Evidence map›Paper›PMID 36544860›Full record

ReviewOpen forum infectious diseases2022

An Implementation Roadmap for Establishing Remote Infectious Disease Specialist Support for Consultation and Antibiotic Stewardship in Resource-Limited Settings.

Daniel J Livorsi, Rima Abdel-Massih, Christopher J Crnich, Elizabeth S Dodds-Ashley, Charlesnika T Evans, Cassie Cunningham Goedken, Kelly L Echevarria, Allison A Kelly, S Shaefer Spires, John J Veillette and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Evolution of technology and disparities in antimicrobial stewardship: a narrative review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Five steps to high quality antimicrobial stewardship research.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  10. Article
  11. 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

12 authors at 9 institutions in 1 country.

Daniel J LivorsiVA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
Rima Abdel-MassihDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Christopher J CrnichDivision of Infectious Diseases, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Elizabeth S Dodds-AshleyDuke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.
Charlesnika T EvansCenter of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Medical Center, Hines, Illinois, USA.
Cassie Cunningham GoedkenVA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
Kelly L EchevarriaDepartment of Veterans Affairs, Antimicrobial Stewardship Task Force, Washington, DC, USA.
Allison A KellyDepartment of Veterans Affairs, Antimicrobial Stewardship Task Force, Washington, DC, USA.
S Shaefer SpiresDuke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.
John J VeilletteIntermountain Healthcare TeleHealth Services, Murray, Utah, USA.
Todd J VentoIntermountain Healthcare TeleHealth Services, Murray, Utah, USA.
Robin L P JumpGeriatric Research Education and Clinical Center (GRECC) at the VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Duke University · USIowa City VA Health Care System · USEdward Hines, Jr. VA Hospital · USGeriatric Research Education and Clinical Center · USIntermountain Healthcare · USIntermountain Medical Center · USUniversity of Pittsburgh Medical Center · USVeterans Health Administration · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

HSRD VA IK6 HX003156
6 · The paper itself

Abstract

Infectious Disease (ID)-trained specialists, defined as ID pharmacists and ID physicians, improve hospital care by providing consultations to patients with complicated infections and by leading programs that monitor and improve antibiotic prescribing. However, many hospitals and nursing homes lack access to ID specialists. Telehealth is an effective tool to deliver ID specialist expertise to resource-limited settings. Telehealth services are most useful when they are adapted to meet the needs and resources of the local setting. In this step-by-step guide, we describe how a tailored telehealth program can be implemented to provide remote ID specialist support for direct patient consultation and to support local antibiotic stewardship activities. We outline 3 major phases of putting a telehealth program into effect: pre-implementation, implementation, and sustainment. To increase the likelihood of success, we recommend actively involving local leadership and other stakeholders in all aspects of developing, implementing, measuring, and refining programmatic activities.

Indexed as

antibiotic stewardshipinfectious disease consultationrural hospitalstelemedicine

Identifiers

PMID36544860
PMCPMC9757681
OpenAlexW4311897943

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.