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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

Overview of attention for article published in Trials, July 2014
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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
Published in
Trials, July 2014
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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.

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%