Evidence map›Paper›PMID 25604489›Full record

ReviewJournal of tropical pediatrics2015

Challenges in the diagnosis and management of neonatal sepsis.

Alonso Zea-Vera, Theresa J Ochoa

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of tropical pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 176 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
176citing papers in PubMed, 15 pooled it
14.9field-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

176 citing papers in PubMed, 15 syntheses or guidelines pooled it, 381 citations in OpenAlex.

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  7. Antibiotic regimens for early-onset neonatal sepsis.The Cochrane database of systematic reviews · 2021
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  8. Antibiotic regimens for late-onset neonatal sepsis.The Cochrane database of systematic reviews · 2021
    Pooled it
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  11. C-reactive protein for diagnosing late-onset infection in newborn infants.The Cochrane database of systematic reviews · 2019
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  14. 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
  15. Inadequate use of antibiotics and increase in neonatal sepsis caused by resistant bacteria related to health care assistance: a systematic review.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
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116 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

2 authors at 2 institutions in 2 countries.

Alonso Zea-VeraInstituto de Medicina Tropical "Alexander von Humbolt" and Pediatrics, Universidad Peruana Cayetano Heredia, Lima, Lima 31, Peru.
Theresa J OchoaInstituto de Medicina Tropical "Alexander von Humbolt" and Pediatrics, Universidad Peruana Cayetano Heredia, Lima, Lima 31, Peru Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center, School of Public Health, Houston, Texas, 77225, USA Theresa.J.Ochoa@uth.tmc.edu.
The University of Texas Health Science Center at Houston · USUniversidad Peruana Cayetano Heredia · PE

Funding

Lactoferrin for prevention of sepsis in infantsR01HD067694 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI OCHOA, THERESA J · 2011 to 2015
$2.0M
NICHD NIH HHS R01 HD067694NICHD NIH HHS R01-HD067694-01A1
6 · The paper itself

Abstract

Neonatal sepsis is the third leading cause of neonatal mortality and a major public health problem, especially in developing countries. Although recent medical advances have improved neonatal care, many challenges remain in the diagnosis and management of neonatal infections. The diagnosis of neonatal sepsis is complicated by the frequent presence of noninfectious conditions that resemble sepsis, especially in preterm infants, and by the absence of optimal diagnostic tests. Since neonatal sepsis is a high-risk disease, especially in preterm infants, clinicians are compelled to empirically administer antibiotics to infants with risk factors and/or signs of suspected sepsis. Unfortunately, both broad-spectrum antibiotics and prolonged treatment with empirical antibiotics are associated with adverse outcomes and increase antimicrobial resistance rates. Given the high incidence and mortality of sepsis in preterm infants and its long-term consequences on growth and development, efforts to reduce the rates of infection in this vulnerable population are one of the most important interventions in neonatal care. In this review, we discuss the most common questions and challenges in the diagnosis and management of neonatal sepsis, with a focus on developing countries.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsHumansIncidenceInfantInfant MortalityInfant, NewbornInfant, Newborn, DiseasesInfant, PrematureInfant, Premature, DiseasesSepsisAnti-Bacterial Agents

Identifiers

PMID25604489
PMCPMC4375388
OpenAlexW2170556506

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.