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Antimicrobial stewardship in long term care facilities: what is effective?

Overview of attention for article published in Antimicrobial Resistance & Infection Control, February 2014
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

Mentioned by

news
1 news outlet
blogs
1 blog
policy
3 policy sources
twitter
6 X users

Citations

dimensions_citation
77 Dimensions

Readers on

mendeley
123 Mendeley
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Title
Antimicrobial stewardship in long term care facilities: what is effective?
Published in
Antimicrobial Resistance & Infection Control, February 2014
DOI 10.1186/2047-2994-3-6
Pubmed ID
Authors

Lindsay E Nicolle

Abstract

Intense antimicrobial use in long term care facilities promotes the emergence and persistence of antimicrobial resistant organisms and leads to adverse effects such as C. difficile colitis. Guidelines recommend development of antimicrobial stewardship programs for these facilities to promote optimal antimicrobial use. However, the effectiveness of these programs or the contribution of any specific program component is not known. For this review, publications describing evaluation of antimicrobial stewardship programs for long term care facilities were identified through a systematic literature search. Interventions included education, guidelines development, feedback to practitioners, and infectious disease consultation. The studies reviewed varied in types of facilities, interventions used, implementation, and evaluation. Comprehensive programs addressing all infections were reported to have improved antimicrobial use for at least some outcomes. Targeted programs for treatment of pneumonia were minimally effective, and only for indicators of uncertain relevance for stewardship. Programs focusing on specific aspects of treatment of urinary infection - limiting treatment of asymptomatic bacteriuria or prophylaxis of urinary infection - were reported to be effective. There were no reports of cost-effectiveness, and the sustainability of most of the programs is unclear. There is a need for further evaluation to characterize effective antimicrobial stewardship for long term care facilities.

X Demographics

X Demographics

The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 123 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 2%
United States 1 <1%
France 1 <1%
Unknown 119 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 20 16%
Student > Master 20 16%
Student > Ph. D. Student 11 9%
Other 10 8%
Student > Doctoral Student 7 6%
Other 23 19%
Unknown 32 26%
Readers by discipline Count As %
Medicine and Dentistry 40 33%
Nursing and Health Professions 9 7%
Pharmacology, Toxicology and Pharmaceutical Science 8 7%
Social Sciences 8 7%
Business, Management and Accounting 4 3%
Other 17 14%
Unknown 37 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 27. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 October 2021.
All research outputs
#1,312,058
of 24,003,070 outputs
Outputs from Antimicrobial Resistance & Infection Control
#124
of 1,347 outputs
Outputs of similar age
#15,863
of 321,115 outputs
Outputs of similar age from Antimicrobial Resistance & Infection Control
#2
of 10 outputs
Altmetric has tracked 24,003,070 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,347 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.6. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,115 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 8 of them.