Evidence map›Paper›PMID 37455809›Full record

ArticleExploratory research in clinical and social pharmacy2023

Characterization of consumption and costs of antimicrobials in intensive care units in a Brazilian tertiary hospital.

Tázia Lopes de Castro, Amanda Magalhães Vilas Boas Cambiais, Andrea Cassia Pereira Sforsin, Vanusa Barbosa Pinto, Maria Alice Pimentel Falcão

Open access · goldAbstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2023. 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
0.7field-weighted citation impact, top 26% 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, 4 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Tázia Lopes de CastroPharmacy Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Amanda Magalhães Vilas Boas CambiaisPharmacy Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Andrea Cassia Pereira SforsinPharmacy Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Vanusa Barbosa PintoPharmacy Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Maria Alice Pimentel FalcãoPharmacy Division, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The consumption of antimicrobials and the growing resistance of infectious agents to these drugs are not related only to health issues, but also to economic parameters. Objectives: The study objective was to evaluate the consumption of antimicrobials in General and Covid-19 Intensive Care Units (ICUs) and the impact on institutional costs in the largest institute of a tertiary public hospital. Methods: This is a quantitative and retrospective study, which analyzed consumption, through the Defined Daily Dose (DDD), and the annual direct cost of antimicrobials in Reais (R$) and Dollars (US$), from January to December 2021. Results: The total annual consumption (DDD/1000 patient-day) of antimicrobials in the ICUs was 14,368.85. β-Lactams had the highest total annual value, with a DDD/1000 patient-day of 7062.98, being meropenem the antimicrobial that reached the highest consumption (3107.20), followed by vancomycin (2322.6). Total consumption was higher in Covid-19 ICUs than in General ICUs, and the annual direct cost of antimicrobials in ICUs was US$560,680.79. Conclusions: The study showed high consumption of broad-spectrum antimicrobials, highlighting the importance of structuring programs to manage the use of antimicrobials, both to reduce antimicrobial consumption and hospital costs, consolidating rational use even in pandemic scenarios.

Indexed as

Anti-infective agentsCost analysisCritical care

Identifiers

PMID37455809
PMCPMC10338357
OpenAlexW4380366374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.