Evidence map›Paper›PMID 41399542›Full record

ArticleOpen forum infectious diseases2025

Beyond the 9 to 5: A Cross-sectional Survey of Adult Antimicrobial Stewardship Programs in the United States on Their Initiatives and Resources Based on On-call Model Participation.

Samantha Brace, Gustavo Rey Alvira-Arill, Aaron Hamby, Rachel Burgoon, Zachary Gruss, Taylor Morrisette, Alexandra Mills, Richard Lueking, Stephen Thacker, Krutika Mediwala Hornback

Abstract read
In one paragraph

Article in Open forum 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. 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

10 authors.

Samantha BraceDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0009-0002-8807-1964
Gustavo Rey Alvira-ArillDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-3138-8848
Aaron HambyDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-2600-7393
Rachel BurgoonDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-3291-7174
Zachary GrussDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-6238-0331
Taylor MorrisetteDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.
Alexandra MillsDivision of Infectious Diseases, Department of Internal Medicine, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-4473-8096
Richard LuekingDivision of Infectious Diseases, Department of Internal Medicine, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-2029-0415
Stephen ThackerDivision of Infectious Diseases, Department of Pediatrics, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-3410-4524
Krutika Mediwala HornbackDepartment of Pharmacy Services, Medical University of South Carolina Health, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-3982-2103

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial stewardship programs (ASPs) aim to optimize antimicrobial use through coordinated interventions that improve patient outcomes and reduce adverse events. While guidance exists from organizations including the Centers for Disease Control and Prevention and the Infectious Diseases Society of America, recommendations on effort allocation, working hours, and initiatives remain unclear. Methods: This cross-sectional survey assessed the institutional structure, effort allocation, initiatives, and on-call participation of adult ASPs in the United States from September to October 2024. The survey was distributed via email to several ASP-related listservs. Respondents indicating on-call participation were also inquired about working hours, initiatives performed, participants, and compensation. Results: Of 69 responses, most were from academic medical centers (59%) or community hospitals (35%), with 65% covering >500 beds. ASPs were often system-wide (78%) and primarily funded by their respective departments of pharmacy (87%). Common initiatives performed by all ASPs include answering ASP/infectious diseases questions, therapy de-escalation, and prospective audit and feedback. Twenty-four (69%) respondents indicated having an on-call model, with said programs reporting higher median inpatient full-time equivalents (FTEs) for physicians (0.5 vs 0.25) and pharmacists (2.9 vs 1.45) than those without. Commonly performed after-hours initiatives include preauthorization and answering microbiology inquiries. On-call coverage was generally performed during weekend daytimes and holidays, most often by pharmacists. Conclusions: This survey highlights differences in structure, effort allocation, and initiatives of ASPs based on on-call participation. Institutions participating in on-call reported higher FTE assignments for physicians and pharmacists and were more likely to perform time-sensitive initiatives.

Indexed as

antimicrobial stewardshipcross-sectional studieshealthcare surveyspersonnel staffing and scheduling

Identifiers

PMID41399542
PMCPMC12702616

What OpenQuestion holds

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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.