Evidence map›Paper›PMID 27387449›Full record

ArticleBMC pediatrics2016

Comparison of early onset sepsis and community-acquired late onset sepsis in infants less than 3 months of age.

Shlomi Bulkowstein, Shalom Ben-Shimol, Noga Givon-Lavi, Rimma Melamed, Eilon Shany, David Greenberg

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  4. Infant Group B Streptococcal Disease Incidence and Serotypes Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
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  15. Genetic diversity of carbapenem-resistant Klebsiella Pneumoniae causing neonatal sepsis in intensive care unit, Cairo, Egypt.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
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  16. The Epidemiology of Invasive Group BFrontiers in public health · 2020
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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

6 authors at 2 institutions in 1 country.

Shlomi BulkowsteinPediatric Infectious Disease Unit, Soroka University Medical Center, P.O. Box 151, Beer-Sheva, 84101, Israel.
Shalom Ben-ShimolPediatric Infectious Disease Unit, Soroka University Medical Center, P.O. Box 151, Beer-Sheva, 84101, Israel. shalomb2@clalit.org.il.
Noga Givon-LaviPediatric Infectious Disease Unit, Soroka University Medical Center, P.O. Box 151, Beer-Sheva, 84101, Israel.
Rimma MelamedPediatric Infectious Disease Unit, Soroka University Medical Center, P.O. Box 151, Beer-Sheva, 84101, Israel.
Eilon ShanyFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
David GreenbergPediatric Infectious Disease Unit, Soroka University Medical Center, P.O. Box 151, Beer-Sheva, 84101, Israel.
Soroka Medical Center · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared demographic and clinical characteristics of early-onset sepsis (EOS) and community-acquired late onset sepsis (CA-LOS) in infants.

methodsOur medical center is the sole hospital in southern-Israel, enabling incidence calculations. EOS (<7 days) and CA-LOS (7-90 days) episodes recorded between 2007 and 2013 were reviewed. Univariate and multivariate analyses were performed.

results70 EOS and 114 CA-LOS episodes were recorded. The respective mean ± SD annual rates per 1,000 live-births were 0.66 ± 0.16 and 1.03 ± 0.23. Prematurity (42.9 % vs. 17.0 %), premature rupture of membranes (PROM; 22.9 % vs. 1.9 %), leukopenia (29.0 % vs. 11.6 %), thrombocytopenia (44.9 % vs. 14.3 %) and Streptococcus agalactiae infections (22.7 % vs. 8.1 %) were more common in EOS. Fever (25.4 % vs. 79.1 %) and Streptococcus pneumoniae infections (1.3 % vs. 12.9 %) were less common in EOS. In both groups, Gram-negative bacteria predominated (~60 %). Longer hospitalization duration (23.3 ± 25.1 vs. 10.3 ± 8.6 days) and higher case fatality rate (20.0 % vs. 5.3 %) were noted in EOS. Antibiotic resistance rates to empiric EOS and CA-LOS treatments were 0.0 % and 1.2 %, respectively. In multivariate analysis, adjusting for prematurity and ethnicity, PROM, central line, low Apgar-score, low birth-weight, ventilation support and non-vaginal delivery were risk factors for EOS. Normal temperature, thrombocytopenia and leukopenia characterized EOS.

conclusionEOS and CA-LOS rates were low in Jewish compared with Bedouin infants. EOS was characterized by higher rates of perinatal risk factors, S. agalactiae infections, normal temperature, thrombocytopenia, leukopenia and mortality, while fever and S. pneumoniae infections were common in CA-LOS. Current initial antibiotic regimens seem adequate, considering the susceptibility patterns of the isolated pathogens.

Indexed as

Community-Acquired InfectionsFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansIncidenceInfantInfant, NewbornIsraelMaleMultivariate AnalysisRetrospective StudiesRisk FactorsSepsisEarly vs. late onsetGroup B StreptococcusInfant, infectionNeonatal sepsis

Identifiers

PMID27387449
PMCPMC4936327
OpenAlexW2469080008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.