Evidence map›Paper›PMID 22778303›Full record

ArticlePediatrics2012

Choriophobia: a 1-act play.

James A Taylor, Douglas J Opel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03168178 (A Randomized Trial in Intrapartum Fever Of No Antibiotics for Low-risk Women), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
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.

NCT03168178 phase4withdrawnnot on this mapstarted 2017, after this paper: background citation

A Randomized Trial in Intrapartum Fever Of No Antibiotics for Low-risk Women (RATIONAL)

TypeinterventionalSponsorUniversity of UtahRan2017 to 2018Enrolled0ConditionsChorioamnionitis, Intrapartum Fever, Intra-amniotic InfectionArmsStandard Antibiotic Treatment, No Antibiotic Treatment
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Anti-microbial stewardship: antibiotic use in well-appearing term neonates born to mothers with chorioamnionitis.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Article
  7. Article
  8. Chorioamnionitis: epidemiology of newborn management and outcome United States 2008.Journal of perinatology : official journal of the California Perinatal Association · 2014
    Article
  9. Article
  10. Article
  11. 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 at 1 institution in 1 country.

James A TaylorDepartment of Pediatrics, University of Washington, Box 354920, Seattle, WA 98195-4920, USA. uncjat@u.washington.edu
Douglas J Opel
University of Washington · US

Funding

Increasing Child Immunization Rates via Improved Provider-Parent CommunicationK23HD069467 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI OPEL, DOUGLAS J · 2011 to 2015
$650k
NICHD NIH HHS K23 HD069467
6 · The paper itself

Abstract

The management of a newborn born to a mother with chorioamnionitis is controversial. By using data collected on neonates born in the era of routine maternal screening for Group B Streptococcus, we calculate that the risk of early-onset sepsis in a hypothetical infant born at term to a mother with chorioamnionitis, who has a normal physical examination at birth, is likely substantially <1% if the mother's screen for Group B Streptococcus was negative. This low rate of sepsis calls into question current guidelines recommending treatment of all such newborns with intravenous antibiotics for 48 hours pending the results of a blood culture. Current guidelines for the management of infants born to mothers with chorioamnionitis also raise an important ethical issue; the recommendation to treat these infants with intravenous antibiotics is, in essence, a de facto determination of what constitutes unacceptable risk to the newborn. We argue that this determination is ultimately value-based and therefore requires broader deliberation than that which frequently occurs among medical experts who develop medical guidelines.

Indexed as

Streptococcus agalactiaeAcademic Medical CentersAdultAnti-Bacterial AgentsChorioamnionitisCooperative BehaviorEthics, MedicalFemaleGuideline AdherenceHumansInfant, NewbornInfusions, IntravenousInterdisciplinary CommunicationInternship and ResidencyMedical Staff, HospitalPregnancyAnti-Bacterial Agents

Identifiers

PMID22778303
PMCPMC8194452
OpenAlexW2129650773

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.