Evidence map›Paper›PMID 34704795›Full record

ArticleMicrobiology spectrum2021

Influence of Antimicrobial Stewardship and Molecular Rapid Diagnostic Tests on Antimicrobial Prescribing for Extended-Spectrum Beta-Lactamase- and Carbapenemase-Producing Escherichia coli and Klebsiella pneumoniae in Bloodstream Infection.

Ashlan J Kunz Coyne, Anthony M Casapao, Carmen Isache, James Morales, Yvette S McCarter, Christopher A Jankowski

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Rapid commercial CTX-M diagnostics: Performance, limitations and clinical impact.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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  11. Review
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

6 authors at 2 institutions in 1 country.

Ashlan J Kunz CoyneDepartment of Pharmacy, UF Health Jacksonville, Jacksonville, Florida, USA.ORCID 0000-0002-4891-8625
Anthony M CasapaoDepartment of Pharmacotherapy and Translational Research, UF College of Pharmacy, Jacksonville, Florida, USA.ORCID 0000-0003-0501-3110
Carmen IsacheDepartment of Medicine, UF Health Jacksonville, Jacksonville, Florida, USA.
James MoralesDepartment of Pharmacy, UF Health Jacksonville, Jacksonville, Florida, USA.
Yvette S McCarterDepartment of Pathology and Laboratory Medicine, UF Health Jacksonville, Jacksonville, Florida, USA.
Christopher A JankowskiDepartment of Pharmacy, UF Health Jacksonville, Jacksonville, Florida, USA.ORCID 0000-0002-4948-4320
University of Florida Health · USFlorida College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to evaluate whether the addition of the Verigene BC-GN molecular rapid diagnostic test to standard antimicrobial stewardship practices (mRDT + ASP) decreased the time to optimal and effective antimicrobial therapy for patients with extended-spectrum beta-lactamase (ESBL)- and carbapenemase-producing Escherichia coli and Klebsiella pneumoniae bloodstream infections (BSI) compared to conventional microbiological methods with ASP (CONV + ASP). This was a multicenter, retrospective cohort study evaluating the time to optimal antimicrobial therapy in 5 years of patients with E. coli or K. pneumoniae BSI determined to be ESBL- or carbapenemase-producing by mRDT and/or CONV. Of the 378 patients included (mRDT + ASP,

Indexed as

AdultAgedAnti-Bacterial AgentsAntimicrobial StewardshipBacteremiaBacterial Proteinsbeta-LactamasesDiagnostic Tests, RoutineDrug PrescriptionsEscherichia coliEscherichia coli InfectionsFemaleHumansKlebsiella InfectionsKlebsiella pneumoniaeMaleAnti-Bacterial AgentsBacterial Proteinsbeta-Lactamasescarbapenemaseantimicrobial stewardship programcarbapenemase-producing Enterobacteralesextended-spectrum beta-lactamase-producing Enterobacteralesmolecular rapid diagnostic test

Identifiers

PMID34704795
PMCPMC8549744
OpenAlexW3209843631

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.