Evidence map›Paper›PMID 37970680›Full record

ArticleThe Journal of antimicrobial chemotherapy2024

UK clinicians' attitudes towards the application of molecular diagnostics to guide antibiotic use in ICU patients with pneumonias: a quantitative study.

Sarah-Jane F Stewart, Alyssa M Pandolfo, Zoe Moon, Yogini Jani, Stephen J Brett, David Brealey, Suveer Singh, Virve I Enne, David M Livermore, Vanya Gant and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Challenges and opportunities in the management of severe pneumonia. Key concepts from the Seventh Annual Meeting of Spanish Experts 2025.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  3. Article
  4. Article
  5. Review
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

11 authors at 5 institutions in 1 country.

Sarah-Jane F StewartCentre for Behavioural Medicine, University College London, London, UK.ORCID 0000-0003-2396-9028
Alyssa M PandolfoCentre for Behavioural Medicine, University College London, London, UK.
Zoe MoonCentre for Behavioural Medicine, University College London, London, UK.
Yogini JaniCentre for Behavioural Medicine, University College London, London, UK.
Stephen J BrettDepartment of Surgery and Cancer, Imperial College London, London, UK.
David BrealeyDivision of Critical Care, University College London Hospitals NHS Foundation Trust, London, UK.
Suveer SinghDepartment of Respiratory and Critical Care Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID 0000-0003-3219-8966
Virve I EnneDivision of Infection and Immunity, University College London, London, UK.
David M LivermoreNorwich Medical School, University of East Anglia, Norwich, Norfolk, UK.
Vanya GantDepartment of Medical Microbiology, University College London Hospitals NHS Foundation Trust, London, UK.
Robert HorneCentre for Behavioural Medicine, University College London, London, UK.ORCID 0000-0002-3068-8438
University College London · GBUniversity College London Hospitals NHS Foundation Trust · GBChelsea and Westminster Hospital NHS Foundation Trust · GBImperial College London · GBUniversity of East Anglia · GB

Funding

National Institute for Health Research RP-PG-0514-493 20018
6 · The paper itself

Abstract

backgroundMolecular diagnostic tests may improve antibiotic prescribing by enabling earlier tailoring of antimicrobial therapy. However, clinicians' trust and acceptance of these tests will determine their application in practice.

objectivesTo examine ICU prescribers' views on the application of molecular diagnostics in patients with suspected hospital-acquired and ventilator-associated pneumonia (HAP/VAP).

methodsSixty-three ICU clinicians from five UK hospitals completed a cross-sectional questionnaire between May 2020 and July 2020 assessing attitudes towards using molecular diagnostics to inform initial agent choice and to help stop broad-spectrum antibiotics early.

resultsAttitudes towards using molecular diagnostics to inform initial treatment choices and to stop broad-spectrum antibiotics early were nuanced. Most (83%) were positive about molecular diagnostics, agreeing that using results to inform broad-spectrum antibiotic prescribing is good practice. However, many (58%) believed sick patients are often too unstable to risk stopping broad-spectrum antibiotics based on a negative result.

conclusionsPositive attitudes towards the application of molecular diagnostics to improve antibiotic stewardship were juxtapositioned against the perceived need to initiate and maintain broad-spectrum antibiotics to protect unstable patients.

Indexed as

Anti-Bacterial AgentsPneumonia, Ventilator-AssociatedCross-Sectional StudiesHumansIntensive Care UnitsPathology, MolecularUnited KingdomAnti-Bacterial Agents

Identifiers

PMID37970680
PMCPMC10761255
OpenAlexW4388736494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.