Evidence map›Paper›PMID 24366464›Full record

SynthesisPediatric research2013

Neonatal severe bacterial infection impairment estimates in South Asia, sub-Saharan Africa, and Latin America for 2010.

Anna C Seale, Hannah Blencowe, Anita Zaidi, Hammad Ganatra, Sana Syed, Cyril Engmann, Charles R Newton, Stefania Vergnano, Barbara J Stoll, Simon N Cousens and 2 more

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Pediatric research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 10 pooled it
13.4field-weighted citation impact, top 1% 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.

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

82 citing papers in PubMed, 10 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
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  5. Neonatal Encephalopathy With Group B Streptococcal Disease Worldwide: Systematic Review, Investigator Group Datasets, and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  6. Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  7. Pooled it
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  11. Non-study post-partum antibiotics use and risk of maternal and neonatal infection: A secondary analysis of the A-PLUS randomized controlled trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Trial
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  17. Article
  18. Type 3 immune response protects againstEmerging microbes & infections · 2024
    Article
  19. Article
  20. Predictors of gentamicin therapy failure in neonates with sepsis.Pharmacology research & perspectives · 2024
    Article

22 more citing papers are in PubMed but not listed here.

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

12 authors at 9 institutions in 5 countries.

Anna C Seale1] Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, UK [2] KEMRI-Wellcome Trust Centre for Geographic Medicine and Research-Coast, Kilifi, Kenya.
Hannah BlencoweFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Anita ZaidiDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Hammad GanatraDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Sana SyedDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Cyril EngmannBill and Melinda Gates Foundation, Seattle, Washington.
Charles R Newton1] KEMRI-Wellcome Trust Centre for Geographic Medicine and Research-Coast, Kilifi, Kenya [2] Department of Psychiatry, University of Oxford, Oxford, UK.
Stefania VergnanoSt George's Hospital, London, UK.
Barbara J StollEmory and Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia.
Simon N CousensFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Joy E Lawn1] Saving Newborn Lives/Save the Children, Washington, DC [2] Centre for Maternal Reproductive & Child Health, London School of Hygiene and Tropical Medicine, London, UK.
Neonatal Infections Estimation Team
Aga Khan University · PKLondon School of Hygiene & Tropical Medicine · GBEmory University · USGates Foundation · USKenya Medical Research Institute · KESave the Children · GBSt George's Hospital · GBUniversity of London · GBUniversity of Oxford · GB

Funding

Global Network for Women's and Children's Health ResearchU10HD076461 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI LIECHTY, EDWARD A. · 2013 to 2017
$4.1M
Improving Quality of Care for the Treatment of Childhood PneumoniaU01HD058322 · NICHD · TUFTS UNIVERSITY BOSTON · PI HIBBERD, PATRICIA L · 2008 to 2012
$4.0M
Global Network for Women's and Children's Health ResearchUG1HD076461 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI BUCHER, SHERRI LYNN, SZYLD, EDGARDO GABRIEL · 2018 to 2023
$3.2M
Maternal and Child Health Benefits from Reducing Household Air PollutionU10HD078439 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI HIBBERD, PATRICIA L · 2013 to 2017
$3.1M
NICHD NIH HHS U01 HD058322NICHD NIH HHS U10 HD076461NICHD NIH HHS U10 HD078439NICHD NIH HHS UG1 HD076461Wellcome Trust 092654
6 · The paper itself

Abstract

backgroundSurvivors of neonatal infections are at risk of neurodevelopmental impairment (NDI), a burden not previously systematically quantified and yet important for program priority setting. Systematic reviews and meta-analyses were undertaken and applied in a three-step compartmental model to estimate NDI cases after severe neonatal bacterial infection in South Asia, sub-Saharan Africa, and Latin America in neonates of >32 wk gestation (or >1,500 g).

methodsWe estimated cases of sepsis, meningitis, pneumonia, or no severe bacterial infection from among estimated cases of possible severe bacterial infection ((pSBI) step 1). We applied respective case fatality risks ((CFRs) step 2) and the NDI risk among survivors (step 3). For neonatal tetanus, incidence estimates were based on the estimated deaths, CFRs, and risk of subsequent NDI.

resultsFor 2010, we estimated 1.7 million (uncertainty range: 1.1-2.4 million) cases of neonatal sepsis, 200,000 (21,000-350,000) cases of meningitis, 510,000 cases (150,000-930,000) of pneumonia, and 79,000 cases (70,000-930,000) of tetanus in neonates >32 wk gestation (or >1,500 g). Among the survivors, we estimated moderate to severe NDI after neonatal meningitis in 23% (95% confidence interval: 19-26%) of survivors, 18,000 (2,700-35,000) cases, and after neonatal tetanus in 16% (6-27%), 4,700 cases (1,700-8,900).

conclusionData are lacking for impairment after neonatal sepsis and pneumonia, especially among those of >32 wk gestation. Improved recognition and treatment of pSBI will reduce neonatal mortality. Lack of follow-up data for survivors of severe bacterial infections, particularly sepsis, was striking. Given the high incidence of sepsis, even minor NDI would be of major public health importance. Prevention of neonatal infection, improved case management, and support for children with NDI are all important strategies, currently receiving limited policy attention.

Indexed as

Africa South of the SaharaAsiaDevelopmental DisabilitiesHumansInfant, NewbornLatin AmericaMeningitisModels, StatisticalPneumoniaRisk AssessmentSepsis

Identifiers

PMID24366464
PMCPMC3873707
OpenAlexW2070383019

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.