Evidence map›Paper›PMID 41087947›Full record

ArticleBMC infectious diseases2025

Evaluation of an antibiotic stewardship program for promoting rational antibiotic use in an ICU in China.

Yujin Guo, Lu Kong, Jingjing Liu, Renzhe Li, Mengfei Cui, Xinru Kong, Xue Li, Mengqi Yang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Yujin Guo *Department of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Lu Kong *Department of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Jingjing Liu *Department of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Renzhe LiDepartment of Clinical Laboratory, Jining No.1 People's Hospital, Jining, 272011, China.
Mengfei CuiDepartment of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Xinru KongDepartment of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Xue LiDepartment of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China.
Mengqi YangDepartment of Clinical Pharmacy & Pharmacology, Jining No.1 People's Hospital, Jining, 272011, China. mengqiqiyang@163.com.

Funding

Research Topics for High-Quality Development of Hospital Pharmacy in 2024 NIHAYS2422
6 · The paper itself

Abstract

backgroundThe irrational use of broad-spectrum antibiotics in intensive care units (ICUs) has led to increasing bacterial resistance in recent years. However, research on the effectiveness of antimicrobial stewardship programs (ASPs) in Chinese ICUs is limited. This study aimed to assess the impact of ASP implementation on antibiotic use and bacterial resistance in a Chinese ICU.

methodsThis retrospective, interventional study employed an interrupted time series design and was conducted in an ICU beginning on June 1, 2019. The ASP included the formation of a multidisciplinary team, the development of facility-specific criteria, prescriber education, the implementation of preauthorization processes, and retrospective prescription audit and feedback (RPAF). Patient data were collected from June 1, 2018, to May 31, 2020. An interrupted time series analysis was used to evaluate the impact of the ASP.

resultsA total of 862 patients were admitted during the pre-intervention period, and 946 patients were admitted during the post-intervention period. The interrupted time series analysis demonstrated a reduction in the monthly consumption of carbapenems (β3: -2.25 DDD/100 PD, p < 0.001) and linezolid (β3: -0.49 DDD/100 PD, p = 0.003) after the intervention. Additionally, a decrease in the incidence of bacteremia caused by multidrug-resistant (MDR) organisms overall (β3:-0.03 events/100 PD, p = 0.036) and MDR Gram-positive organisms (β3:-0.01 events/100 PD, p = 0.002) was observed post-intervention.

conclusionReduced antimicrobial consumption and decreased incidence of infections associated with MDR organisms were observed following the implementation of an ASP strategy that incorporated clinical pharmacists as core team members. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipIntensive Care UnitsAdultAgedChinaDrug Resistance, BacterialDrug UtilizationFemaleHumansInterrupted Time Series AnalysisMaleMiddle AgedRetrospective StudiesAnti-Bacterial AgentsAntimicrobial stewardship programsCarbapenemsClinical pharmacistsIntensive care unitsMultidrug-resistant organisms

Identifiers

PMID41087947
PMCPMC12523123

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.