Evidence map›Paper›PMID 33402841›Full record

ReviewInfection and drug resistance2020

Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health.

Md Anwarul Azim Majumder, Sayeeda Rahman, Damian Cohall, Ambadasu Bharatha, Keerti Singh, Mainul Haque, Marquita Gittens-St Hilaire

Abstract readReview
In one paragraph

Review in Infection and drug resistance, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 322 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
322citing papers in PubMed, 7 pooled it
–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

322 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Albumin for people with liver cirrhosis and bacterial infections.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Artificial intelligence in antimicrobial stewardship: a systematic review and meta-analysis of predictive performance and diagnostic accuracy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Pooled it
  5. Pooled it
  6. Pooled it
  7. A systematic review of Neisseria gonorrhoeae drug resistance development in South Africa.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Pooled it
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Prevalence and risk factors of antimicrobial resistance inOne health (Amsterdam, Netherlands) · 2026
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

262 more citing papers are in PubMed but not listed here.

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

7 authors.

Md Anwarul Azim MajumderFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.ORCID 0000-0003-3398-8695
Sayeeda RahmanSchool of Medicine, American University of Integrative Sciences, Bridgetown, Barbados.ORCID 0000-0002-7005-8801
Damian CohallFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.ORCID 0000-0002-2173-7322
Ambadasu BharathaFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.ORCID 0000-0003-0287-3959
Keerti SinghFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.ORCID 0000-0001-7532-1229
Mainul HaqueFaculty of Medicine and Defence Health, Universiti Pertahanan, Nasional Malaysia (National Defence University of Malaysia), Kuala Lumpur, Malaysia.ORCID 0000-0002-6124-7993
Marquita Gittens-St HilaireFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Bridgetown, Barbados.ORCID 0000-0002-1891-8966

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is a serious threat to global public health. It increases morbidity and mortality, and is associated with high economic costs due to its health care burden. Infections with multidrug-resistant (MDR) bacteria also have substantial implications on clinical and economic outcomes. Moreover, increased indiscriminate use of antibiotics during the COVID-19 pandemic will heighten bacterial resistance and ultimately lead to more deaths. This review highlights AMR's scale and consequences, the importance, and implications of an antimicrobial stewardship program (ASP) to fight resistance and protect global health. Antimicrobial stewardship (AMS), an organizational or system-wide health-care strategy, is designed to promote, improve, monitor, and evaluate the rational use of antimicrobials to preserve their future effectiveness, along with the promotion and protection of public health. ASP has been very successful in promoting antimicrobials' appropriate use by implementing evidence-based interventions. The "One Health" approach, a holistic and multisectoral approach, is also needed to address AMR's rising threat. AMS practices, principles, and interventions are critical steps towards containing and mitigating AMR. Evidence-based policies must guide the "One Health" approach, vaccination protocols, health professionals' education, and the public's awareness about AMR.

Indexed as

antibioticsantimicrobial resistanceantimicrobial stewardship programglobal healthmultidrug-resistantOne Health

Identifiers

PMID33402841
PMCPMC7778387

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.