Evidence map›Paper›PMID 38633221›Full record

ArticleJAC-antimicrobial resistance2024

Antimicrobial stewardship markers and healthcare-associated pneumonia threshold criteria in UK hospitals: analysis of the MicroGuide

Luke S P Moore, Ioannis Baltas, James Amos, Mineli Cooray, Stephen Hughes, Rachel Freeman, Tom Ashfield

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Luke S P MooreChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Ioannis BaltasDepartment of Infection, Immunity and Inflammation, Institute of Child Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-8008-4835
James AmosPfizer, Tadworth, Surrey, UK.
Mineli CoorayUniversity of Warwick, Coventry, Warwickshire, UK.
Stephen HughesChelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-0315-3603
Rachel FreemanReal World Solutions, IQVIA, London, UK.ORCID https://orcid.org/0000-0002-5262-3395
Tom AshfieldPfizer, Tadworth, Surrey, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To address antimicrobial resistance, antimicrobial stewardship (AMS) principles must be implemented and adhered to. Clinical decision aids such as the MicroGuide Methods: Guidelines in the MicroGuide app were extracted and analysed for content related to AMS and HAP. Guidelines were characterized according to HAP naming classification; community-acquired pneumonia (CAP) classifications were analysed to serve as a comparator group. Results: In total, 115 trusts (119 hospitals) were included. Nearly all hospitals had developed MicroGuide sections on AMS ( Conclusions: The high heterogeneity in HAP classification identified suggests inconsistency of practice in identifying thresholds for HAP in the UK. This complicates HAP management and AMS practices. To address HAP in alignment with AMS principles, a comprehensive strategy that prioritizes uniform clinical definitions and thresholds should be developed.

Identifiers

PMID38633221
PMCPMC11022069

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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.