest Wisconsin Region, La Crosse, WI.
Mayo Clinic Health System · USMayo Clinic · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of a pharmacist-driven, polymerase chain reaction (PCR)-based nasal screening protocol for methicillin-resistant PATIENTS AND

methodsFrom July 8, 2017, through January 31, 2019, we performed a retrospective, multicenter, preimplementation-postimplementation study. Patients with a vancomycin order to treat lower respiratory tract infection (LRTI) underwent MRSA PCR screening; tests were ordered by health care providers, including physicians, physician assistants, and advanced practice registered nurses. During the preimplementation period (July 8, 2017, through September 30, 2018), pharmacists could order MRSA PCR screening only after receiving a verbal order from a health care provider. During the postimplementation period (October 1, 2018, through January 31, 2019), a collaborative practice agreement allowed pharmacists to order MRSA PCR screening tests.

resultsThe preimplementation group included 241 patients, and the postimplementation group included 74 patients. Of these patients, 124 in the preimplementation group and 62 in the postimplementation group received MRSA PCR screening. Twenty patients (16.1%) in the preimplementation group and 9 (14.5%) in the postimplementation group had a positive MRSA PCR screening test result (between-group difference, 1.6%;

conclusionVancomycin therapy carries a risk of adverse events and may increase health care costs. A pharmacist-driven protocol for MRSA nasal swab PCR screening effectively reduces the duration of vancomycin therapy for patients with lower respiratory tract infection.

Indexed as

AKI, acute kidney injuryCPA, collaborative practice agreementEHR, electronic health recordLRTI, lower respiratory tract infectionMRSA, methicillin-resistant Staphylococcus aureusNPV, negative predictive valuePCR, polymerase chain reaction

Identifiers

PMID33083704
PMCPMC7557184
OpenAlexW3049082508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.