Evidence map›Paper›PMID 35249564›Full record

ArticleInfection control and hospital epidemiology2022

Antimicrobial use in Canadian acute-care hospitals: Findings from three national point-prevalence surveys between 2002 and 2017.

Jennifer J Liang, Wallis Rudnick, Robyn Mitchell, James Brooks, Kathryn Bush, John Conly, Jennifer Ellison, Charles Frenette, Lynn Johnston, Christian Lavallée and 14 more

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2019-2023.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  3. Canadian impact of CLSI aminoglycoside breakpoint changes for selected gram-negative bacteria.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  4. Article
  5. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2018-2022.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2024
    Article
  6. Antimicrobial Use among Adult Inpatients in Northern Canada, 2019-2021.The Canadian journal of hospital pharmacy · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. The Canadian Nosocomial Infection Surveillance Program: Keeping an eye on antimicrobial resistance in Canadian hospitals since 1995.Canada communicable disease report = Releve des maladies transmissibles au Canada · 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

24 authors.

Jennifer J LiangPublic Health Agency of Canada, Ottawa, Ontario, Canada.ORCID 0000-0003-2011-0541
Wallis RudnickPublic Health Agency of Canada, Ottawa, Ontario, Canada.ORCID 0000-0003-3457-4216
Robyn MitchellPublic Health Agency of Canada, Ottawa, Ontario, Canada.
James BrooksPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Kathryn BushAlberta Health Services, Calgary, Alberta, Canada.
John ConlyAlberta Health Services, Calgary, Alberta, Canada.
Jennifer EllisonAlberta Health Services, Calgary, Alberta, Canada.ORCID 0000-0001-6278-9519
Charles FrenetteMcGill University Health Centre, Montréal, Québec, Canada.
Lynn JohnstonQueen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Christian LavalléeHôpital Maisonneuve-Rosemont, Montréal, Québec, Canada.
Allison McGeerSinai Health Systems, Toronto, Ontario, Canada.ORCID 0000-0001-5647-6137
Dominik MertzDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-4337-1613
Linda PeludePublic Health Agency of Canada, Ottawa, Ontario, Canada.
Michelle ScienceHospital for Sick Children, Toronto, Ontario, Canada.
Andrew SimorSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Stephanie SmithUniversity of Alberta Hospital, Edmonton, Alberta, Canada.
Paula StaggWestern Memorial Regional Hospital, Corner Brook, Newfoundland, Canada.
Kathryn N SuhThe Ottawa Hospital, Ottawa, Ontario, Canada.
Nisha ThampiChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.ORCID 0000-0003-0208-6277
Daniel J G ThirionMcGill University Health Centre, Montréal, Québec, Canada.ORCID 0000-0002-2474-2186
Joseph VayalumkalAlberta Health Services, Calgary, Alberta, Canada.
Alice WongRoyal University Hospital, Saskatoon, Saskatchewan, Canada.ORCID 0000-0001-5760-0136
Geoffrey Taylor *University of Alberta Hospital, Edmonton, Alberta, Canada.
Canadian Nosocomial Infection Surveillance Program

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Canadian Nosocomial Infection Surveillance Program conducted point-prevalence surveys in acute-care hospitals in 2002, 2009, and 2017 to identify trends in antimicrobial use.

methodsEligible inpatients were identified from a 24-hour period in February of each survey year. Patients were eligible (1) if they were admitted for ≥48 hours or (2) if they had been admitted to the hospital within a month. Chart reviews were conducted. We calculated the prevalence of antimicrobial use as follows: patients receiving ≥1 antimicrobial during survey period per number of patients surveyed × 100%.

resultsIn each survey, 28-47 hospitals participated. In 2002, 2,460 (36.5%; 95% CI, 35.3%-37.6%) of 6,747 surveyed patients received ≥1 antimicrobial. In 2009, 3,566 (40.1%, 95% CI, 39.0%-41.1%) of 8,902 patients received ≥1 antimicrobial. In 2017, 3,936 (39.6%, 95% CI, 38.7%-40.6%) of 9,929 patients received ≥1 antimicrobial. Among patients who received ≥1 antimicrobial, penicillin use increased 36.8% between 2002 and 2017, and third-generation cephalosporin use increased from 13.9% to 18.1% (

conclusionsThe prevalence of antimicrobial use increased between 2002 and 2009 and then stabilized between 2009 and 2017. These data provide important information for antimicrobial stewardship programs.

Indexed as

Anti-Infective AgentsAntimicrobial StewardshipCross InfectionAnti-Bacterial AgentsCanadaHospitalsHumansPrevalenceSurveys and QuestionnairesAnti-Bacterial AgentsAnti-Infective Agentsantimicrobial usehealthcare-associated infectionshospital epidemiologypoint prevalence surveys

Identifiers

PMID35249564
PMCPMC9672830

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.