{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.007680532,0.0004064828,0.0005432438,0.002160658,0.0008334749,0.003056862,0.0005703113,0.0009027325,0.001329668],"category_scores_gemma":[0.02596865,0.0002871116,0.000712112,0.002522363,0.001150961,0.00376152,0.002184105,0.002495249,0.0001249099],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005998957,"about_ca_system_score_gemma":0.01222783,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.006142786,"about_ca_topic_score_gemma":0.01321912,"domain_scores_codex":[0.9956586,0.002686764,0.0005439033,0.0002400861,0.0005723425,0.0002983452],"domain_scores_gemma":[0.9813585,0.01269391,0.003037079,0.0002220742,0.001806516,0.0008819603],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"qualitative","study_design_scores_codex":[0.000392364,0.0003127799,0.05028739,0.04122083,0.0006616772,0.0009106018,0.02196219,0.001354544,0.0004222792,0.06746549,0.03739628,0.7776136],"study_design_scores_gemma":[0.0001381141,0.001436661,0.08748834,0.2356813,0.001616122,0.003196491,0.04408954,0.002274097,0.001186844,0.02005917,0.6026188,0.0002145794],"study_design_candidate":"qualitative","study_design_consensus":null,"genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.06172734,0.8495184,0.003587804,0.07096618,0.0007839429,0.0004893766,0.0006494796,0.00003289273,0.01224455],"genre_scores_gemma":[0.3193706,0.6564604,0.01096102,0.01029479,0.00095095,0.0006765197,0.000323711,0.00002730676,0.0009347014],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.007680532,"threshold_uncertainty_score":0.04352564,"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."}}