Evidence map›Paper›PMID 25795268›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil.

B R Mizumoto, B M Moreira, G Santoro-Lopes, A J Cunha, R M R dos Santos, C L Pessoa-Silva, Azeredo A N Pinheiro, M Ferreira, M B Leobons, Cristina Barroso Hofer

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study.International journal of environmental research and public health · 2018
    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

10 authors.

B R MizumotoDepartment of Preventive Medicine, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Secretaria Estadual de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
B M MoreiraDepartment of Preventive Medicine, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Instituto de Microbiologia Paulo Góes, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
G Santoro-LopesDepartment of Preventive Medicine, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Infectious Diseases Clinic, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
A J CunhaDepartment of Pediatrics, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
R M R dos SantosSecretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
C L Pessoa-SilvaWorld Health Organization, Switzerland.
Azeredo A N PinheiroSecretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
M FerreiraSecretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
M B LeobonsSecretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Cristina Barroso HoferDepartment of Preventive Medicine, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Electronic address: cbhofer@hucff.ufrj.br.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundNeonatal infection is a serious public health problem. The aim of this study was to assess the influence of the antenatal care on the risk of early-onset neonatal healthcare associated infection in two Brazilian maternities.

methodsCohort study - Newborns admitted at two public neonatal intensive care units from 2008 to 2009 were included in the study. Data on antenatal and perinatal variables were collected from maternal prenatal cards and medical charts. Newborns were actively surveyed for early-onset neonatal healthcare associated infection, defined as a neonatal infection diagnosed within 48h after birth. Multiple logistic regression was used to assess variables independently associated with early-onset neonatal healthcare associated infection.

results561 neonate-mother pairs were included in the study. Early-onset neonatal healthcare associated infection was diagnosed in 283 neonates (51%), an incidence rate of 43.5/1000 live births. Neonates whose mothers had less then six antenatal visits were under risk significantly higher for early-onset neonatal healthcare associated infection (OR=1.69, 95% CI=1.11-2.57), after adjusting for birth weight, membranes ruptured for >18h, maternal complications during delivery, maternal infection at admission, and hospital where patients received care.

conclusionsThe risk of neonatal early-onset neonatal healthcare associated infection was significantly associated with insufficient number of antenatal care visits. Further studies assessing the quality of antenatal care and targeting its improvement are warranted.

Indexed as

BrazilCohort StudiesCommunicable DiseasesFemaleHumansInfant, NewbornInfant, Newborn, DiseasesInfectious Disease Transmission, VerticalIntensive Care Units, NeonatalMalePregnancyPregnancy Complications, InfectiousPrenatal CareRisk FactorsAntenatal careEarly-onset healthcare associated infectionsNewbornPublic maternity

Identifiers

PMID25795268
PMCPMC9425413

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.