MARC details
| 000 -LEADER |
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| fixed length control field |
03017nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210218s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1058-4838 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1093/cid/ciab118 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
6133715 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33575744 |
| 245 ## - TITLE STATEMENT |
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| Title |
Reducing Broad Spectrum Antimicrobial Use in Extracorporeal Membrane Oxygenation (ECMO): Reduce AMMO Study. |
| 251 ## - Source |
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| Source |
Clinical Infectious Diseases. 2021 Feb 12 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Clin Infect Dis. 2021 Feb 12 |
| 253 ## - Journal Name |
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| Journal name |
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-02-18 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: June 1997 - present, Available in print through MWHC library: 1999 - Winter 2007 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: The use of extracorporeal membrane oxygenation (ECMO) in critically ill adults is increasing. There are currently no guidelines for antimicrobial prophylaxis. We analyzed 7 years of prophylactic antimicrobial use across three time series for patients on ECMO at our institution in the development, improvement, and streamlining of our ECMO antimicrobial prophylaxis protocol. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSION: Our final protocol significantly reduces broad spectrum antimicrobial use for prophylaxis in patients on ECMO. We propose a standard antimicrobial prophylaxis regimen for patients on ECMO based on current evidence and our experience. Copyright (c) The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: [email protected]. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: Our study population included 338 ICU patients who received ECMO between July 2011 and November 2019. After implementation of the first version of the protocol we did not observe significant changes in antimicrobial use or infection rates in these patients; however, following revision and streamlining of the protocol, we demonstrated a significant reduction in broad spectrum antimicrobial use for prophylaxis in patients on ECMO without any evidence of a compensatory increase in infection rates. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
STUDY DESIGN AND METHODS: In this quasi-experimental interrupted time series analysis, we evaluated the impact of an initial ECMO antimicrobial prophylaxis protocol, implemented in 2014, on antimicrobial use and NHSN reportable infection rates. Then, following a revision and streamlining of the protocol in November 2018, we re-evaluated the same metrics. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Health Baltimore Residents |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Dhungana, Prabij |
| 790 ## - Authors |
|---|
| All authors |
Bohman JK, Dhungana P, Lahr BD, O'Horo JC, Sampathkumar P, Shah A, Stevens RW, Vashistha K |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1093/cid/ciab118">https://dx.doi.org/10.1093/cid/ciab118</a> |
| Public note |
https://dx.doi.org/10.1093/cid/ciab118 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
