Evidence map›Paper›PMID 38396594›Full record

ArticleAnimals : an open access journal from MDPI2024

An Evaluation of the Impact of an OPEN Stewardship Generated Feedback Intervention on Antibiotic Prescribing among Primary Care Veterinarians in Canada and Israel.

Kamal R Acharya, Adar Cohen, Gabrielle Brankston, Jean-Paul R Soucy, Anette Hulth, Sonja Löfmark, John S Brownstein, Nadav Davidovich, Moriah E Ellen, David N Fisman and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Animals : an open access journal from MDPI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

  1. Israel should build capacity in implementation science.Israel journal of health policy research · 2025
    Article
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  3. Article
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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

14 authors.

Kamal R AcharyaDepartment of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada.
Adar CohenKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot 7610001, Israel.
Gabrielle BrankstonDepartment of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada.
Jean-Paul R SoucyDivision of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada.
Anette HulthPublic Health Agency of Sweden, 171 82 Stockholm, Sweden.ORCID 0000-0002-3132-808X
Sonja LöfmarkPublic Health Agency of Sweden, 171 82 Stockholm, Sweden.
John S BrownsteinComputational Epidemiology Lab, Boston Children's Hospital, Boston, MA 02115, USA.
Nadav DavidovichSchool of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.ORCID 0000-0001-5709-9265
Moriah E EllenDepartment of Health Policy and Management, Guilford Glazer Faculty of Business and Management, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.
David N FismanDivision of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada.
Jacob Moran-GiladSchool of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.
Amir SteinmanKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot 7610001, Israel.ORCID 0000-0003-0984-6822
Derek R MacFaddenOttawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada.
Amy L GreerDepartment of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada.ORCID 0000-0002-6366-0458

Funding

Canadian Institutes of Health Research (CIHR) AMR-155212European Commission's Joint Programming Initiative on Antimicrobial Resistance 5th Joint CallIsraeli Ministry of Health grant #8762491
6 · The paper itself

Abstract

An interrupted time-series study design was implemented to evaluate the impact of antibiotic stewardship interventions on antibiotic prescribing among veterinarians. A total of 41 veterinarians were enrolled in Canada and Israel and their prescribing data between 2019 and 2021 were obtained. As an intervention, veterinarians periodically received three feedback reports comprising feedback on the participants' antibiotic prescribing and prescribing guidelines. A change in the level and trend of antibiotic prescribing after the administration of the intervention was compared using a multi-level generalized linear mixed-effect negative-binomial model. After the receipt of the first (incidence rate ratios [IRR] = 0.88; 95% confidence interval (CI): 0.79, 0.98), and second (IRR = 0.85; 95% CI: 0.75, 0.97) feedback reports, there was a reduced prescribing rate of total antibiotic when other parameters were held constant. This decline was more pronounced among Israeli veterinarians compared to Canadian veterinarians. When other parameters were held constant, the prescribing of critical antibiotics by Canadian veterinarians decreased by a factor of 0.39 compared to that of Israeli veterinarians. Evidently, antibiotic stewardship interventions can improve antibiotic prescribing in a veterinary setting. The strategy to sustain the effect of feedback reports and the determinants of differences between the two cohorts should be further explored.

Indexed as

antibiotic prescribingantibiotic stewardshipinterrupted time series analysisveterinarian

Identifiers

PMID38396594
PMCPMC10885889

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.