Evidence map›Paper›PMID 38919246›Full record

ReviewCureus2024

Middle Eastern Expert Opinion: Strategies for Successful Antifungal Stewardship Program Implementation in Invasive Fungal Infections.

Jameela Alsalman, Abdulhakeem Althaqafi, Ahmad Alsaeed, Ahmad Subhi, Ahmed F Mady, Ayman AlHejazi, Bassam Francis, Hanan H Alturkistani, Mouhab Ayas, Montaser Bilbisi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Jameela AlsalmanMedicine, Arabian Gulf University, Manama, BHR.
Abdulhakeem AlthaqafiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Ahmad AlsaeedCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Ahmad SubhiAdult Infectious Diseases, Department of Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah, ARE.
Ahmed F MadyCritical Care Medicine, King Saud Medical City, Riyadh, SAU.
Ayman AlHejaziDepartment of Oncology, King Abdulaziz Medical City Riyadh, Riyadh, SAU.
Bassam FrancisHematology, Hematology and Bone Marrow Transplant Center, Baghdad, IRQ.
Hanan H AlturkistaniTransplant Infectious Diseases, King Abdullah Medical City, Makkah, SAU.
Mouhab AyasDepartment of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Montaser BilbisiDepartment of Infectious Diseases, Abdali Medical Center, Amman, JOR.
Sondus AlsharidahPediatric Stem Cell Transplant Unit, Department of Pediatric Hematology/Oncology, National Bank of Kuwait (NBK) Children's Specialized Hospital, Sabah Central Health Region, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, global public health efforts have increasingly emphasized the critical role of antimicrobial stewardship (AMS) in improving outcomes, reducing costs, and combating the growing threat of antimicrobial resistance. However, antifungal stewardship (AFS) has remained relatively overlooked despite the staggering impact of invasive fungal infections (IFIs). This burden is particularly pronounced in hospitals worldwide, with the Middle East facing significant unmet needs. The rising population of immunocompromised individuals vulnerable to IFI has prompted an increased reliance on antifungal agents for both prevention and treatment. Given the considerable mortality associated with IFIs and the emergence of antifungal resistance, implementing AFS programs in hospital settings is becoming increasingly urgent. In this article, we offer expert insights into the strategies that can be used for successful antifungal stewardship program implementation in IFI. Drawing upon the extensive clinical experience of a multinational and multidisciplinary panel, we present recommendations for optimizing AFS practices. We delve into the challenges and practical considerations of tailoring local AFS initiatives to the evolving landscape of fungal infections. Additionally, we provide actionable recommendations and position statements for the effective implementation of AFS programs, informed by the collective clinical experiences of panel members across their respective countries of practice.

Indexed as

antifungal stewardshipantifungal useknowledgemultidisciplinaryresistancetherapeutic drug monitoring

Identifiers

PMID38919246
PMCPMC11198984

What OpenQuestion holds

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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.