Evidence map›Paper›PMID 33484783›Full record

ArticleThe Journal of hospital infection2021

Evaluation of procalcitonin as a contribution to antimicrobial stewardship in SARS-CoV-2 infection: a retrospective cohort study.

E J Williams, L Mair, T I de Silva, D J Green, P House, K Cawthron, C Gillies, J Wigfull, H Parsons, D G Partridge

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of hospital infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Bacterial coinfection in the critically-ill COVID-19 patient: incidence, impact and need for antimicrobial therapy].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Article
  12. Article
  13. Utility of Procalcitonin in Clinical Practice.Journal of Brown hospital medicine · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Optimal use of procalcitonin to rule out bacteremia in patients with possible viral infections.Journal of the American College of Emergency Physicians open · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

E J WilliamsDepartment of Microbiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; South Yorkshire Regional Department of Infection and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. Electronic address: emma.williams43@nhs.net.
L MairSouth Yorkshire Regional Department of Infection and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
T I de SilvaSouth Yorkshire Regional Department of Infection and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Department of Infection, Immunity and Cardiovascular Disease, Medical School, University of Sheffield, Sheffield, UK; Florey Institute for Host-Pathogen Interaction, University of Sheffield, Sheffield, UK.
D J GreenSection of Public Health, School of Health and Related Research, University of Sheffield, Sheffield, UK.
P HouseDepartment of Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
K CawthronDepartment of Microbiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
C GilliesDepartment of Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
J WigfullDepartment of Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
H ParsonsDepartment of Microbiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
D G PartridgeDepartment of Microbiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Florey Institute for Host-Pathogen Interaction, University of Sheffield, Sheffield, UK.
Sheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It can be a diagnostic challenge to identify patients with coronavirus disease 2019 in whom antibiotics can be safely withheld. This study evaluated the effectiveness of a guideline implemented at Sheffield Teaching Hospitals NHS Foundation Trust that recommends withholding antibiotics in patients with low serum procalcitonin (PCT), defined as ≤0.25 ng/mL. Results showed reduced antibiotic consumption in patients with PCT ≤0.25 ng/mL with no increase in mortality, alongside a reduction in subsequent carbapenem prescriptions during admission. The results support the effectiveness of this guideline, and further research is recommended to identify the optimal cut-off value for PCT in this setting.

Indexed as

COVID-19 Drug TreatmentAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAntimicrobial StewardshipAntiviral AgentsBacterial InfectionsBiomarkersCohort StudiesCoinfectionFemaleHumansMaleMiddle AgedAnti-Bacterial AgentsAntiviral AgentsBiomarkersProcalcitoninAntimicrobial stewardshipBacterial co-infectionCOVID-19ProcalcitoninSARS-CoV-2Superadded infection

Identifiers

PMID33484783
PMCPMC7817391
OpenAlexW3125249267

What OpenQuestion holds

Textmetadata
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.