Evidence map›Paper›PMID 36765323›Full record

SynthesisBMC public health2023

Antimicrobial stewardship implementation before and during the COVID-19 pandemic in the acute care settings: a systematic review.

Rasha Abdelsalam Elshenawy, Nkiruka Umaru, Amal Bandar Alharbi, Zoe Aslanpour

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
9.1field-weighted citation impact, top 1% 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

15 citing papers in PubMed, 48 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Rasha Abdelsalam ElshenawyDepartment of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire School of Life and Medical Sciences, Hatfield, AL10 9AB, UK. R.a.elshenawy@herts.ac.uk.
Nkiruka UmaruDepartment of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire School of Life and Medical Sciences, Hatfield, AL10 9AB, UK.
Amal Bandar AlharbiDepartment of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire School of Life and Medical Sciences, Hatfield, AL10 9AB, UK.
Zoe AslanpourDepartment of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire School of Life and Medical Sciences, Hatfield, AL10 9AB, UK.
University of Hertfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntibiotics are widely administered for various indications, leading to increased antimicrobial resistance (AMR) in acute care hospitals. Since the onset of the COVID-19 pandemic, Antimicrobial Stewardship (AMS) effective strategies should be used to maintain the rational use of antibiotics and decrease the threat of Antimicrobial Resistance (AMR).

aimThis systematic literature review aims to investigate the AMS intervention Before-the-pandemic (BP) and During-the-pandemic (DP) from the literature. DESIGN AND

settingSystematic literature review of primary studies on AMS implementation in acute care settings.

methodsRelevant studies published between 2000 and March 2021 were obtained from Medline (via PubMed), OVID, CINAHL, International Pharmaceutical Abstracts, Psych Info, Scopus, Web of Science, Cochrane Library, OpenGrey, and Google Scholar, using a comprehensive list of search terms. Public Health England (PHE) toolkit was agreed upon as a gold standard for the AMS implementation.

resultsThere were 8763 articles retrieved from the databases. Out of these, 13 full-text articles met the inclusion criteria for the review. The AMS implementation was identified in the included studies into AMS strategies (Core strategies & Supplemental strategies), and AMS measures BP and DP.

conclusionThis Systematic literature review summarises AMS implementation strategies and measures all over the previous 20 years of research. There are many lessons learnt from COVID-19 pandemic. The proper selection of the AMS implementation strategies and measures appeared to be effective in maintaining the appropriate use of antibiotics and decreasing the AMR threat, especially during the COVID-19 pandemic. Further studies are required to provide empirical data to evaluate the AMS implementation and identify which of these strategies and measures were effective BP and DP. In order to be prepared for any emergency/crisis or future pandemics.

Indexed as

Antimicrobial StewardshipCOVID-19Anti-Bacterial AgentsCritical CareHumansPandemicsAnti-Bacterial AgentsAcute care settingsAntimicrobial resistanceAntimicrobial stewardship measuresAntimicrobial stewardship strategiesCoronavirusCOVID-19 pandemic

Identifiers

PMID36765323
PMCPMC9918338
OpenAlexW4319880915

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.