Evidence map›Paper›PMID 33374393›Full record

ArticleAntibiotics (Basel, Switzerland)2020

Surgeon-led 7-VINCut Antibiotic Stewardship Intervention Decreases Duration of Treatment and Carbapenem Use in a General Surgery Service.

Josep M Badia, Maria Batlle, Montserrat Juvany, Patricia Ruiz-de León, Maria Sagalés, M Angeles Pulido, Gemma Molist, Jordi Cuquet

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

8 authors.

Josep M BadiaDepartment of Surgery, Hospital General Granollers, Universitat Internacional de Catalunya, 08402 Granollers, Spain.ORCID 0000-0003-2928-5233
Maria BatlleDepartment of Surgery, Hospital General Granollers, Universitat Internacional de Catalunya, 08402 Granollers, Spain.
Montserrat JuvanyDepartment of Surgery, Hospital General Granollers, Universitat Internacional de Catalunya, 08402 Granollers, Spain.
Patricia Ruiz-de LeónDepartment of Surgery, Hospital General Granollers, Universitat Internacional de Catalunya, 08402 Granollers, Spain.
Maria SagalésDepartment of Clinical Pharmacy, Hospital General Granollers, 08402 Granollers, Spain.
M Angeles PulidoDepartment of Clinical Microbiology, Hospital General Granollers, 08402 Granollers, Spain.
Gemma MolistDepartment of Statistics and Research, Hospital General Granollers, 08402 Granollers, Spain.ORCID 0000-0002-0927-1945
Jordi CuquetInfectious Diseases Unit, Hospital General Granollers, 08402 Granollers, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic stewardship programs optimize the use of antimicrobials to prevent the development of resistance and improve patient outcomes. In this prospective interventional study, a multidisciplinary team led by surgeons implemented a program aimed at shortening the duration of antibiotic treatment <7 days. The impact of the intervention on antibiotic consumption adjusted to bed-days and discharges, and the isolation of multiresistant bacteria (MRB) was also studied. Furthermore, the surgeons were surveyed regarding their beliefs and feelings about the program. Out of 1409 patients, 40.7% received antibiotic therapy. Treatment continued for over 7 days in 21.5% of cases, and, as can be expected, source control was achieved in only 48.8% of these cases. The recommendations were followed in 90.2% of cases, the most frequent being to withdraw the treatment (55.6%). During the first 16 months of the intervention, a sharp decrease in the percentage of extended treatments, with R

Indexed as

anti-bacterial agents/therapeutic use*antimicrobial stewardship/organization and administration*antimicrobial stewardship/statistics and numerical data*bacterial/drug effectsdrug resistancegeneral surgery/standards*infection control/organization and administrationmultiplesurgical wound infection/prevention and control

Identifiers

PMID33374393
PMCPMC7823351

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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.