Evidence map›Paper›PMID 35723906›Full record

ArticleJMIR research protocols2022

Antimicrobial Use in Pediatric Oncology and Hematology: Protocol for a Multicenter Point-Prevalence Study With Qualitative Expert Panel Assessment.

Cihan Papan, Katharina Reifenrath, Katharina Last, Andishe Attarbaschi, Norbert Graf, Andreas H Groll, Johannes Huebner, Hans-Jürgen Laws, Thomas Lehrnbecher, Johannes Liese and 7 more

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

17 authors at 11 institutions in 2 countries.

Cihan Papan *Center for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany.ORCID https://orcid.org/0000-0001-7951-2567
Katharina Reifenrath *Pediatric Hematology and Oncology, University Children's Hospital, Saarland University, Homburg, Germany.ORCID https://orcid.org/0000-0003-2807-3386
Katharina LastCenter for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany.ORCID https://orcid.org/0000-0002-0538-1901
Andishe AttarbaschiDepartment of Pediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-9285-6898
Norbert GrafPediatric Hematology and Oncology, University Children's Hospital, Saarland University, Homburg, Germany.ORCID https://orcid.org/0000-0002-2248-323X
Andreas H GrollInfectious Disease Research Program, Department of Pediatric Hematology/Oncology and Center for Bone Marrow Transplantation, University Children's Hospital Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-1188-393X
Johannes HuebnerDivision of Pediatric Infectious Disease, Dr v Hauner Children's Hospital, University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-1232-4646
Hans-Jürgen LawsDepartment of Pediatric Oncology, Hematology and Clinical Immunology, University of Duesseldorf, Düsseldorf, Germany.
Thomas LehrnbecherDivision for Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0002-6022-3439
Johannes LiesePediatric Infectious Diseases and Immunology, University Children's Hospital, University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0002-5569-4914
Luise MartinDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-6936-1574
Tobias TenenbaumPediatric Infectious Diseases, Department of Pediatrics, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID https://orcid.org/0000-0002-7215-8398
Stefan WeichertPediatric Infectious Diseases, Department of Pediatrics, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID https://orcid.org/0000-0002-3653-1060
Simon ViethDepartment of Pediatrics, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.ORCID https://orcid.org/0000-0002-2765-1589
Ulrich von BothDivision of Pediatric Infectious Disease, Dr v Hauner Children's Hospital, University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-8411-1071
Markus HufnagelDivision of Pediatric Infectious Diseases and Rheumatology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-7420-9136
Arne SimonPediatric Hematology and Oncology, University Children's Hospital, Saarland University, Homburg, Germany.ORCID https://orcid.org/0000-0001-9558-3330
Saarland University · DEHeidelberg University · DEInstitute of Medical Microbiology and Hygiene · DELudwig-Maximilians-Universität München · DECharité - Universitätsmedizin Berlin · DEGoethe University Frankfurt · DEHeinrich Heine University Düsseldorf · DESt Anna Children's Hospital · ATUniversity Hospital Münster · DEUniversity of Freiburg · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause infections are a major driver of morbidity and mortality in children with hematologic or oncologic diseases, antimicrobials are frequently prescribed in pediatric oncology practice. However, excess or inappropriate use of antimicrobials is directly linked to the emergence of antimicrobial resistance. Although point-prevalence studies have examined the extent of antimicrobial use, a comprehensive qualitative evaluation of individual antimicrobial prescriptions remains lacking.

objectiveThe aim of this study is to identify appropriate versus inappropriate antimicrobial use among pediatric cancer patients in a point-prevalence study, followed by an expert panel adjudication process and a subsequent report of these findings to participating centers. This study also aims to improve the quality of patient care by informing centers about discrepancies between internal standards of care and national guidelines.

methodsOur point-prevalence study is performed at pediatric cancer centers in Germany and Austria. All patients under 18 years old who are hospitalized at the time of the study are included. As a supplement to the point-prevalence study, an expert panel is qualitatively assessing each of the antimicrobial prescriptions at the participating centers to review local guidelines and compare them with national guidelines.

resultsAs of December 2021, the point-prevalence survey has been conducted at 30 sites and expert panel adjudication for qualitative assessment of each antimicrobial use is ongoing. Results of the study are expected in 2022.

conclusionsThis is the first point-prevalence study conducted among pediatric cancer centers with an integrated, multistep, qualitative approach that assesses each antimicrobial prescription. The results of this study will inform possible interventions for internal guidelines and antimicrobial stewardship programs implemented at pediatric cancer centers. In addition, local guidelines will be compared with national guidelines. Furthermore, this study will contribute to the overall integration of antimicrobial stewardship principles and initiatives in pediatric oncology and hematology, thereby improving safety and quality of care for children and adolescents with cancer and blood disorders. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35774.

Indexed as

antimicrobial resistanceantimicrobial stewardshipcancerexpert paneloncologypediatric hematologypediatric oncologypediatricspoint-prevalence study

Identifiers

PMID35723906
PMCPMC9253971
OpenAlexW4283163284

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.