Title |
Antibiotic rotation strategies to reduce antimicrobial resistance in Gram-negative bacteria in European intensive care units: study protocol for a cluster-randomized crossover controlled trial
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Published in |
Trials, July 2014
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DOI | 10.1186/1745-6215-15-277 |
Pubmed ID | |
Authors |
Pleun J van Duijn, Marc JM Bonten |
Abstract |
Intensive care units (ICU) are epicenters for the emergence of antibiotic-resistant Gram-negative bacteria (ARGNB) because of high rates of antibiotic usage, rapid patient turnover, immunological susceptibility of acutely ill patients, and frequent contact between healthcare workers and patients, facilitating cross-transmission.Antibiotic stewardship programs are considered important to reduce antibiotic resistance, but the effectiveness of strategies such as, for instance, antibiotic rotation, have not been determined rigorously. Interpretation of available studies on antibiotic rotation is hampered by heterogeneity in implemented strategies and suboptimal study designs. In this cluster-randomized, crossover trial the effects of two antibiotic rotation strategies, antibiotic mixing and cycling, on the prevalence of ARGNB in ICUs are determined. Antibiotic mixing aims to create maximum antibiotic heterogeneity, and cycling aims to create maximum antibiotic homogeneity during consecutive periods. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | <1% |
Nepal | 1 | <1% |
Panama | 1 | <1% |
Unknown | 140 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 19% |
Researcher | 19 | 13% |
Student > Postgraduate | 12 | 8% |
Student > Ph. D. Student | 12 | 8% |
Student > Bachelor | 12 | 8% |
Other | 30 | 21% |
Unknown | 31 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 54 | 38% |
Nursing and Health Professions | 11 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 11 | 8% |
Biochemistry, Genetics and Molecular Biology | 7 | 5% |
Agricultural and Biological Sciences | 5 | 3% |
Other | 19 | 13% |
Unknown | 36 | 25% |