Evidence map›Paper›PMID 36918166›Full record

ArticleApplied clinical informatics2023

Digital Antimicrobial Stewardship Decision Support to Improve Antimicrobial Management.

Julia K W Yarahuan, Kelly Flett, Mari M Nakamura, Sarah B Jones, Andrew Fine, R Brandon Hunter

Abstract read
In one paragraph

Article in Applied clinical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. How mNGS transforms care for non-verbal elderly stroke patients with pneumonia.Frontiers in cellular and infection microbiology · 2026
    Article
  2. Article
  3. Review
  4. 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

6 authors.

Julia K W YarahuanDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, United States.
Kelly FlettNovant Health Eastover Pediatrics, Charlotte, North Carolina, United States.
Mari M NakamuraAntimicrobial Stewardship Program, Boston Children's Hospital, Boston, Massachusetts, United States.
Sarah B JonesAntimicrobial Stewardship Program, Boston Children's Hospital, Boston, Massachusetts, United States.
Andrew FineDepartment of Pediatrics, Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, United States.
R Brandon HunterDepartment of Pediatrics, Division of Critical Care Medicine, Texas Children's Hospital, Houston, Texas, United States.

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

objectivesWe sought to create a digital application to support clinicians in empiric and pathogen-directed antibiotic ordering based on local susceptibility patterns and evidence-based treatment durations, thereby promoting antimicrobial stewardship.

methodsWe formed a multidisciplinary team that met bimonthly from 2017 to 2018 to design and construct a web-based antimicrobial stewardship platform called Antibiogram + . We used an iterative and agile technical development process with frequent feedback from clinicians.

resultsAntibiogram+ is an online tool, accessible via the electronic health record and hospital intranet, which offers institutional antibiotic susceptibilities for major pathogens, recommendations for empiric antibiotic selection and treatment durations for common pediatric conditions, antimicrobial dosing and monitoring guidance, and links to other internal clinical decision support resources. The tool was accessed 11,823 times with 492 average monthly views during the first 2 years after release. Compared with use of a preexisting print antibiogram and dosing card, pediatric residents more frequently reported "often" being sure of antibiotic dosing with Antibiogram+ (58 vs. 15%,

conclusionWe report the successful development of a digital antimicrobial stewardship platform with consistent rates of access during the first 2 years following release and improved provider comfort with antibiotic management.

Indexed as

Antimicrobial StewardshipDecision Support Systems, ClinicalAnti-Bacterial AgentsChildElectronic Health RecordsHospitalsHumansAnti-Bacterial Agents

Identifiers

PMID36918166
PMCPMC10232213

What OpenQuestion holds

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Registered trials

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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.