Evidence map›Paper›PMID 35168711›Full record

ReviewInfectious disease clinics of North America2022

Diagnostic Stewardship in the Pediatric Intensive Care Unit.

Anna C Sick-Samuels, Charlotte Woods-Hill

Open access · greenAbstract readReview
In one paragraph

Review in Infectious disease clinics of North America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. 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

2 authors at 2 institutions in 1 country.

Anna C Sick-SamuelsDivision of Infectious Diseases, Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: asick1@jhmi.edu.
Charlotte Woods-HillDivision of Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
Johns Hopkins Hospital · USUniversity of Pennsylvania · US

Funding

Institutional Career Development CoreKL2TR003099 · NCATS · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2019 to 2023
$7.9M
Leveraging implementation and behavioral science to reduce harmful overuse of diagnostic testing in critically ill childrenK23HL151381 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI WOODS-HILL, CHARLOTTE Z · 2021 to 2025
$890k
NCATS NIH HHS KL2 TR003099NHLBI NIH HHS K23 HL151381
6 · The paper itself

Abstract

In the pediatric intensive care unit (PICU), clinicians encounter complex decision making, balancing the need to treat infections promptly against the potential harms of antibiotics. Diagnostic stewardship is an approach to optimize microbiology diagnostic test practices to reduce unnecessary antibiotic treatment. We review the evidence for diagnostic stewardship of blood, endotracheal, and urine cultures in the PICU. Clinicians should consider 3 questions applying diagnostic stewardship: (1) Does the patient have signs or symptoms of an infectious process? (2) What is the optimal diagnostic test available to evaluate for this infection? (3) How should the diagnostic specimen be collected to optimize results?

Indexed as

Anti-Bacterial AgentsIntensive Care Units, PediatricChildHumansAnti-Bacterial AgentsDiagnostic stewardshipPediatric intensive careSepsisUrinary tract infectionVentilator-associated infection

Identifiers

PMID35168711
PMCPMC8865365
OpenAlexW4211238607

What OpenQuestion holds

Textmetadata
LicenceTDM
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.