{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:12:10Z","timestamp":1777907530781,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>\n                    Antimicrobial resistance is a growing public health threat. In hospital settings, antimicrobial decisions must be both prompt and precise. We propose the \u2018I-OCD\u2019 approach, a simple bedside mnemonic to guide daily antibiotic decision-making for hospitalised patients with fever. \u2018I-OCD\u2019 encourages clinicians to: assess evidence of\n                    <jats:italic toggle=\"yes\">I<\/jats:italic>\n                    nfection and determine if antimicrobials are required based on its\n                    <jats:italic toggle=\"yes\">O<\/jats:italic>\n                    rigin and likely\n                    <jats:italic toggle=\"yes\">O<\/jats:italic>\n                    rganisms, obtain appropriate\n                    <jats:italic toggle=\"yes\">C<\/jats:italic>\n                    ultures before initiation, and conduct\n                    <jats:italic toggle=\"yes\">D<\/jats:italic>\n                    aily review of\n                    <jats:italic toggle=\"yes\">D<\/jats:italic>\n                    ose,\n                    <jats:italic toggle=\"yes\">D<\/jats:italic>\n                    uration, and\n                    <jats:italic toggle=\"yes\">D<\/jats:italic>\n                    e-escalation. Empiric therapy should be guided by likely organisms, local antibiograms, and illness severity, rather than defaulting to broad-spectrum coverage. Beyond clinical guidelines, it promotes a behavioural mindset akin to persons with\n                    <jats:italic toggle=\"yes\">O<\/jats:italic>\n                    bsessive-\n                    <jats:italic toggle=\"yes\">C<\/jats:italic>\n                    ompulsive\n                    <jats:italic toggle=\"yes\">D<\/jats:italic>\n                    isorder: clinicians as meticulous \u2018washers and checkers\u2019, committed to hand hygiene and reassessment of antimicrobial need and invasive devices.\n                  <\/jats:p>","DOI":"10.1177\/00494755251362079","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T07:16:41Z","timestamp":1754551001000},"page":"372-373","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018I-OCD\u2019: A bedside protocol for antibiotic stewardship in hospitalised patients"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4476-3478","authenticated-orcid":false,"given":"Ashok Kumar","family":"Pannu","sequence":"first","affiliation":[{"name":"Additional Professor, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006022"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.19509"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06506-y"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v14.i3.106496"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755251362079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755251362079","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755251362079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:37:18Z","timestamp":1777642638000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755251362079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/00494755251362079"],"URL":"https:\/\/doi.org\/10.1177\/00494755251362079","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]}}}