Evidence map›Paper›PMID 39263216›Full record

ArticleOpen forum infectious diseases2024

Combination of a Rapid Diagnostic Assay and Antimicrobial Stewardship Intervention for Gram-Negative Bacteremia.

Julian J Ventres, Michelle H Ting, Diane M Parente, Ralph Rogers, Ashlyn M Norris, Gregorio Benitez, Fadi Shehadeh, April M Bobenchik, Eleftherios Mylonakis, Kimberle C Chapin 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. [Requirements for the rational use of antibiotics based on antibiotic stewardship].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    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.

Julian J VentresDepartment of Pharmacy, The Miriam Hospital, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0001-9718-5539
Michelle H TingDepartment of Pharmacy, Banner University Medical Center-Phoenix, Phoenix, Arizona, USA.
Diane M ParenteDepartment of Pharmacy, The Miriam Hospital, Providence, Rhode Island, USA.
Ralph RogersDivision of Infectious Diseases, Brown University, Warren Alpert Medical School, Providence, Rhode Island, USA.
Ashlyn M NorrisDivision of Infectious Diseases, Brown University, Warren Alpert Medical School, Providence, Rhode Island, USA.
Gregorio BenitezDivision of Infectious Diseases, Brown University, Warren Alpert Medical School, Providence, Rhode Island, USA.
Fadi ShehadehDepartment of Medicine, Houston Methodist Hospital, Houston, Texas, USA.
April M BobenchikClinical Pathology Division, Penn State Milton Hershey Medical Center, Hershey, Pennsylvania, USA.
Eleftherios MylonakisDepartment of Medicine, Houston Methodist Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-4624-0777
Kimberle C ChapinDepartment of Pathology, Brown University, Warren Alpert Medical School, Providence, Rhode Island, USA.
Cheston B CunhaDivision of Infectious Diseases, Brown University, Warren Alpert Medical School, Providence, Rhode Island, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional blood cultures for gram-negative bacteremia can take up to 72 hours or more to return results, prolonging the duration of empiric broad-spectrum intravenous antibiotics. The Accelerate Pheno system provides rapid identification and susceptibilities for blood cultures in gram-negative bacteremia. Current data on its clinical utility are mixed overall, so the system requires further research. Methods: A multicenter, retrospective quasi-experimental study was conducted comparing the Accelerate Pheno rapid diagnostic system with antimicrobial stewardship intervention and traditional blood cultures alone. Results: A total of 264 patients with blood cultures with gram-negative bacteria growth were included in the final analysis (102 pre-intervention, 162 post-intervention). The antimicrobial stewardship team made 364 recommendations in 152/162 (93.8%) patients in the post group. Duration of intravenous therapy was shorter ( Conclusions: These results suggest that the Accelerate Pheno system, with active review and intervention by a multidisciplinary antimicrobial stewardship team, is a useful tool in improving both patient-centric and antimicrobial stewardship outcomes.

Indexed as

Accelerate Phenoantimicrobial stewardshipduration of therapygram-negative bacteremiaoral antibiotics

Identifiers

PMID39263216
PMCPMC11389609

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.