Evidence map›Paper›PMID 38983708›Full record

ArticleOpen forum infectious diseases2024

Antimicrobial Stewardship Practices in Outpatient Parenteral Antimicrobial Therapy Programs in the United States.

Sara F Azimi, Esther Golnabi, Ryan P Mynatt, Donna Burgess, Ashley Logan, Rebekah H Wrenn, Michael Parisi Mercado, Kimberly Boeser, Ardath Plauche, Mary Elizabeth Sexton and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Sara F AzimiDepartment of Pharmacy, University of New Mexico Hospitals, Albuquerque, New Mexico, USA.ORCID https://orcid.org/0009-0003-6917-3006
Esther GolnabiPharmacy Department, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Ryan P MynattDepartment of Pharmacy Services, University of Kentucky HealthCare, Lexington, Kentucky, USA.
Donna BurgessDepartment of Pharmacy Services, University of Kentucky HealthCare, Lexington, Kentucky, USA.
Ashley LoganDepartment of Pharmacy Services, University of Kentucky HealthCare, Lexington, Kentucky, USA.
Rebekah H WrennDepartment of Pharmacy, Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.
Michael Parisi MercadoDepartment of Pharmacy, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Kimberly BoeserDepartment of Pharmacy, M Health Fairview University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Ardath PlaucheDepartment of Pharmacy, Memorial Hermann Health System, Houston, Texas, USA.
Mary Elizabeth SextonDivision of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.
Carla WalravenDepartment of Pharmacy, University of New Mexico Hospitals, Albuquerque, New Mexico, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Outpatient parenteral antimicrobial therapy (OPAT) regimens typically prioritize ease of antimicrobial administration, tolerability, safety, and accessibility over using the narrowest-spectrum antimicrobial. In light of this, OPAT providers often utilize different techniques to promote antimicrobial stewardship (AMS) in their OPAT programs. This study aims to characterize the AMS practices of OPAT programs across the United States that might meet The Joint Commission requirements for outpatient AMS metrics. Methods: This is a cross-sectional electronic survey of the Vizient AMS network. A total of 95 possible questions were designed to inquire about demographics, OPAT program structure, AMS initiatives, performance metrics, and resources. Results: Seventy-four survey responses were received, with 58 (78.4%) of the respondents indicating their institution offered OPAT services. Respondents reported having at least 1 AMS protocol and tracking at least 1 metric in 91% and 74% of OPAT programs, respectively. Only 40% of programs reported billing for OPAT-related services. Approximately 45% of respondents disagreed or strongly disagreed that their OPAT program had the resources needed to care for the population it serves. Respondents identified data analytics (69%), funding for expansion of services (67%), and pharmacists (62%) as resources of greatest need for their OPAT programs. Conclusions: This survey collectively describes the AMS practices currently employed by OPAT programs across the United States. The results provide specific examples of AMS initiatives, metrics, and resources that institutions may reference to advance the practices of their OPAT programs to meet The Joint Commission Outpatient Antimicrobial Stewardship standards.

Indexed as

Antimicrobial stewardshipJoint CommissionMetricsOPATSurvey

Identifiers

PMID38983708
PMCPMC11232693

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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.