Evidence map›Paper›PMID 17350726›Full record

ReviewThe Journal of hospital infection2007

Healthcare-associated infections in neonatal units: lessons from contrasting worlds.

S Srivastava, N Shetty

Abstract readReview
In one paragraph

Review in The Journal of hospital infection, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Impact of empiric antibiotic regimen on bowel colonization in neonates with suspected early onset sepsis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2010
    Trial
  2. Review
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  4. Review
  5. Article
  6. Review
  7. Article
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  12. Prevention and treatment of neonatal nosocomial infections.Maternal health, neonatology and perinatology · 2017
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Infant neurobehavioral development.Seminars in perinatology · 2011
    Article
  18. Article
  19. Risk factors for laboratory-confirmed bloodstream infection in neonates undergoing surgical procedures.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

S SrivastavaDepartment of Clinical Microbiology, Health Protection Agency Collaborating Centre, University College London Hospitals, London, UK.
N Shetty

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal intensive care units are vulnerable to outbreaks and sporadic incidents of healthcare-associated infections (HAIs). The incidence and outcome of these infections are determined by the degree of immaturity of the neonatal immune system, invasive procedures involved, the aetiological agent and its antimicrobial susceptibility pattern and, above all, infection control policies practised by the unit. It is important to raise awareness of infection control practices in resource-limited settings, since overdependence upon antimicrobial agents and co-existing lack of awareness of infection control is encouraging the emergence of multi-drug-resistant nosocomial pathogens. We reviewed 125 articles regarding HAIs from both advanced and resource-limited neonatal units in order to study risk factors, aetiological agents, antimicrobial susceptibility patterns and reported successes in infection control interventions. The articles include surveillance studies, outbreaks and sporadic incidents. Gram-positive cocci, viruses and fungi predominate in reports from the advanced units, while Gram-negative enteric rods, non-fermenters and fungi are commonly reported from resource-limited settings. Antimicrobial susceptibility patterns from surveillance studies determined the empirical therapy used in each neonatal unit. Most outbreaks, irrespective of the technical facilities available, were traced to specific lack of infection control practices. We discuss infection control interventions, with special emphasis on their applicability in resource-limited settings. Cost-effective measures for implementing these interventions, with particular reference to the recognition of the role of the microbiologist, the infection control team and antibiotic policies are presented.

Indexed as

Cross InfectionDeveloping CountriesInfant, Newborn, DiseasesIntensive Care Units, NeonatalQuality of Health CareHumansImmune SystemInfant, NewbornInfection ControlIntensive Care, NeonatalRisk Factors

Identifiers

PMID17350726
PMCPMC7172768

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.