Evidence map›Paper›PMID 34189171›Full record

ArticleOpen forum infectious diseases2021

Successful Use of Telemedicine Infectious Diseases Consultation With an Antimicrobial Stewardship-Led

Jacqueline Meredith, Jennifer Onsrud, Lisa Davidson, Leigh Ann Medaris, Marc Kowalkowski, Kristin Fischer, Jennifer Priem, Michael Leonard, Lewis McCurdy

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Effect of a rapid bacteraemia response programme onJAC-antimicrobial resistance · 2025
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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

9 authors at 1 institution in 1 country.

Jacqueline MeredithAntimicrobial Support Network, Atrium Health, Charlotte, North Carolina, USA.ORCID https://orcid.org/0000-0002-2419-8301
Jennifer OnsrudAntimicrobial Support Network, Atrium Health, Charlotte, North Carolina, USA.
Lisa DavidsonDepartment of Internal Medicine, Division of Infectious Diseases, Atrium Health, Charlotte, North Carolina, USA.
Leigh Ann MedarisDepartment of Internal Medicine, Division of Infectious Diseases, Atrium Health, Charlotte, North Carolina, USA.
Marc KowalkowskiCenters for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA.
Kristin FischerAntimicrobial Support Network, Atrium Health, Charlotte, North Carolina, USA.
Jennifer PriemCenters for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA.
Michael LeonardDepartment of Internal Medicine, Division of Infectious Diseases, Atrium Health, Charlotte, North Carolina, USA.
Lewis McCurdyDepartment of Internal Medicine, Division of Infectious Diseases, Atrium Health, Charlotte, North Carolina, USA.
Atrium Medical Cente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine (TM) programs can be implemented to deliver specialty care through virtual platforms and overcome geographic/resource constraints. Few data exist to describe outcomes associated with TM-based infectious diseases (ID) management. The purpose of this study was to compare outcomes associated with TM and onsite standard-of-care (SOC) ID consultation after implementation of an antimicrobial stewardship (AMS)-led

methodsA retrospective cohort study was conducted on the effects of a SAB bundle comparing ID consult delivery (SOC or TM) at 10 US hospitals within Atrium Health in adult patients admitted from September 2016 through December 2017. The type of ID consult provided was based on the admitting hospital; no hospital had both modalities. Bundle components included the following: (1) ID consult, (2) appropriate antibiotics, (3) repeat blood cultures until clearance, (4) echocardiogram obtainment, and (5) appropriate antibiotic duration. The AMS facilitated bundle initiation and compliance. The primary outcome was bundle adherence between groups. Differences in clinical outcomes were also assessed.

resultsWe evaluated 738 patients with SAB (576 with SOC, 162 with TM ID). No differences were observed in overall bundle adherence (SOC 86% vs TM 89%,

conclusionsOur findings provide evidence to support effective use of TM ID consultation and AMS-led care bundles for SAB management in resource-limited settings.

Indexed as

antimicrobial stewardshipbacteremiainfectious diseasesStaphylococcus aureustelemedicine

Identifiers

PMID34189171
PMCPMC8231364
OpenAlexW3163419345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.