Evidence map›Paper›PMID 39334987›Full record

ArticleAntibiotics (Basel, Switzerland)2024

Assessment of De-Escalation of Empirical Antimicrobial Therapy in Medical Wards with Recognized Prevalence of Multi-Drug-Resistant Pathogens: A Multicenter Prospective Cohort Study in Non-ICU Patients with Microbiologically Documented Infection.

Vasiliki Rapti, Garyfallia Poulakou, Anastasia Mousouli, Athanasios Kakasis, Stamata Pagoni, Evmorfia Pechlivanidou, Aikaterini Masgala, Styliani Sympardi, Vasileios Apostolopoulos, Charalampos Giannopoulos and 7 more

Abstract read
In one paragraph

Article 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 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. Article
  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

17 authors.

Vasiliki Rapti3rd Department of Internal Medicine and Laboratory, Sotiria General Hospital, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Garyfallia Poulakou3rd Department of Internal Medicine and Laboratory, Sotiria General Hospital, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Anastasia Mousouli3rd Department of Internal Medicine, "G. Gennimatas" General Hospital of Athens, 11527 Athens, Greece.
Athanasios Kakasis3rd Department of Internal Medicine, "G. Gennimatas" General Hospital of Athens, 11527 Athens, Greece.
Stamata Pagoni3rd Department of Internal Medicine, "G. Gennimatas" General Hospital of Athens, 11527 Athens, Greece.
Evmorfia PechlivanidouDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National & Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-0492-2550
Aikaterini Masgala2nd Department of Internal Medicine, Konstantopouleio General Hospital, 14233 Athens, Greece.
Styliani Sympardi1st Department of Internal Medicine, Thriasio General Hospital of Eleusis, 19600 Attica, Greece.
Vasileios Apostolopoulos1st Department of Internal Medicine, Thriasio General Hospital of Eleusis, 19600 Attica, Greece.
Charalampos Giannopoulos1st Department of Internal Medicine, Thriasio General Hospital of Eleusis, 19600 Attica, Greece.
Nikolaos Alexiou1st Department of Internal Medicine, Thriasio General Hospital of Eleusis, 19600 Attica, Greece.
Kostoula ArvanitiIntensive Care Unit, Papageorgiou University Affiliated Hospital, 56403 Thessaloniki, Greece.
Christina Trakatelli3rd Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0001-8110-938X
Apostolos Prionas1st General Surgery Department, Papageorgiou General Hospital, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0002-7867-9266
Michael Samarkos1st Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0001-9630-9712
George L Daikos1st Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Helen Giamarellou1st Department of Internal Medicine-Infectious Diseases, Hygeia General Hospital, 15772 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance poses a major threat to human health worldwide and the implementation of antimicrobial stewardship programs (ASPs), including antimicrobial de-escalation (ADE), is a multifaceted tool for minimizing unnecessary or inappropriate antibiotic exposure. This was a prospective observational study of 142 non-Intensive Care Unit (ICU) patients with microbiologically documented infection who were initially administered empirical antimicrobial therapy and admitted to the medical wards of 6 tertiary-care hospitals in Greece from January 2017 to December 2018. Patients were divided into two groups, the ADE and non-ADE group, based on whether ADE was applied or not, respectively. Exploratory end-points were ADE feasibility, safety and efficacy. ADE was applied in 76 patients at a median time of 4 days (IQR: 3, 5). An increased likelihood of ADE was observed in patients with urinary tract (OR: 10.04, 95% CI: 2.91, 34.57;

Indexed as

antimicrobial de-escalationantimicrobial stewardship programsefficacyfeasibilityMDR pathogensmedical wardsmortalitysafety

Identifiers

PMID39334987
PMCPMC11428630

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.