Evidence map›Paper›PMID 33441843›Full record

ArticleScientific reports2021

Assessment of implementation of antibiotic stewardship program in surgical prophylaxis at a secondary care hospital in Ras Al Khaimah, United Arab Emirates.

Hessa Saleh Alshehhi, Areeg Anwer Ali, Duaa Salem Jawhar, Essam Mahran Aly, Srinivas Swamy, Manal Abdel Fattah, Khawla Abdullah Drweesh, Azzan Alsaadi

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Hessa Saleh AlshehhiDepartment of Clinical Pharmacy and Pharmacology, Rak College of Pharmaceutical Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
Areeg Anwer AliDepartment of Clinical Pharmacy and Pharmacology, Rak College of Pharmaceutical Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates. areeganwer@rakmhsu.ac.ae.
Duaa Salem JawharPharmacy Department, Saqr Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.
Essam Mahran AlyAnesthesia Department, Saqr Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.
Srinivas SwamySurgical Department, Saqr Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.
Manal Abdel FattahPure Health Company, Dubai, United Arab Emirates.
Khawla Abdullah DrweeshPediatric Department, Saqr Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.
Azzan AlsaadiSurgical Department, Saqr Hospital, Ministry of Health and Prevention, Ras Al Khaimah, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic overuse is a major factor for causing antibiotic resistance globally. However, only few studies reported the implementation and evaluation of antimicrobial stewardship programs in Gulf Cooperation Council. This study was conducted within 8-months periods to evaluate the effect of the newly implemented antibiotic stewardship program on improving the prescribing practice of surgical antibiotic prophylaxis in a secondary care hospital in the United Arab Emirates by releasing local hospital guidelines. The data of 493 in patients were documented in the predesigned patient profile form and the prescribing practice of surgical antibiotic prophylaxis for clean and clean-contaminant surgical procedures was compared and analyzed two months' prior (period A) and post (period B) the implementation of antibiotic stewardship program. The 347 patient's data (PD) were analyzed during period A and 146 PD during period B. The prescription of piperacillin/tazobactam was decreased from 2.4% from all surgical prophylaxis antibiotic orders in period A to 0% in period B. The appropriateness of the antibiotic therapy was found to differ non significantly for the selection of prophylactic antibiotic (p = 0.552) and for the timing of first dose administration (p = 0.061) between A and B periods. The total compliance was decreased non significantly (P = 0.08) from 45.3 to 40.2%. Overall, the guidelines have improved the prescribing practice of antibiotics prior to surgery. However, further improvement can be achieved by initiating educational intervention via cyclic auditing strategy.

Indexed as

Antibiotic ProphylaxisAdultAnti-Bacterial AgentsAntimicrobial StewardshipFemaleHumansMaleProgram DevelopmentProgram EvaluationSecondary Care CentersSurgical Procedures, OperativeSurgical Wound InfectionUnited Arab EmiratesAnti-Bacterial Agents

Identifiers

PMID33441843
PMCPMC7806636

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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.