Evidence map›Paper›PMID 35366158›Full record

ArticleInfection2022

Evaluating current practice and knowledge about antibiotic stewardship principles in paediatric tertiary hospitals to identify target areas for future teaching activities.

Laura Kolberg, Judith Buschbeck, Annabelle Wagner, Susanne Jonat, Gerhard Wolf, Jochen Peters, Uta Behrends, Maximilian Steinhauser, Johannes Huebner, Ulrich von Both

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2022. 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
0.1field-weighted citation impact, top 53% 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, 2 citations in OpenAlex.

  1. Article
  2. Developing a curriculum on antimicrobial stewardship for pediatric residents: a needs assessment.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    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

10 authors at 6 institutions in 1 country.

Laura KolbergDepartment of Paediatric Infectious Diseases, Dr. von Hauner Children's Hospital, Ludwig-Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany. laura.kolberg@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-3311-8254
Judith BuschbeckDepartment of Paediatric Infectious Diseases, Dr. von Hauner Children's Hospital, Ludwig-Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany.
Annabelle WagnerDepartment of Paediatric Cardiology, Saarland University Medical Center, Homburg, Germany.
Susanne JonatDepartment of Paediatrics, Clinic Starnberg, Starnberg, Germany.
Gerhard WolfDepartment of Paediatrics, Children's Hospital Traunstein, Ludwig-Maximilians University, Munich, Germany.
Jochen PetersDepartment of Paediatrics, Dritter Orden Clinic, Munich, Germany.
Uta BehrendsDepartment of Paediatrics, School of Medicine, Schwabing Municipal Hospital, Technical University of Munich, Munich, Germany.
Maximilian SteinhauserDepartment of Paediatrics, School of Medicine, Schwabing Municipal Hospital, Technical University of Munich, Munich, Germany.
Johannes HuebnerDepartment of Paediatric Infectious Diseases, Dr. von Hauner Children's Hospital, Ludwig-Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany.
Ulrich von BothDepartment of Paediatric Infectious Diseases, Dr. von Hauner Children's Hospital, Ludwig-Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany.ORCID http://orcid.org/0000-0001-8411-1071
Ludwig-Maximilians-Universität München · DEGerman Center for Infection Research · DEMünchen Klinik Schwabing · DEMünchen Klinik · DESaarland University · DEStarnberg Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntibiotic exposure among hospitalized children is very high. With inappropriate antimicrobial use resulting in increased rates of antimicrobial resistance, the implementation of antibiotic stewardship programs is critically needed. This survey study aimed to identify current practice and knowledge about antibiotic stewardship and infection control among paediatricians in tertiary care paediatric hospitals in and around Munich, Germany.

methodsA prospective cross-sectional study based on an anonymous questionnaire, structured into different sub-sections regarding antibiotic use, antimicrobial resistance, antibiotic stewardship and infection control, was conducted between 1st of May and 30th of June 2016 in five paediatric hospitals.

resultsIn total, 111 paediatricians across all grades were eligible for participation. The overall proportion of correct answers for all sub-sections of the survey ranged from 54.1% correct answers in the antibiotic handling and bacterial resistance section to 72.9% correct answers in the hospital hygiene/infection control section. In general, knowledge across all categories was similar for junior doctors, middle-grade doctors or consultants. Advocating empiric use of narrow-spectrum instead of broad-spectrum antibiotics was considered to be the most difficult measure to implement in daily practice (36.9%). De-escalation from broad-spectrum empirical therapy to targeted treatment was considered the easiest measure to achieve (43.2%).

conclusionOur results demonstrate that principles of antimicrobial stewardship and aspects of hospital hygiene/infection control are not satisfactorily known among hospital-based paediatricians in and around Munich. We identified four important target areas for future educational interventions that should play a more prominent role in both pre- and postgraduate medical training.

Indexed as

Anti-Infective AgentsAntimicrobial StewardshipAnti-Bacterial AgentsChildCross-Sectional StudiesHospitals, PediatricHumansProspective StudiesTertiary Care CentersAnti-Bacterial AgentsAnti-Infective AgentsAntibiotic stewardshipASPEducationGermanyPaediatricsTraining

Identifiers

PMID35366158
PMCPMC9522681
OpenAlexW4225650060

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.