{"id":"W4392110659","doi":"10.3390/children11030276","title":"Antimicrobial Stewardship in Pediatric Emergency Medicine: A Narrative Exploration of Antibiotic Overprescribing, Stewardship Interventions, and Performance Metrics","year":2024,"lang":"en","type":"article","venue":"Children","topic":"Antibiotic Use and Resistance","field":"Immunology and Microbiology","cited_by":16,"is_retracted":false,"has_abstract":true,"ca_institutions":"BC Children's Hospital; University of British Columbia","funders":"BC Children's Hospital","keywords":"Antimicrobial stewardship; Medicine; Intensive care medicine; Psychological intervention; Antibiotic Stewardship; Pediatric emergency medicine; Medical prescription; Procalcitonin; Stewardship (theology); Antibiotic resistance; Antibiotics; Medical emergency; Emergency department; Sepsis; Nursing; Emergency physician; Internal medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.000367208,0.0001837524,0.0003273815,0.0005482408,0.00009293049,0.000009936516,0.0001574394,0.0001830081,0.0001497997],"category_scores_gemma":[0.0001223688,0.0001494235,0.00009880644,0.000772761,0.0001716555,0.0003422669,0.00007521088,0.0002974103,0.00004100827],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00002857561,"about_ca_system_score_gemma":0.00005281048,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00008333114,"about_ca_topic_score_gemma":0.00005342397,"domain_scores_codex":[0.9986387,0.0001425659,0.0005722266,0.000348467,0.0000593876,0.0002386198],"domain_scores_gemma":[0.9995389,0.0000630009,0.0001439477,0.0001770022,0.00005650824,0.000020642],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0002053314,0.0004199897,0.9452831,0.003102766,0.0003823428,0.000009777864,0.01643455,0.00001475146,0.01281866,0.001815341,0.01495285,0.00456051],"study_design_scores_gemma":[0.001697703,0.0008752209,0.9733163,0.002518229,0.0003918286,0.00005357833,0.002382908,0.00005604948,0.0177587,0.000263889,0.0001763638,0.0005092858],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9493439,0.0483979,0.0002472573,0.000153936,0.001097869,0.0002903618,0.00002883624,0.00005004099,0.0003899135],"genre_scores_gemma":[0.9916745,0.007142106,0.00004455587,0.000009004771,0.00009961248,0.000001816319,0.00008971921,0.0000178236,0.0009208724],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04233061,"threshold_uncertainty_score":0.6093314,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02888040132984559,"score_gpt":0.2828455015914422,"score_spread":0.2539651002615966,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}