Evidence map›Paper›PMID 36139925›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Clinical Impact of a Pharmacist-Driven Prospective Audit with Intervention and Feedback on the Treatment of Patients with Bloodstream Infection.

Naoto Okada, Momoyo Azuma, Kaito Tsujinaka, Akane Abe, Mari Takahashi, Yumiko Yano, Masami Sato, Takahiro Shibata, Mitsuhiro Goda, Keisuke Ishizawa

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Pharmacist-driven antimicrobial stewardship: evolving roles in clinical practice.Journal of pharmaceutical health care and sciences · 2026
    Review
  2. Practical and clinical significance of the pharmacist-led antimicrobial stewardship.Journal of pharmaceutical health care and sciences · 2026
    Review
  3. Article
  4. Review
  5. 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 1 institution in 1 country.

Naoto OkadaDepartment of Pharmacy, Tokushima University Hospital, Tokushima 770-8503, Japan.ORCID 0000-0003-2476-9191
Momoyo AzumaDepartment of Infection Control and Prevention, Tokushima University Hospital, Tokushima 770-8503, Japan.
Kaito TsujinakaDepartment of Pharmacy, Tokushima University Hospital, Tokushima 770-8503, Japan.
Akane AbeDepartment of Infection Control and Prevention, Tokushima University Hospital, Tokushima 770-8503, Japan.
Mari TakahashiDepartment of Infection Control and Prevention, Tokushima University Hospital, Tokushima 770-8503, Japan.
Yumiko YanoDepartment of Infection Control and Prevention, Tokushima University Hospital, Tokushima 770-8503, Japan.
Masami SatoDepartment of Infection Control and Prevention, Tokushima University Hospital, Tokushima 770-8503, Japan.
Takahiro ShibataDepartment of Pharmacy, Tokushima University Hospital, Tokushima 770-8503, Japan.
Mitsuhiro GodaDepartment of Pharmacy, Tokushima University Hospital, Tokushima 770-8503, Japan.
Keisuke IshizawaDepartment of Pharmacy, Tokushima University Hospital, Tokushima 770-8503, Japan.
Tokushima University Hospital · JP

Funding

Japan Society for the Promotion of Science 22H04397Japan Society for the Promotion of Science 22K06724
6 · The paper itself

Abstract

Evidence for the utility of pharmacist-driven antimicrobial stewardship programs remains limited. This study aimed to evaluate the usefulness of our institutional pharmacist-driven prospective audit with intervention and feedback (PAF) on the treatment of patients with bloodstream infections (BSIs). The effect of pharmacist-driven PAF was estimated using an interrupted time series analysis with a quasi-experimental design. The proportion of de-escalation during BSI treatment increased by 44% after the implementation of pharmacist-driven PAF (95% CI: 30−58, p < 0.01). The number of days of therapy decreased by 16 per 100 patient days for carbapenem (95% CI: −28 to −3.5, p = 0.012) and by 15 per 100 patient days for tazobactam/piperacillin (95% CI: −26 to −4.9, p < 0.01). Moreover, the proportion of inappropriate treatment in empirical and definitive therapy was significantly reduced after the implementation of pharmacist-driven PAF. Although 30-day mortality did not change, compliance with evidenced-based bundles in the BSI of Staphylococcus aureus significantly increased (p < 0.01). In conclusion, our pharmacist-driven PAF increased the proportion of de-escalation and decreased the use of broad-spectrum antibiotics, as well as the proportion of inappropriate treatment in patients with BSI. This indicates that pharmacist-driven PAF is useful in improving the quality of antimicrobial treatment and reducing broad-spectrum antimicrobial use in the management of patients with BSI.

Indexed as

antimicrobial stewardshipbloodstream infectionpharmacistprospective audit with intervention and feedback

Identifiers

PMID36139925
PMCPMC9495130
OpenAlexW4293215028

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.