Evidence map›Paper›PMID 33593836›Full record

ArticleAntimicrobial agents and chemotherapy2023

Consecutive antibiotic shortages highlight discrepancies between microbiology and prescribing practices for intra-abdominal infections.

Stacy C Park, Grace R Gillis-Crouch, Heather L Cox, Lindsay Donohue, Rena Morse, Kasi Vegesana, Amy J Mathers

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Managing antibiotic shortages: lessons from EAHP and ECDC surveys.European journal of hospital pharmacy : science and practice · 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

7 authors at 1 institution in 1 country.

Stacy C ParkDivision of Infectious Diseases and International Health. Department of Medicine, University of Virginia Health System. Charlottesville, Virginia, USA. sc5ma@hscmail.mcc.virginia.edu.ORCID https://orcid.org/0000-0002-1282-1389
Grace R Gillis-CrouchDivision of Infectious Diseases and International Health. Department of Medicine, University of Virginia Health System. Charlottesville, Virginia, USA.
Heather L CoxDepartment of Pharmacy Services, University of Virginia Health System. Charlottesville, Virginia, USA.
Lindsay DonohueDepartment of Pharmacy Services, University of Virginia Health System. Charlottesville, Virginia, USA.
Rena MorseHealth Information & Technology, University of Virginia Health System. Charlottesville, Virginia, USA.
Kasi VegesanaHealth Information & Technology, University of Virginia Health System. Charlottesville, Virginia, USA.
Amy J MathersDivision of Infectious Diseases and International Health. Department of Medicine, University of Virginia Health System. Charlottesville, Virginia, USA. ajm5b@virginia.edu.
University of Virginia Health System · US

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
NIAID NIH HHS T32 AI007046
6 · The paper itself

Abstract

Piperacillin-tazobactam (TZP) is frequently used for intra-abdominal infection (IAI). Our institution experienced consecutive shortages of TZP and cefepime, providing an opportunity to review prescribing patterns and microbiology for IAI. Hospitalized adult patients treated for IAI, based on provider selection of IAI as the indication within the antibiotic order, between March 2014 and February 2018 were identified from the University of Virginia Clinical Data Repository and Infection Prevention and Control Database. Antimicrobial utilization, microbiologic data, and clinical outcomes were compared across four year-long periods: pre-shortage, TZP shortage, cefepime shortage, and post-shortage. There were 7,668 episodes of antimicrobial prescribing for an indication of IAI during the study period. Cefepime use for IAI increased 190% during the TZP shortage; meanwhile ceftriaxone use increased by only 57%. There was no increase in in-house mortality, colonization with resistant organisms, or

Identifiers

PMID33593836
PMCPMC8092895
OpenAlexW3132904027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.