Evidence map›Paper›PMID 41009911›Full record

ArticleAntibiotics (Basel, Switzerland)2025

Impact of the ABxSG Mobile Application on Antibiotic Prescribing: An Interrupted Time Series Study.

Lai Wei Lee, Shena Yun Chun Lim, Yvonne Peijun Zhou, Shimin Jasmine Chung, De Zhi Chin, Andrea Lay Hoon Kwa, Winnie Hui Ling Lee

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2025. 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

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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
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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

7 authors.

Lai Wei LeeDivision of Pharmacy, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Shena Yun Chun LimDivision of Pharmacy, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Yvonne Peijun ZhouDivision of Pharmacy, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Shimin Jasmine ChungDepartment of Infectious Diseases, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.ORCID 0000-0002-5174-7361
De Zhi ChinOffice of Value Based Healthcare, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Andrea Lay Hoon KwaDivision of Pharmacy, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Winnie Hui Ling LeeDivision of Pharmacy, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA point prevalence survey conducted at Singapore General Hospital in 2021 showed 48% of inpatients on antibiotics. We hypothesize that a mobile application, transforming complex antibiotic prescribing information into a succinct and individualized resource, will empower healthcare professionals and improve antibiotic prescriptions. Hence, we developed ABxSG using the behavioral design thinking approach (BDTA) to ensure positive user experience and sustained engagement. We aim to evaluate the impact of ABxSG on the proportion of inpatients on antibiotics, antibiotic appropriateness, and the number of antibiotic-related interventions by pharmacists.

methodsABxSG was launched in March 2023. An interrupted time series analysis was conducted to evaluate its impact on the above outcomes measured using data collected from October 2021 to September 2024. There were 18 data points pre- and post-ABxSG.

resultsFollowing the ABxSG launch, there was an immediate reduction in the proportion of inpatients on antibiotics by 1.66% (

conclusionAntimicrobial stewardship teams must remain agile, embrace innovations, and adopt digital technologies to engage and empower clinicians. ABxSG reduced the proportion of inpatients on antibiotics and improved antibiotic prescriptions. The incorporation of BDTA in ABxSG, strong hospital leader support, and strategic planning to promote adoption led to its success.

Indexed as

antibiotic useantimicrobial stewardshipbehavioral design thinkingmobile application

Identifiers

PMID41009911
PMCPMC12466656

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LicenceCC BY
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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.