Evidence map›Paper›PMID 42130501›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2026

Evaluation of effectiveness of a regional remote antimicrobial stewardship program.

Taylor Grubish, David Schmidt, Sara Badaglialacqua, Seth Warner, Daniel Morris, Chris Destache, Rima El-Herte, Michael Koren

Abstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Taylor GrubishDepartment of Pharmacy Services, CHI Health, A Member of CommonSpirit Health, USA.ORCID https://orcid.org/0009-0000-4342-5314
David SchmidtDepartment of Pharmacy Services, CHI Health, A Member of CommonSpirit Health, USA.ORCID https://orcid.org/0000-0002-1762-6232
Sara BadaglialacquaDepartment of Pharmacy Services, CHI Health, A Member of CommonSpirit Health, USA.ORCID https://orcid.org/0009-0001-0824-8161
Seth WarnerCreighton University School of Medicine, USA.ORCID https://orcid.org/0009-0001-4571-9188
Daniel MorrisCreighton University School of Medicine, USA.ORCID https://orcid.org/0009-0007-3332-8722
Chris DestacheDepartment of Pharmacy Services, CHI Health, A Member of CommonSpirit Health, USA.ORCID https://orcid.org/0000-0001-7923-3939
Rima El-HerteCreighton University School of Medicine, USA.ORCID https://orcid.org/0000-0002-6453-7830
Michael KorenCreighton University School of Medicine, USA.ORCID https://orcid.org/0000-0002-7859-3163

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Antimicrobial stewardship programs (ASPs) are designed to optimize antimicrobial use for healthcare facilities and are required at all acute care and critical access hospitals (CAHs). However, rural CAHs often lack the resources to implement robust ASPs. The purpose of this study was to evaluate the impact of adding regional remote antimicrobial stewardship services across a 14-hospital system consisting of one acute care and thirteen CAHs. Methods: Remote ASP expansion consisted of adding an infectious disease (ID) pharmacist and two ID physicians (0.3 FTE) to provide daily stewardship activities including prospective feedback on antibiotic optimization and use education through remote chart review and communication. Antimicrobial utilization, cost savings, and Results: In the first twelve months following regional remote stewardship expansion, the ASP demonstrated a $619,053.97 reduction (56% decrease in Antibiotic Cost/CMI adjusted patient days) in antimicrobial expenses. While only aztreonam use was significantly reduced at the acute care facility ( Conclusions: Remote ASPs represent a viable strategy for extending antibiotic stewardship expertise to resource-limited settings to achieve financial and clinical benefits.

Identifiers

PMID42130501
PMCPMC13162055

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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.