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. 2023 Oct 9;65:102257. doi: 10.1016/j.eclinm.2023.102257

Table 1.

Association between guideline characteristics and incorporation of antimicrobial stewardship considerations (univariate model).

Characteristic Addresses Antimicrobial Stewardship (n = 20) Does not address Antimicrobial Stewardship (n = 8) Odds ratio for addressing Antimicrobial Stewardship 97.5% confidence interval
Guideline-level characteristics
Year of publication
2020 4 3 Reference
2021 6 3 1.50 0.15–15.46
2022 10 2 3.75 0.33–42.95
Country Income
HIC 18 5 Reference
LMIC 2 3 0.19 0.02–1.92
ID expert on panel
No 3 5 Reference
Yes 17 3 9.44 1.09–81.59
Public health expert on panel
No 12 7 Reference
Yes 8 1 4.67 0.34–63.17
Pharmacy expert on panel
No 11 8 Reference
Yes 9 0 >1000 0 to infinity
Any expert on panel
No 3 5 Reference
Yes 17 3 9.44 1.09–81.59
AGREE II score (Guideline Level)
1. Scope and purpose Per 10% increase 1.76 0.73–4.29
2. Stakeholder involvement 1.53 0.91–2.57
3. Rigor of development 1.67 1.02–2.72
4. Clarity of presentation 3.45 1.15–10.39
5. Applicability 2.14 0.73–6.33
6. Editorial independence 1.01 0.71–1.44
AGREE II quality
Low or moderate 9 7 Reference
High 11 1 8.56 0.64–115.11
AGREE REX score (Recommendation Level)
1. Evidence Per 10% increase 1.51 1.01–2.25
2. Applicability to target users 2.25 1.08–4.69
3. Applicability to patients/populations 2.16 1.01–4.65
4. Values of users 10.82 0.96–122.52
5. Values of patients >1000 0 to infinity
6. Values of policy makers 4.08 1.25–13.28
7. Values of guideline developers 1.90 1.01–3.57
8. Purpose 1.82 0.93–3.59
9. Local adaptation and adoption 6.37 0.75–54.00
Overall score 3.26 1.14–9.31
AGREE REX quality
Low or moderate 12 8 Reference
High 8 0 >1000 0 to infinity