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 |