ArticleCureus2025
Impact of Hospital Antimicrobial Stewardship Team on Antimicrobial Usage in Regional Clinics: A Multicenter Retrospective Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Practical and clinical significance of the pharmacist-led antimicrobial stewardship.Journal of pharmaceutical health care and sciences · 2026Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReports on antimicrobial stewardship teams, including hospital pharmacists, contributing to the appropriate use of antimicrobials in community clinics remain unclear. This study aimed to evaluate the impact of these series of initiatives on the appropriate use of antimicrobials in the community.
methodsThis retrospective multicenter study was conducted at community clinics belonging to the Seto-Asahi Medical Association in Japan between April 2022 and September 2024. A practice lecture about antimicrobial stewardship was started to promote community antimicrobial stewardship in November 2022 by an antimicrobial stewardship team at Tosei General Hospital. The primary outcome was the change in the monthly usage of oral penicillins, third-generation cephalosporins, quinolones, and macrolides during the study period.
resultsA total of 12 community clinics in the Seto-Asahi area were eligible. Using interrupted time series analysis, the days of therapy (DOT) for penicillins showed a statistically increased trend from period 1 (pre-promoting community antimicrobial stewardship) to period 2 (promoting community antimicrobial stewardship); the change of slope was from -0.24 to 0.13 (P = 0.03). For the DOT of third-generation cephalosporins, quinolones, and macrolides, there were no statistically significant differences in the levels or trend slopes. The DOT for the Access group increased from 2.03 (10.7%) in period 1 to 4.05 (18.9%) in period 2 (P < 0.01).
conclusionPromoting the appropriate use of antimicrobials through a hospital antimicrobial stewardship team in local community clinics played an important role in reducing the use of broad-spectrum antimicrobials.
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Registered trials
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