Evidence map›Paper›PMID 25919728›Full record

ArticleThe Journal of pediatrics2015

Neonatal sepsis 2004-2013: the rise and fall of coagulase-negative staphylococci.

Matthew J Bizzarro, Veronika Shabanova, Robert S Baltimore, Louise-Marie Dembry, Richard A Ehrenkranz, Patrick G Gallagher

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
18.9field-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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Antibiotic regimens for late-onset neonatal sepsis.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Factors associated with persistent bloodstream infection in the Neonatal Intensive Care Unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Epidemiology of bacterial and fungal infections among level IV neonatal units in North America.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  14. Article
  15. Emergence of multidrug-resistantEmerging microbes & infections · 2024
    Article
  16. Article
  17. Late-onset sepsis in very preterm infants in Norway in 2009-2018: a population-based study.Archives of disease in childhood. Fetal and neonatal edition · 2023
    Article
  18. Review
  19. Article
  20. Article

3 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

6 authors at 2 institutions in 1 country.

Matthew J BizzarroDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT. Electronic address: matthew.bizzarro@yale.edu.
Veronika ShabanovaDepartment of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT.
Robert S BaltimoreDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT; Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT; Department of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, CT.
Louise-Marie DembryDepartment of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, CT; Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Richard A EhrenkranzDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT.
Patrick G GallagherDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT.
Yale University · USYale New Haven Hospital · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
NCRR NIH HHS UL1 RR024139
6 · The paper itself

Abstract

objectivesTo evaluate data for the period 2004-2013 to identify changes in demographics, pathogens, and outcomes in a single, level IV neonatal intensive care unit. STUDY

designSepsis episodes were identified prospectively and additional information obtained retrospectively from infants with sepsis while in the neonatal intensive care unit from 2004 to 2013. Demographics, hospital course, and outcome data were collected and analyzed. Sepsis was categorized as early (≤3 days of life) or late-onset (>3 days of life).

resultsFour hundred fifty-two organisms were identified from 410 episodes of sepsis in 340 infants. Ninety percent of cases were late-onset. Rates of early-onset sepsis remained relatively static throughout the study period (0.9 per 1000 live births). For the first time in decades, most (60%) infants with early-onset sepsis were very low birth weight and Escherichia coli (45%) replaced group B streptococcus (36%) as the most common organism associated with early-onset sepsis. Rates of late-onset sepsis, particularly due to coagulase-negative staphylococci, decreased significantly after implementation of several infection-prevention initiatives. Coagulase-negative staphylococci were responsible for 31% of all cases from 2004 to 2009 but accounted for no cases of late-onset sepsis after 2011.

conclusionsThe epidemiology and microbiology of early- and late-onset sepsis continue to change, impacted by targeted infection prevention efforts. We believe the decrease in sepsis indicates that these interventions have been successful, but additional surveillance and strategies based on evolving trends are necessary.

Indexed as

Escherichia coliStreptococcus agalactiaeCoagulaseConnecticutCross InfectionFemaleGestational AgeHaemophilus influenzaeHospitalizationHumansInfant, NewbornInfant, Very Low Birth WeightIntensive Care, NeonatalMaleProspective StudiesRetrospective StudiesCoagulase

Identifiers

PMID25919728
PMCPMC4413005
OpenAlexW1996359207

What OpenQuestion holds

Textmetadata
LicenceTDM
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.