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Appropriateness of antibiotic management of uncomplicated skin and soft tissue infections in hospitalized adult patients

Overview of attention for article published in BMC Infectious Diseases, November 2016
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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 (90th percentile)
  • High Attention Score compared to outputs of the same age and source (95th percentile)

Mentioned by

news
1 news outlet
twitter
16 tweeters
facebook
1 Facebook page

Citations

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12 Dimensions

Readers on

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28 Mendeley
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Title
Appropriateness of antibiotic management of uncomplicated skin and soft tissue infections in hospitalized adult patients
Published in
BMC Infectious Diseases, November 2016
DOI 10.1186/s12879-016-2067-0
Pubmed ID
Authors

Thomas L. Walsh, Lynn Chan, Chelsea I. Konopka, Michael J. Burkitt, Matthew A. Moffa, Derek N. Bremmer, Monika A. Murillo, Courtney Watson, Noreen H. Chan-Tompkins

Abstract

Skin and soft tissue infections (SSTIs) are a leading cause for hospitalizations in the United States. Few studies have addressed the appropriateness of antibiotic therapy in the management of SSTIs without complicating factors. We aimed to determine the appropriateness of antibiotic treatment duration for hospitalized adult patients with uncomplicated SSTIs. This was a retrospective analysis performed at two academic medical centers in Pittsburgh, Pennsylvania on patients aged 18 years and older with primary ICD-9 code for SSTIs admitted August 1st, 2014-March 31st, 2015. The primary outcome was the appropriateness of antibiotic treatment duration for uncomplicated SSTIs. Secondary objectives included the appropriateness of antibiotic agent spectrum, duration of inpatient length of stay (LOS), utilization of blood cultures and advanced imaging modalities, and re-hospitalization for SSTI within 30 days of discharge from the index admission. A total of 163 episodes were included in the cohort. The mean duration of total antibiotic therapy was 12.6 days. Appropriate duration was defined as receipt of total antibiotic duration of less than 10 days and occurred in 20.2% of patients. Twenty eight percent of patients received antibiotics for greater than 14 days. Seventy three (44.8%) patients received greater than 24 h of inappropriate extended spectrum gram-negative coverage; 65 (39.9%) received anaerobic coverage. In the majority of patients, treatment duration was excessive. Inappropriate broad spectrum antibiotic selection was utilized with regularity for SSTIs without complicating factors. The management of uncomplicated SSTIs represents a significant opportunity for antimicrobial stewardship.

Twitter Demographics

The data shown below were collected from the profiles of 16 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 6 21%
Student > Master 5 18%
Unspecified 4 14%
Student > Ph. D. Student 4 14%
Student > Bachelor 3 11%
Other 6 21%
Readers by discipline Count As %
Medicine and Dentistry 10 36%
Unspecified 6 21%
Pharmacology, Toxicology and Pharmaceutical Science 4 14%
Nursing and Health Professions 2 7%
Mathematics 1 4%
Other 5 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 17. 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 29 June 2018.
All research outputs
#876,381
of 13,157,264 outputs
Outputs from BMC Infectious Diseases
#191
of 4,890 outputs
Outputs of similar age
#36,194
of 374,069 outputs
Outputs of similar age from BMC Infectious Diseases
#28
of 576 outputs
Altmetric has tracked 13,157,264 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,890 research outputs from this source. They receive a mean Attention Score of 4.8. This one has done particularly well, scoring higher than 96% 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 374,069 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 90% of its contemporaries.
We're also able to compare this research output to 576 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.