Evidence map›Paper›PMID 38353153›Full record

ArticleJournal of hospital medicine2024

Clinicians' interpretation of thresholds in hospital antibiograms for gram-negative rod infections: A survey and contingent valuation study of hospitalists.

Shinya Hasegawa, Che M Harris, Vineet Gupta, Matthew Pappas, Valerie M Vaughn, Eli N Perencevich, Kimberly C Dukes, Michihiko Goto

Open access · hybridAbstract read
In one paragraph

Article in Journal of hospital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. The institutional antibiogram: Time for a makeover?Journal of hospital medicine · 2026
    Article
  2. Antimicrobial stewardship at a tertiary center in Portugal: insights from prescribers.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    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

8 authors at 5 institutions in 1 country.

Shinya HasegawaCenter for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
Che M HarrisDepartment of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-8010-9449
Vineet GuptaDepartment of Medicine, University of California San Diego, San Diego, California, USA.ORCID 0000-0003-4639-3316
Matthew PappasDepartment of Hospital Medicine, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-0353-1785
Valerie M VaughnDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0003-4362-7842
Eli N PerencevichCenter for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
Kimberly C DukesCenter for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
Michihiko GotoCenter for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.ORCID 0000-0001-6612-5613
University of Iowa · USCleveland Clinic · USJohns Hopkins University · USUniversity of California San Diego · USUniversity of Utah · US

Funding

Improving Empiric Antimicrobial Therapy for Gram-Negative Infections through a Personalized Smart AntibiogramK08HS027472 · AHRQ · UNIVERSITY OF IOWA · PI GOTO, MICHIHIKO · 2020 to 2024
$734k
Agency for Healthcare Research and Quality K08HS027472AHRQ HHS K08 HS027472
6 · The paper itself

Abstract

Clinical guidelines suggest that hospital antibiograms are a key component when deciding empiric therapy, but little is known about how often clinicians use antibiograms and how they influence clinicians' empiric therapy decisions. We surveyed hospitalists at seven healthcare systems in the United States on their reported practices related to antibiograms and their hypothetical prescribing for four clinical scenarios associated with gram-negative rod pathogens. Each was given a randomly assigned antibiogram susceptibility percentage, and we used contingent valuation analysis to assess whether the antibiogram susceptibility percentage was associated with prescribing practices. Of the 193 survey responders, only 52 (26.9%) respondents reported using antibiograms more than monthly. Across all four clinical scenarios, there was no evidence that antibiogram susceptibility levels influenced antibiotic prescribing practices. With limited utilization and no evidence that they influenced practice, antibiograms may have a limited role in hospitalist care delivery for common gram-negative rod infections.

Indexed as

HospitalistsAnti-Bacterial AgentsGram-Negative BacteriaHospitalsHumansMicrobial Sensitivity TestsSurveys and QuestionnairesUnited StatesAnti-Bacterial Agents

Identifiers

PMID38353153
PMCPMC12961440
OpenAlexW4391822407

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.