Evidence map›Paper›PMID 37008823›Full record

ArticleJAC-antimicrobial resistance2023

Expert consensus on monitoring antimicrobial stewardship in French nursing homes using assessed reimbursement database indicators.

Antoine Asquier-Khati, Colin Deschanvres, Anicet Chaslerie, Ouarda Pereira, David Boutoille, Gabriel Birgand

Open access · goldAbstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
  2. Pooled it
  3. Article
  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 at 3 institutions in 2 countries.

Antoine Asquier-KhatiInfectious Disease Department, Hotel-Dieu University Hospital, 1 Pl. Alexis Ricordeau, 44093, Nantes, France.ORCID https://orcid.org/0000-0001-7745-2302
Colin DeschanvresInfectious Disease Department, Hotel-Dieu University Hospital, 1 Pl. Alexis Ricordeau, 44093, Nantes, France.ORCID https://orcid.org/0000-0002-1133-5207
Anicet ChaslerieMedical Department, Regional Health Insurance Grand Est, Strasbourg, France.
Ouarda PereiraMedical Department, Regional Health Insurance Pays de la Loire, Nantes, France.
David BoutoilleInfectious Disease Department, Hotel-Dieu University Hospital, 1 Pl. Alexis Ricordeau, 44093, Nantes, France.ORCID https://orcid.org/0000-0001-9722-2029
Gabriel BirgandRegional Center for Infection Prevention and Control Pays de la Loire, Hotel-Dieu University Hospital, Nantes, France.
Centre Pays de la Loire · FRNational Institute for Health Research · GBObservatoire Régional de la Santé d’Alsace · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Monitoring the appropriateness of antibiotic prescriptions with indicators based on reimbursement data is required to guide antibiotic stewardship (AMS) interventions in nursing homes (NHs). Quantity metrics (QMs) monitor the volume of prescriptions while proxy indicators (PIs) reflect the appropriateness of antibiotic use. Our objectives were: (i) to provide a relevant consensual set of indicators to be used in French NHs; and (ii) to assess the feasibility of their implementation at the national and local scale. Methods: Nine French professional organizations implicated in AMS in NHs were asked to nominate at least one member to create a national expert panel of 20 physicians. Twenty-one recently published QMs and 11 PIs were assessed by the expert panel. Indicators were evaluated using a RAND-modified Delphi procedure comprising two online surveys and a videoconference meeting. Indicators were kept in the final list if >70% of stakeholders validated their relevance for estimating the volume (QMs) and appropriateness (PIs) of prescriptions. Results: Of the 21 QM indicators submitted to the panel, 14 were selected, describing the consumption of antibiotics overall ( Conclusions: This consensual list of indicators, covering a wide range of frequent clinical situations, may be used as part of the French national AMS strategy for monitoring antibiotic prescriptions in NHs at the national and local levels. Regional AMS networks might manage this selected list to guide personalized action plans with concrete objectives of reducing the quantity and improving the quality of antibiotic prescriptions.

Identifiers

PMID37008823
PMCPMC10064325
OpenAlexW4362068857

What OpenQuestion holds

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LicenceCC BY
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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.