Evidence map›Paper›PMID 35501756›Full record

Observational studyBMC infectious diseases2022

Impact of antimicrobial stewardship programs on antibiotic consumption and antimicrobial resistance in four Colombian healthcare institutions.

Christian Pallares, Cristhian Hernández-Gómez, Tobías Manuel Appel, Kevin Escandón, Sergio Reyes, Soraya Salcedo, Lorena Matta, Ernesto Martínez, Sara Cobo, Laura Mora and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Methicillin-ResistantMicroorganisms · 2026
    Review
  5. Article
  6. Review
  7. Risk factors, and outcomes of patients with carbapenem-resistantFrontiers in cellular and infection microbiology · 2025
    Article
  8. Article
  9. Factors behind Antibiotic Therapy: A Survey of Primary Care Pediatricians in Lombardy.International journal of environmental research and public health · 2024
    Article
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

15 authors at 6 institutions in 3 countries.

Christian PallaresGrupo de Investigaciones en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad el Bosque, Bogotá, Colombia. icako@hotmail.com.
Cristhian Hernández-GómezGrupo de Investigaciones en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad el Bosque, Bogotá, Colombia.
Tobías Manuel AppelGrupo de Investigaciones en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad el Bosque, Bogotá, Colombia.ORCID http://orcid.org/0000-0001-6413-5623
Kevin EscandónCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM), Cali, Colombia.ORCID http://orcid.org/0000-0002-7173-7486
Sergio ReyesCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM), Cali, Colombia.
Soraya SalcedoClínica General del Norte, Barranquilla, Colombia.
Lorena MattaCorporación Clínica Universitaria Comfenalco, Cali, Colombia.
Ernesto MartínezUniversidad del Valle, Cali, Colombia.
Sara CoboDIME Clínica Neurocardiovascular, Cali, Colombia.
Laura MoraClínica General del Norte, Barranquilla, Colombia.
Adriana MarínClínica General del Norte, Barranquilla, Colombia.
Adriana CorreaCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM), Cali, Colombia.
Elsa De La CadenaGrupo de Investigaciones en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad el Bosque, Bogotá, Colombia.
Jesús Rodríguez-BañoUnidad Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva, Hospital Universitario Virgen Macarena, Seville, Spain.
María Virginia VillegasGrupo de Investigaciones en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad el Bosque, Bogotá, Colombia.ORCID http://orcid.org/0000-0003-1898-9067
Universidad El Bosque · COCentro Internacional de Entrenamiento e Investigaciones Medicas · COUniversidad del Norte · COFundación Universitaria Tecnológico Comfenalco Cartagena · COHospital Universitario Virgen Macarena · ESUniversidad del Valle · CO

Funding

Merck Sharp & Dohme Colombia 2015
6 · The paper itself

Abstract

backgroundAntimicrobial stewardship programs (ASPs) have become a fundamental pillar in optimizing antimicrobial usage, improving patient care, and reducing antimicrobial resistance (AMR). Herein we evaluated the impact of an ASP on antimicrobial consumption and AMR in Colombia.

methodsWe designed a retrospective observational study and measured trends in antibiotic consumption and AMR before and after the implementation of an ASP using interrupted time series analysis over a 4-year period (24 months before and 24 months after ASP implementation).

resultsASPs were implemented according to the available resources in each of the institutions. Before ASP implementation, there was a trend toward an increase in the antibiotic consumption of all measured antimicrobials selected. Afterward, an overall decrease in antibiotic consumption was observed. The use of ertapenem and meropenem decreased in hospital wards, while a decrease in the use of ceftriaxone, cefepime, piperacillin/tazobactam, meropenem, and vancomycin was observed in intensive care units. After ASP implementation, the trend toward an increase of oxacillin-resistant Staphylococcus aureus, ceftriaxone-resistant Escherichia coli, and meropenem-resistant Pseudomonas aeruginosa was reversed.

conclusionsIn our study, we showed that ASPs are a key strategy in tackling the emerging threat of AMR and have a positive impact on antibiotic consumption and resistance.

Indexed as

Anti-Infective AgentsAntimicrobial StewardshipMethicillin-Resistant Staphylococcus aureusAnti-Bacterial AgentsCeftriaxoneColombiaDelivery of Health CareDrug Resistance, BacterialHumansMeropenemAnti-Bacterial AgentsAnti-Infective AgentsCeftriaxoneMeropenemAntibiotic resistanceAntimicrobial resistanceAntimicrobial stewardshipAntimicrobial stewardship programColombiaHospital epidemiology

Identifiers

PMID35501756
PMCPMC9059380
OpenAlexW4225275168

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.