Evidence map›Paper›PMID 24658445›Full record

ArticlePloS one2014

Necrotising enterocolitis in preterm infants: epidemiology and antibiotic consumption in the Polish neonatology network neonatal intensive care units in 2009.

Jadwiga Wójkowska-Mach, Anna Różańska, Maria Borszewska-Kornacka, Joanna Domańska, Janusz Gadzinowski, Ewa Gulczyńska, Ewa Helwich, Agnieszka Kordek, Dorota Pawlik, Jerzy Szczapa and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  16. Greater mortality and morbidity in extremely preterm infants fed a diet containing cow milk protein products.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
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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

11 authors at 6 institutions in 1 country.

Jadwiga Wójkowska-MachChair of Microbiology, Jagiellonian University Medical College, Kraków, Poland.
Anna RóżańskaChair of Microbiology, Jagiellonian University Medical College, Kraków, Poland.
Maria Borszewska-KornackaClinic of Neonatology and Intensive Neonatal Care, Warsaw Medical University, Warsaw, Poland.
Joanna DomańskaInstitute of Theoretical and Applied Informatics of the Polish Academy of Sciences, Gliwice, Poland.
Janusz GadzinowskiChair and Department of Neonatology, Poznań University of Medical Sciences, Poznań, Poland.
Ewa GulczyńskaClinic of Neonatology, Polish Mother's Memorial Hospital-Research Institute, Łódź, Poland.
Ewa HelwichClinic of Neonatology and Intensive Neonatal Care, Institute of Mother and Child, Warsaw, Poland.
Agnieszka KordekDepartment of Neonatal Diseases, Pomeranian Medical University, Szczecin, Poland.
Dorota PawlikClinic of Neonatology, Jagiellonian University Medical College, Kraków, Poland.
Jerzy SzczapaChair and Department of Neonatology, Poznań University of Medical Sciences, Poznań, Poland.
Piotr B HeczkoChair of Microbiology, Jagiellonian University Medical College, Kraków, Poland.
Jagiellonian University · PLPoznan University of Medical Sciences · PLInstitute of Theoretical and Applied Informatics · PLMedical University of Warsaw · PLPolish Mother’s Memorial Hospital Research Institute · PLPomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe aim of this study was to describe the epidemiology of necrotising enterocolitis (NEC), antibiotic consumption and the usefulness of microbiological tests in very low birth weight (VLBW) Polish newborns.

methodsProspective surveillance was performed in the year 2009 by local infection control teams. The study covered 910 infants hospitalized in six Polish neonatal intensive care units. Two kinds of indicators were used for the description of antibiotic usage: the duration of treatment (days of treatment, DOTs) and the defined daily dose (DDD).

resultsNEC incidence was 8.7% and fatality rate was 19%. Chorioamnionitis, late gestational age and low birth weight were identified as risk factors for NEC. Catheterization, mechanical ventilation and other selected procedures were used considerably longer in newborns with NEC than in the remaining neonates. Total usage of antibiotics reached 2.9 DDDs or 1.437 days; the average use of drugs per case of NEC amounted to 0.47 DDD or 23.2 DOTs. The level of antibiotic usage was analysed with correlation to microbiological tests performed and it was non-significantly greater in the group of children with NEC in whom the tests were performed.

conclusionsA high risk of developing NEC is closely associated with VLBW and with inflammation of the amnion during labour. We observed no relationship between the consumption of antibiotics in neonates with NEC and positive results of microbiological testing indicating sepsis accompanying NEC or gut colonization with pathogens.

Indexed as

Infant, PrematureAnti-Bacterial AgentsEnterocolitis, NecrotizingFemaleHumansIncidenceInfant, NewbornInfant, Premature, DiseasesIntensive Care Units, NeonatalMalePatient Outcome AssessmentPolandProspective StudiesPublic Health SurveillanceRisk FactorsAnti-Bacterial Agents

Identifiers

PMID24658445
PMCPMC3962467
OpenAlexW2045855280

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Registered trials

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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.