Evidence map›Paper›PMID 39766518›Full record

ArticleAntibiotics (Basel, Switzerland)2024

Pre- and Post-COVID-19 Antibiotic Consumption and Stewardship Program in a Southern Italian Hospital.

Maria Costantino, Valentina Giudice, Federica Campana, Alessandra Anna Iannelli, Pasqualina Scala, Walter Longanella, Francesco Marongiu, Emilia Anna Vozzella, Maria Giovanna Elberti, Maria Alfieri and 4 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

14 authors.

Maria CostantinoDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Valentina GiudiceDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-7492-6848
Federica CampanaDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Alessandra Anna IannelliUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
Pasqualina ScalaDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Walter LonganellaUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
Francesco MarongiuNon-Profit Association F.I.R.S.Thermae, 80078 Pozzuoli, Italy.
Emilia Anna VozzellaUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
Maria Giovanna ElbertiUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
Maria AlfieriUniversity Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
Giovanni BocciaDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-7757-6855
Valeria ContiDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0001-6964-2739
Francesco De CaroDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0001-9659-9940
Amelia FilippelliDepartment of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.ORCID 0000-0002-8235-9118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAntibiotic resistance is a growing global threat that significantly impacts public health and healthcare costs. The Italian National Action Plan on Antimicrobial Resistance (PNCAR) was introduced in 2017 to address this issue by improving antibiotic stewardship. This study aimed to evaluate the effectiveness of the PNCAR in enhancing antibiotic management practices in a hospital in southern Italy before and after its implementation.

methodsWe conducted an observational monocentric study to analyze antibiotic consumption in a hospital setting before and after the COVID-19 pandemic (2019 and 2023) and to examine prescription appropriateness and the types of used antibiotics.

resultsAfter PNCAR introduction, we recorded a significant increase in antibiotic prescription appropriateness and in Access antibiotic and targeted therapy usage, while Reserve antibiotics were prescribed in ~10% of the cases, with an increasing trend in 2023.

conclusionsOur study supports the importance of targeted stewardship initiatives, including continuous monitoring and education, to sustain antibiotic prescription appropriateness and to reduce antimicrobial resistance.

Indexed as

antibiotic consumptionantibiotic stewardshipantimicrobial resistanceCOVID-19

Identifiers

PMID39766518
PMCPMC11672782

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.