Evidence map›Paper›PMID 38021039›Full record

ArticleJAC-antimicrobial resistance2023

Impact of a sustained, collaborative antimicrobial stewardship programme in spinal cord injury patients.

D Perera, S Vogrin, S Khumra, S Motaganahalli, A Batrouney, K Urbancic, M Devchand, E Mitri, R Clements, A Nunn and 2 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

12 authors at 2 institutions in 1 country.

D PereraDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
S VogrinDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
S KhumraDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
S MotaganahalliDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.ORCID https://orcid.org/0000-0002-6739-0424
A BatrouneyDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
K UrbancicDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.ORCID https://orcid.org/0000-0002-9275-578X
M DevchandDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
E MitriDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
R ClementsVictorian Spinal Cord Service, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
A NunnVictorian Spinal Cord Service, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
G ReynoldsDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.
J A TrubianoDepartment of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia.ORCID https://orcid.org/0000-0002-5111-6367
Austin Health · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In patients with spinal cord injuries (SCIs), infections continue to be a leading cause of morbidity, mortality and hospital admission. Objectives: This study evaluated the long-term impact of a weekly, multidisciplinary Spinal/Antimicrobial Stewardship (AMS) meeting for acute-care SCI inpatients, on antimicrobial prescribing over 3 years. Methods: A retrospective, longitudinal, pre-post comparison of antimicrobial prescribing was conducted at our tertiary hospital in Melbourne. Antimicrobial prescribing was audited in 6 month blocks pre- (25 April 2017 to 24 October 2017), immediately post- (27 March 2018 to 25 September 2018) and 3 years post-implementation (2 March 2021 to 31 August 2021). Antimicrobial orders for patients admitted under the spinal unit at the meeting time were included. Results: The number of SCI patients prescribed an antimicrobial at the time of the weekly meeting decreased by 40% at 3 years post-implementation [incidence rate ratio (IRR) 0.63; 95% CI 0.51-0.79; Conclusions: This study showed that consistent, collaborative meetings between the Spinal and AMS teams can reduce antimicrobial exposure for acute-care SCI patients without adversely impacting 90 day mortality.

Identifiers

PMID38021039
PMCPMC10664407
OpenAlexW4388894550

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.