Evidence map›Paper›PMID 26250832›Full record

ArticleDigestive diseases and sciences2015

Multiple Opportunistic Pathogens, but Not Pre-existing Inflammation, May Be Associated with Necrotizing Enterocolitis.

Steven T Leach, Kei Lui, Zin Naing, Scot E Dowd, Hazel M Mitchell, Andrew S Day

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03631979 (Regular Intestinal Lavage to Promote Enteral Feeding and Prevent Necrotizing Enterocolitis in Extremely Preterm Infants. A Randomized Controlled Trial Protocol), which is not on this 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
2.4field-weighted citation impact, top 13% 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.

NCT03631979 naterminatednot on this mapstarted 2018, after this paper: background citation

Regular Intestinal Lavage to Promote Enteral Feeding and Prevent Necrotizing Enterocolitis in Extremely Preterm Infants. A Randomized Controlled Trial Protocol

TypeinterventionalSponsorUppsala County Council, SwedenRan2018 to 2025Enrolled200ConditionsNecrotizing Enterocolitis, Time to Full Enteral NutritionArmsIntestinal lavage with normal saline
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Integrated Analysis of Gut Microbiota and Metabolites in a Rat Necrotizing Enterocolitis Model.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Methods for exploring the faecal microbiome of premature infants: a review.Maternal health, neonatology and perinatology · 2021
    Review
  9. Observational
  10. Review
  11. S100A12 in Digestive Diseases and Health: A Scoping Review.Gastroenterology research and practice · 2020
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Steven T LeachSchool of Women's and Children's Health, University of New South Wales, High Street, Sydney, NSW, 2031, Australia. s.leach@unsw.edu.au.
Kei LuiSchool of Women's and Children's Health, University of New South Wales, High Street, Sydney, NSW, 2031, Australia.
Zin NaingVirology, Department of Microbiology, South Eastern Area Laboratory Services, Prince of Wales Hospital, Sydney, Australia.
Scot E DowdMolecular Research LP, MR DNA, Shallowater, TX, USA.
Hazel M MitchellSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, Australia.
Andrew S DaySchool of Women's and Children's Health, University of New South Wales, High Street, Sydney, NSW, 2031, Australia.
UNSW Sydney · AUMassanutten Regional Library · USPrince of Wales Hospital · AURoyal Hospital for Women · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) leads to significant morbidity and mortality in the neonatal intensive care unit. Although current evidence would suggest that bacteria contribute to the pathogenesis of NEC, no single bacterium has yet been identified.

aimsThe aims of this study were to investigate fecal S100A12 concentrations and the intestinal bacterial community in premature infants (24-32 weeks) and investigate any associations between the microbiota and the development of NEC.

methodsMeconium and feces were collected from premature newborn infants (between 24 and 32 weeks gestation) over the first 4 weeks of life. Fecal S100A12 concentrations were assayed by immunoassay, and samples were subject to 16S rDNA analysis using next-generation sequencing techniques.

resultsFecal samples were collected from four infants that developed NEC and 18 control infants. Prior to developing NEC, fecal S100A12 concentrations were not elevated; however, following NEC diagnosis, concentrations were highly elevated. The fecal bacterial communities of infants with NEC did not differ significantly from control infants. However, potentially pathogenic bacteria were detected in significantly more infants with NEC than in controls (p = 0.0007).

conclusionAt birth, fecal S100A12 concentrations were not elevated in premature infants subsequently developing NEC in this cohort. Following NEC diagnosis, S100A12 concentrations were highly elevated, suggesting that this potentially could act as a marker of disease progression. Higher detection rates of potentially pathogenic bacteria in NEC infants suggest that a range of potentially pathogenic bacteria may collectively contribute to NEC pathogenesis.

Indexed as

BacteriaCase-Control StudiesEnterocolitis, NecrotizingFecesFemaleHumansInfantInfant, NewbornInfant, PrematureInflammationMaleMeconiumOpportunistic InfectionsS100A12 ProteinS100A12 ProteinS100A12 protein, humanIntestinal inflammationNecrotizing enterocolitisOpportunistic pathogenic bacteriaS100A12

Identifiers

PMID26250832
OpenAlexW1082953735

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.