Evidence map›Paper›PMID 38534707›Full record

ReviewAntibiotics (Basel, Switzerland)2024

When to Stop Antibiotics in the Critically Ill?

Nathan D Nielsen, James T Dean, Elizabeth A Shald, Andrew Conway Morris, Pedro Povoa, Jeroen Schouten, Nicholas Parchim

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 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
3.6field-weighted citation impact, top 5% 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, 12 citations in OpenAlex.

  1. Article
  2. Observational
  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

7 authors at 5 institutions in 5 countries.

Nathan D NielsenDivision of Pulmonary, Critical Care and Sleep Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.ORCID 0000-0002-3131-7540
James T DeanDivision of Pulmonary, Critical Care and Sleep Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Elizabeth A ShaldDepartment of Pharmacy, University of New Mexico Hospital, Albuquerque, NM 87131, USA.ORCID 0000-0003-4670-0996
Andrew Conway MorrisDivision of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge CB2 0QQ, UK.ORCID 0000-0002-3211-3216
Pedro PovoaNOVA Medical School, NOVA University of Lisbon, 1169-056 Lisbon, Portugal.ORCID 0000-0002-7069-7304
Jeroen SchoutenDepartment of Intensive Care Medicine, Radboud MC, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0001-9118-4420
Nicholas ParchimDivision of Critical Care, Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
University of New Mexico · USRadboud University Nijmegen · NLUniversity of Cambridge · GBUniversity of Lisbon · PTUniversity of New Mexico Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past century, antibiotic usage has skyrocketed in the treatment of critically ill patients. There have been increasing calls to establish guidelines for appropriate treatment and durations of antibiosis. Antibiotic treatment, even when appropriately tailored to the patient and infection, is not without cost. Short term risks-hepatic/renal dysfunction, intermediate effects-concomitant superinfections, and long-term risks-potentiating antimicrobial resistance (AMR), are all possible consequences of antimicrobial administration. These risks are increased by longer periods of treatment and unnecessarily broad treatment courses. Recently, the literature has focused on multiple strategies to determine the appropriate duration of antimicrobial therapy. Further, there is a clinical shift to multi-modal approaches to determine the most suitable timepoint at which to end an antibiotic course. An approach utilising biomarker assays and an inter-disciplinary team of pharmacists, nurses, physicians, and microbiologists appears to be the way forward to develop sound clinical decision-making surrounding antibiotic treatment.

Indexed as

antibioticsantimicrobial resistancebiomarkersclinical responseduration of therapyfixed duration

Identifiers

PMID38534707
PMCPMC10967289
OpenAlexW4392918882

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.