Evidence map›Paper›PMID 36415768›Full record

ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2022

Decreased Antibiotic Exposure for Suspected Early-Onset Sepsis in the Neonatal Intensive Care Unit Through Implementation of an Antimicrobial Time-out.

Michael R Muller, Anshu M Mahadeo, Julia P Mayne, Jenna M Mennella, Patrick A Mun, Richard Tucker, Joseph M Bliss

Open access · bronzeAbstract read
In one paragraph

Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

7 authors at 5 institutions in 1 country.

Michael R MullerDepartment of Pharmacy (MRM), Women & Infants Hospital of Rhode Island, Providence, RI.
Anshu M MahadeoPediatrix Medical Group of Kansas, P.A. (AMM), Kansas City, MO.
Julia P MayneDepartment of Pediatrics (JPM, RT, JMB), Women & Infants Hospital of Rhode Island, Providence, RI.
Jenna M MennellaIcahn School of Medicine at Mount Sinai (JMM), New York, NY.
Patrick A MunCollege of Pharmacy (MRM, PAM), University of Rhode Island, Kingston, RI.
Richard TuckerDepartment of Pediatrics (JPM, RT, JMB), Women & Infants Hospital of Rhode Island, Providence, RI.
Joseph M BlissDepartment of Pediatrics (JPM, RT, JMB), Women & Infants Hospital of Rhode Island, Providence, RI.
Providence College · USBrown University · USIcahn School of Medicine at Mount Sinai · USUniversity of Rhode Island · USWomen & Infants Hospital of Rhode Island · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobials are among the most frequently prescribed drugs in the neonatal intensive care unit (NICU), although most neonates exposed lack a bacterial infection. Overuse of antimicrobials carries risk to the patient and fosters the development of resistant organisms. Strategic and systematic processes hold promise to limit the unnecessary use of these drugs in this population. This study reports a quality improvement initiative in which 2 antimicrobial stewardship strategies were implemented in a large, regional NICU setting: an automatic stop order and an antimicrobial time-out. Antimicrobial use was compared before and after implementation. These 2 simple strategies were associated with a nearly 30% reduction in antibiotic use (31 days per 1000 patient days).

Indexed as

antimicrobial stewardshipinfantintensive care unitsneonatalnewbornquality improvementsepsis

Identifiers

PMID36415768
PMCPMC9674355
OpenAlexW4309219075

What OpenQuestion holds

Textmetadata
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.