Evidence map›Paper›PMID 33280047›Full record

ReviewThe Journal of antimicrobial chemotherapy2020

White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in long-term care facilities-practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks.

Marcella Sibani, Fulvia Mazzaferri, Elena Carrara, Maria Diletta Pezzani, Fabiana Arieti, Siri Göpel, Mical Paul, Evelina Tacconelli, Nico T Mutters, Andreas Voss and 1 more

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in The Journal of antimicrobial chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Antibiotic prescribing and antimicrobial stewardship in long-term care facilities: Past interventions and implementation challenges.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  8. Occurrence of Healthcare-Associated Infections (HAIs) byPathogens (Basel, Switzerland) · 2022
    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

11 authors at 5 institutions in 4 countries.

Marcella SibaniInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Fulvia MazzaferriInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Elena CarraraInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Maria Diletta PezzaniInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Fabiana ArietiInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Siri GöpelInfectious Diseases, Department of Internal Medicine I, Tübingen University Hospital, Tübingen, Germany.
Mical PaulDiseases Institute, Rambam Health Care Campus, Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Evelina TacconelliInfectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Nico T MuttersInstitute for Hygiene and Public Health, Bonn University Hospital, Bonn, Germany.
Andreas VossDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
ARCH working group
University of Verona · ITGerman Center for Infection Research · DERadboud University Medical Center · NLTechnion – Israel Institute of Technology · ILUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn long-term care facilities (LTCFs) residents often receive inappropriate antibiotic treatment and infection prevention and control practices are frequently inadequate, thus favouring acquisition of MDR organisms. There is increasing evidence in the literature describing antimicrobial stewardship (AMS) activities in LTCFs, but practical guidance on how surveillance data should be linked with AMS activities in this setting is lacking. To bridge this gap, the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks joined their efforts to provide practical guidance for linking surveillance data with AMS activities. MATERIALS AND

methodsConsidering the three main topics [AMS leadership and accountability, antimicrobial usage (AMU) and AMS, and antimicrobial resistance (AMR) and AMS], a literature review was performed and a list of target actions was developed. Consensus on target actions was reached through a RAND-modified Delphi process involving 40 experts from 18 countries and different professional backgrounds adopting a One Health approach.

resultsFrom the 25 documents identified, 25 target actions were retrieved and proposed for expert evaluation. The consensus process produced a practical checklist including 23 target actions, differentiating between essential and desirable targets according to clinical relevance and feasibility. Flexible proposals for AMS team composition and leadership were provided, with a strong emphasis on the need for well-defined and adequately supported roles and responsibilities. Specific antimicrobial classes, AMU metrics, pathogens and resistance patterns to be monitored are addressed. Effective reporting strategies are described.

conclusionsThe proposed checklist represents a practical tool to support local AMS teams across a wide range of care delivery organization and availability of resources.

Indexed as

Anti-Infective AgentsAntimicrobial StewardshipAnti-Bacterial AgentsHumansLong-Term CareMagnetsAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID33280047
PMCPMC7719406
OpenAlexW4212778374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.