Evidence map›Paper›PMID 36168449›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2021

Reductions in inpatient fluoroquinolone use and postdischarge

K Ashley Jones, Udodirim N Onwubiko, Julianne Kubes, Benjamin Albrecht, Kristen Paciullo, Jessica Howard-Anderson, Sujit Suchindran, Ronald Trible, Jesse T Jacob, Sarah H Yi and 4 more

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2021. 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
0.1field-weighted citation impact, top 50% 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. Article
  2. Article
  3. Fluoroquinolone stewardship at a community health system: A decade in review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 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

14 authors at 4 institutions in 1 country.

K Ashley Jones *Department of Pharmacy, Emory Healthcare, Atlanta, Georgia.ORCID https://orcid.org/0000-0003-1720-3798
Udodirim N Onwubiko *Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Julianne KubesOffice of Quality, Emory Healthcare, Atlanta, Georgia.
Benjamin AlbrechtDepartment of Pharmacy, Emory Healthcare, Atlanta, Georgia.
Kristen PaciulloDepartment of Pharmacy, Emory Healthcare, Atlanta, Georgia.
Jessica Howard-AndersonDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Sujit SuchindranDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Ronald TribleDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Jesse T JacobDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Sarah H YiDivision of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Dana GoodenoughGeorgia Emerging Infections Program, Atlanta, Georgia.
Scott K FridkinDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Mary Elizabeth Sexton *Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Zanthia Wiley *Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Emory University · USEmory Healthcare · USCenters for Disease Control and Prevention · USVeterans Health Administration · US

Funding

Antibacterial Resistance Leadership Group (ARLG)UM1AI104681 · NIAID · DUKE UNIVERSITY · PI Vance G. Fowler, Henry F HENRY CHAMBERS · 2013 to 2026
$180.8M
NIAID NIH HHS UM1 AI104681
6 · The paper itself

Abstract

Objective: To determine the impact of an inpatient stewardship intervention targeting fluoroquinolone use on inpatient and postdischarge Design: We used an interrupted time series study design to evaluate the rate of hospital-onset CDI (HO-CDI), postdischarge CDI (PD-CDI) within 12 weeks, and inpatient fluoroquinolone use from 2 years prior to 1 year after a stewardship intervention. Setting: An academic healthcare system with 4 hospitals. Patients: All inpatients hospitalized between January 2017 and September 2020, excluding those discharged from locations caring for oncology, bone marrow transplant, or solid-organ transplant patients. Intervention: Introduction of electronic order sets designed to reduce inpatient fluoroquinolone prescribing. Results: Among 163,117 admissions, there were 683 cases of HO-CDI and 1,104 cases of PD-CDI. In the context of a 2% month-to-month decline starting in the preintervention period ( Conclusions: Our systemwide intervention reduced inpatient fluoroquinolone use immediately, but not HO-CDI. However, a downward trend in PD-CDI occurred. Relying on outcome measures limited to the inpatient setting may not reflect the full impact of inpatient stewardship efforts.

Indexed as

clinical decision supportfluoroquinolone antimicrobial stewardshiphospital-onset C. difficile infectionpost-discharge C. difficile infection

Identifiers

PMID36168449
PMCPMC9495417
OpenAlexW3209650281

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.