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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Impact of a decision-making aid for suspected urinary tract infections on antibiotic overuse in nursing homes
|
|---|---|
| Published in |
BMC Geriatrics, April 2016
|
| DOI | 10.1186/s12877-016-0255-9 |
| Pubmed ID | |
| Authors |
Darcy K. McMaughan, Obioma Nwaiwu, Hongwei Zhao, Elizabeth Frentzel, David Mehr, Sara Imanpour, Steven Garfinkel, Charles D. Phillips |
| Abstract |
Antibiotics are highly utilized in nursing homes. The aim of the study was to test the effectiveness of a decision-making aid for urinary tract infection management on reducing antibiotic prescriptions for suspected bacteriuria in the urine without symptoms, known as asymptomatic bacteriuria (ASB) in twelve nursing homes in Texas. A pre- and post-test with comparison group design was used. The data was collected through retrospective chart review. The study sample included 669 antibiotic prescriptions for suspected urinary tract infections ordered for 547 nursing home residents. The main measurement for the outcome variable was whether an antibiotic was prescribed for suspected urinary tract infections with no symptoms present. Most of the prescriptions for antibiotics UTIs were written without documented symptoms - thus for asymptomatic bacteuria (ASB) (71 % during the pre-intervention period). Exposure to the decision-making aid decreased the number of prescriptions written for ASB (from 78 % to 65 % in the low-intensity homes and from 65 % to 57 % in the high-intensity homes), and decreased odds of a prescription being written for ASB (OR = 0.63, 95 % CI = 0.25 - 1.60 for low-intensity homes; OR = 0.79, 95 % CI = 0.33 - 1.88 for high-intensity homes). The odds of a prescription being written for ASB decreased significantly in homes that succeeded in implementing the decision-making aid (OR = 0.35, 95 % CI = 0.16-0.76), compared to homes with no fidelity. The decision-making aid improved antibiotic stewardship in nursing homes. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 2 | 29% |
| United States | 1 | 14% |
| Japan | 1 | 14% |
| United Kingdom | 1 | 14% |
| Spain | 1 | 14% |
| Unknown | 1 | 14% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 94 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 94 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 21 | 22% |
| Researcher | 14 | 15% |
| Other | 11 | 12% |
| Student > Bachelor | 7 | 7% |
| Student > Doctoral Student | 7 | 7% |
| Other | 16 | 17% |
| Unknown | 18 | 19% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 33% |
| Nursing and Health Professions | 13 | 14% |
| Pharmacology, Toxicology and Pharmaceutical Science | 8 | 9% |
| Immunology and Microbiology | 5 | 5% |
| Agricultural and Biological Sciences | 4 | 4% |
| Other | 9 | 10% |
| Unknown | 24 | 26% |
Attention Score in Context
This research output has an Altmetric Attention Score of 12. 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 06 May 2019.
All research outputs
#2,741,292
of 23,577,654 outputs
Outputs from BMC Geriatrics
#712
of 3,201 outputs
Outputs of similar age
#44,425
of 300,751 outputs
Outputs of similar age from BMC Geriatrics
#8
of 47 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,201 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.9. This one has done well, scoring higher than 77% 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 300,751 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 47 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 82% of its contemporaries.