{"id":"https://openalex.org/W4390519574","doi":"https://doi.org/10.1093/jacamr/dlad143.006","title":"P02 Evaluating antibiotic prescribing in pancreatitis: a single-centre retrospective case series","display_name":"P02 Evaluating antibiotic prescribing in pancreatitis: a single-centre retrospective case series","publication_year":2024,"publication_date":"2024-01-01","ids":{"openalex":"https://openalex.org/W4390519574","doi":"https://doi.org/10.1093/jacamr/dlad143.006","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10761236"},"language":"en","primary_location":{"id":"doi:10.1093/jacamr/dlad143.006","doi":"https://doi.org/10.1093/jacamr/dlad143.006","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlad143.006","pdf_url":"https://academic.oup.com/jacamr/article-pdf/6/Supplement_1/dlad143.006/54919884/dlad143.006.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/jacamr/article-pdf/6/Supplement_1/dlad143.006/54919884/dlad143.006.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079494742","display_name":"Miriam Beattie","orcid":"https://orcid.org/0000-0002-6046-1701","observed_orcids":["https://orcid.org/0000-0002-6046-1701"]},"institutions":[{"id":"https://openalex.org/I2799759729","display_name":"Royal Cornwall Hospital","ror":"https://ror.org/00cfdk448","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799477489","https://openalex.org/I2799759729"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Miriam Beattie","raw_affiliation_strings":["Royal Cornwall Hospital , Truro, Cornwall , UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Cornwall Hospital , Truro, Cornwall , UK","institution_ids":["https://openalex.org/I2799759729"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031117995","display_name":"Daniel Hearsey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799759729","display_name":"Royal Cornwall Hospital","ror":"https://ror.org/00cfdk448","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799477489","https://openalex.org/I2799759729"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Daniel Hearsey","raw_affiliation_strings":["Royal Cornwall Hospital , Truro, Cornwall , UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Cornwall Hospital , Truro, Cornwall , UK","institution_ids":["https://openalex.org/I2799759729"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035065476","display_name":"Neil Powell","orcid":"https://orcid.org/0000-0002-6113-9810","observed_orcids":["https://orcid.org/0000-0002-6113-9810"]},"institutions":[{"id":"https://openalex.org/I2799759729","display_name":"Royal Cornwall Hospital","ror":"https://ror.org/00cfdk448","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799477489","https://openalex.org/I2799759729"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Neil Powell","raw_affiliation_strings":["Royal Cornwall Hospital , Truro, Cornwall , UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Cornwall Hospital , Truro, Cornwall , UK","institution_ids":["https://openalex.org/I2799759729"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2799759729"],"apc_list":{"value":2176,"currency":"GBP","value_usd":2781},"apc_paid":{"value":2176,"currency":"GBP","value_usd":2781},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10760","display_name":"Pancreatitis Pathology and Treatment","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10760","display_name":"Pancreatitis Pathology and Treatment","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.11050000041723251,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.006599999964237213,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatitis","display_name":"pancreatitis","score":0.9100000262260437},{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.8939999938011169},{"id":"https://openalex.org/keywords/procalcitonin","display_name":"procalcitonin","score":0.9890000224113464},{"id":"https://openalex.org/keywords/antibiotic-stewardship","display_name":"antibiotic stewardship","score":0.7720000147819519},{"id":"https://openalex.org/keywords/inappropriate-antibiotic-use","display_name":"inappropriate antibiotic use","score":0.5049999952316284},{"id":"https://openalex.org/keywords/cholecystitis","display_name":"cholecystitis","score":0.5809999704360962},{"id":"https://openalex.org/keywords/cholangitis","display_name":"cholangitis","score":0.7950000166893005},{"id":"https://openalex.org/keywords/intra-abdominal-infection","display_name":"intra-abdominal infection","score":0.9200000166893005},{"id":"https://openalex.org/keywords/pancreatic-necrosis","display_name":"pancreatic necrosis","score":0.5130000114440918},{"id":"https://openalex.org/keywords/audit-and-feedback","display_name":"audit and feedback","score":0.3840000033378601},{"id":"https://openalex.org/keywords/clinical-guideline-adherence","display_name":"clinical guideline adherence","score":0.3190000057220459},{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.45899999141693115},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.656000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8960224390029907},{"id":"https://openalex.org/C2775967933","wikidata":"https://www.wikidata.org/wiki/Q1527888","display_name":"Pancreatitis","level":2,"score":0.7362585663795471},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5567168593406677},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.48803892731666565},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.47754204273223877},{"id":"https://openalex.org/C2776670229","wikidata":"https://www.wikidata.org/wiki/Q854573","display_name":"Acute pancreatitis","level":2,"score":0.4753691554069519},{"id":"https://openalex.org/C10936531","wikidata":"https://www.wikidata.org/wiki/Q786600","display_name":"Procalcitonin","level":3,"score":0.4292010962963104},{"id":"https://openalex.org/C2776780031","wikidata":"https://www.wikidata.org/wiki/Q7130401","display_name":"Pancreatic abscess","level":3,"score":0.4182993769645691},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3892512917518616},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.16249319911003113},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/jacamr/dlad143.006","doi":"https://doi.org/10.1093/jacamr/dlad143.006","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlad143.006","pdf_url":"https://academic.oup.com/jacamr/article-pdf/6/Supplement_1/dlad143.006/54919884/dlad143.006.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10761236","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10761236","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10761236/pdf/dlad143.006.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC Antimicrob Resist","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jacamr/dlad143.006","doi":"https://doi.org/10.1093/jacamr/dlad143.006","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jacamr/dlad143.006","pdf_url":"https://academic.oup.com/jacamr/article-pdf/6/Supplement_1/dlad143.006/54919884/dlad143.006.pdf","source":{"id":"https://openalex.org/S4210190703","display_name":"JAC-Antimicrobial Resistance","issn_l":"2632-1823","issn":["2632-1823"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAC-Antimicrobial Resistance","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4390519574.pdf","grobid_xml":"https://content.openalex.org/works/W4390519574.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4386292366","https://openalex.org/W7163421547","https://openalex.org/W4396961201","https://openalex.org/W4386012216","https://openalex.org/W4308747564","https://openalex.org/W4386361743","https://openalex.org/W2966854178","https://openalex.org/W4285810831","https://openalex.org/W2769847117","https://openalex.org/W2795506126"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Procalcitonin":[2],"(PCT)":[3],"has":[4,477],"been":[5],"shown":[6],"to":[7,51,60,115,282,327,330,355,373,390],"safely":[8],"reduce":[9,410],"antibiotic":[10,42,53,70,295,318,340,380,411,423],"use":[11,43],"in":[12,40,44,55,107,248,297,303,309,320,342,364,392,406,444,480],"respiratory":[13,226],"tract":[14,227],"infections":[15],"but":[16],"there":[17],"is":[18,352,490],"little":[19],"evidence":[20],"for":[21,83,124,136,162,196,218,223,244,256,263,346,362,382,425,436,459,471,484],"other":[22,237],"potentially":[23],"infected":[24,265],"body":[25],"systems.":[26],"A":[27],"recent":[28],"randomized":[29],"controlled":[30],"trial":[31],"(RCT)":[32],"demonstrated":[33],"the":[34,62,73,103,108,117,159,298,304,310,315,321,337,357,365,393,415,418,432,440,464],"safety":[35],"and":[36,59,88,138,164,179,198,220,307,368],"efficacy":[37],"of":[38,65,69,133,148,211,294,317,339,359,379,404,417,422,434,448,457,466],"PCT":[39,66,305,405,467,476],"reducing":[41,481],"patients":[45,56,206,383,485],"with":[46,57,207,269,386,431,486],"pancreatitis.":[47,350],"Objectives":[48],"We":[49],"aimed":[50],"review":[52],"prescribing":[54,71,296,319,381,424,435,458,470,483],"pancreatitis":[58,84,94,125,130,163,197,212,219,267,363,387,426,460,472,487],"estimate":[61],"potential":[63],"impact":[64,465],"on":[67,200,468],"rates":[68,456],"at":[72,384,427,473,488],"Royal":[74],"Cornwall":[75],"Hospital":[76],"Trust":[77],"(RCHT).":[78],"Methods":[79],"Patient":[80],"care":[81,144,312,323],"episodes":[82,145,187,250],"between":[85],"June":[86],"2022":[87],"May":[89],"2023":[90],"were":[91,113,126,146,152,188,213,260,301,345],"identified":[92],"using":[93,102],"ICD-10":[95],"codes.":[96],"An":[97],"audit":[98],"tool":[99],"was":[100,246,289,325,442],"developed":[101],"inclusion":[104],"criteria":[105,123,161,195],"used":[106,114],"RCT.":[109],"Electronic":[110],"notes":[111],"systems":[112],"collect":[116],"following:":[118],"patient":[119,143,186],"demographics,":[120],"whether":[121],"diagnostic":[122,160,194],"met,":[127],"clinical":[128,209],"specialty,":[129],"severity,":[131],"presence":[132],"necrosis,":[134],"indications":[135],"antibiotics":[137,245,255,360],"course":[139],"lengths.":[140],"Results":[141],"121":[142],"identified,":[147],"which":[149,399,461],"76":[150],"(63%)":[151],"analysed.":[153],"Of":[154,252],"these,":[155],"61":[156],"(80.3%)":[157],"met":[158],"analysed;":[165],"median":[166],"age":[167],"57":[168],"(IQR":[169],"26),":[170],"28":[171],"(45.9%)":[172],"female,":[173],"51":[174],"(83.6%)":[175],"managed":[176],"under":[177,182],"surgeons":[178],"10":[180],"(16.4%)":[181],"medicine.":[183],"15":[184],"(19.7%)":[185],"excluded:":[189],"14":[190],"did":[191],"not":[192,349,353,454],"meet":[193],"1":[199,235,287],"long":[201],"term":[202],"immunosuppression.":[203],"30":[204],"(49.2%)":[205],"a":[208,478],"diagnosis":[210],"prescribed":[214,254,262,361],"antibiotics;":[215],"5":[216,240],"(16.7%)":[217],"16":[221],"(53.3%)":[222],"extra-pancreatic":[224,272,347,437],"indications:":[225],"3":[228],"(18.8%),":[229],"cholecystitis":[230],"7":[231],"(43.8%),":[232],"suspected":[233,264],"cholangitis":[234],"(6.3%),":[236],"intra-abdominal":[238],"infection":[239],"(31.3%).":[241],"The":[242,291,450],"indication":[243,441],"unclear":[247,443],"9":[249],"(30.0%).":[251],"those":[253,391],"pancreatitis,":[257],"4":[258],"(80%)":[259],"appropriately":[261],"necrotic":[266],"(patients":[268],"pancreatic":[270],"or":[271,277,280],"necrosis":[273],"who":[274],"deteriorate":[275],"(physiologically":[276],"blood":[278],"results)":[279],"fail":[281],"improve":[283],"after":[284],"7-10":[285],"days),":[286],"(20%)":[288],"inappropriate.":[290],"overall":[292],"rate":[293,316],"PROCAP":[299,366,394,419,451],"study":[300,367,452],"31%":[302],"group":[306,313,324,398],"47%":[308],"usual":[311,322],"(non-PCT);":[314],"found":[326],"be":[328],"comparable":[329,389],"our":[331,343,375,407],"data":[332],"(47.0%":[333],"verses":[334],"49.2%).":[335],"However,":[336],"majority":[338,433],"prescriptions":[341],"cohort":[344],"infections,":[348],"It":[351],"possible":[354],"determine":[356],"proportion":[358],"therefore":[369],"we":[370],"are":[371,388,429],"unable":[372],"compare":[374],"findings.":[376],"Conclusions":[377],"Rates":[378,421],"RCHT":[385,428,489],"non-PCT":[395],"guided":[396],"treatment":[397],"might":[400],"suggest":[401],"that":[402],"adoption":[403],"hospital":[408],"could":[409],"prescribing,":[412],"as":[413],"per":[414],"findings":[416],"study.":[420],"low,":[430],"indications,":[438],"although":[439],"approximately":[445],"one":[446],"third":[447],"episodes.":[449],"does":[453],"report":[455],"prevents":[462],"estimating":[463],"antimicrobial":[469,482],"RCHT.":[474],"Whether":[475],"role":[479],"unclear.":[491]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2024-01-03T00:00:00"}
