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Record W4362458551 · doi:10.1097/ju.0000000000003447

Leading Antimicrobial Stewardship From the Operating Room

2023· editorial· en· W4362458551 on OpenAlexaboutno aff
George E. Koch, Jacob E. Tallman, Roger R. Dmochowski

Bibliographic record

VenueThe Journal of Urology · 2023
Typeeditorial
Languageen
FieldMedicine
TopicUrinary Tract Infections Management
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineAntimicrobial stewardshipLibrary scienceStewardship (theology)MEDLINEAntibiotic StewardshipFamily medicineAntibiotic resistanceAntibioticsMicrobiologyPolitical science

Abstract

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No AccessJournal of UrologyJU Forum1 Jul 2023Leading Antimicrobial Stewardship From the Operating Room George E. Koch, Jacob E. Tallman, and Roger R. Dmochowski George E. KochGeorge E. Koch *Correspondence: Department of Urology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37215 telephone: 315-651-2901; E-mail Address: [email protected] https://orcid.org/0000-0001-8978-9287 Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author , Jacob E. TallmanJacob E. Tallman Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author , and Roger R. DmochowskiRoger R. Dmochowski Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003447AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Leading Antimicrobial Stewardship From the Operating Room." The Journal of Urology, 210(1), pp. 8–9 REFERENCES 1. Centers for Disease Control and Prevention. Antibiotic Resistance Threats in the United States; 2019. Accessed March 11, 2023. http://dx.doi.org/10.15620/cdc:82532. Crossref, Google Scholar 2. . Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis. 2016; 62(10):e51-e77. Crossref, Medline, Google Scholar 3. . Outpatient prescribing and prophylactic antibiotic use for recurrent urinary tract infections in British Columbia, Canada. Can Urol Assoc J. 2021; 15(12):397-404. Crossref, Medline, Google Scholar 4. . National adherence to guidelines for antimicrobial prophylaxis for patients undergoing radical cystectomy. J Urol. 2023; 209(2):329-336. Link, Google Scholar 5. . Post-procedural antibiotic use and associated outcomes after common urologic procedures across a national healthcare system. Urology. 2023; 171:115-120. Crossref, Medline, Google Scholar 6. . Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013; 70(3):195-283. Crossref, Medline, Google Scholar 7. . Best practice statement on urologic procedures and antimicrobial prophylaxis. J Urol. 2020; 203(2):351-356. Link, Google Scholar 8. . AUA-recommended antibiotic prophylaxis for primary penile implantation results in a higher, not lower, risk for postoperative infection: a multicenter analysis. J Urol. 2023; 209(2):399-409. Link, Google Scholar 9. . Guideline-discordant preoperative gentamicin dosing and the risk of gentamicin associated nephrotoxicity in urologic surgery. Urology. 2021; 153:164-168. Crossref, Medline, Google Scholar 10. . Ureteral stents harbor complex biofilms with rich microbiome-metabolite interactions. J Urol. 2023; 209(5):950-962. Link, Google Scholar Support: None. Conflict of Interest: The Authors have no conflicts of interest to disclose. Ethics Statement: This study was deemed exempt from Institutional Review Board review. Author Contributions: Concept: GEK, JET, RRD; Literature review: GEK, JET; Manuscript writing: GEK, JET; Critical review: GEK, JET, RRD. © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 210Issue 1July 2023Page: 8-9 Author Profiles Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information George E. Koch Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee *Correspondence: Department of Urology, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37215 telephone: 315-651-2901; E-mail Address: [email protected] More articles by this author Jacob E. Tallman Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author Roger R. Dmochowski Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author Expand All Support: None. Conflict of Interest: The Authors have no conflicts of interest to disclose. Ethics Statement: This study was deemed exempt from Institutional Review Board review. Author Contributions: Concept: GEK, JET, RRD; Literature review: GEK, JET; Manuscript writing: GEK, JET; Critical review: GEK, JET, RRD. Advertisement PDF downloadLoading ...

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: none
Teacher disagreement score0.346
Threshold uncertainty score0.932

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.014
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0020.001
Science and technology studies0.0020.001
Scholarly communication0.0050.003
Open science0.0010.004
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.3460.127

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.298
Teacher spread0.277 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designNot applicable
Domainnot available
GenreEditorial

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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