Evidence map›Paper›PMID 27537855›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2016

Should gentamicin trough levels be routinely obtained in term neonates?

J Ibrahim, D Maffei, G El-Chaar, S Islam, S Ponnaiya, A Nayak, W Rosenfeld, N Hanna

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

8 authors at 4 institutions in 1 country.

J IbrahimDivision of Neonatal-Perinatal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
D MaffeiDivision of Neonatal-Perinatal Medicine, Cohen Children's Medical Center of NY, Long Island, NY, USA.
G El-ChaarCollege of Pharmacy and Health Sciences, St John's University, Jamaica, NY, USA.
S IslamDepartment of Biostatistics, Winthrop University Hospital, Mineola, NY, USA.
S PonnaiyaDepartment of Pediatrics, Children's Medical Center at Winthrop University Hospital, Mineola, NY, USA.
A NayakDivision of Neonatology, Department of Pediatrics, Children's Medical Center at Winthrop University Hospital, Mineola, NY, USA.
W RosenfeldDepartment of Pediatrics, Children's Medical Center at Winthrop University Hospital, Mineola, NY, USA.
N HannaDivision of Neonatology, Department of Pediatrics, Children's Medical Center at Winthrop University Hospital, Mineola, NY, USA.
Children's Medical Center · USWinthrop-University Hospital · USCohen Children's Medical Center · USSouthwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGentamicin is a common antibiotic used to treat sepsis in neonates. We hypothesize that obtaining routine gentamicin trough levels may not be necessary in low-risk, term infants. STUDY

designWe performed a retrospective cohort study of term infants (n=346) treated with gentamicin in a single level III neonatal intensive care unit (NICU). The results of gentamicin trough levels and the correlation with risk factors and potential side effects were recorded. In addition, we conducted a survey of 75 academic NICUs across the United States regarding their gentamicin monitoring practice.

resultsRoutine trough levels did not predict potential gentamicin toxicity in neonates with low risk factors. Regression analysis demonstrated a positive correlation between gentamicin trough levels and serum creatinine. The survey of the NICUs in the United States demonstrated significant inconsistency in gentamicin monitoring practice.

conclusionObtaining gentamicin trough levels guided by risk factors is more appropriate than obtaining routine trough levels in low-risk term neonates.

Indexed as

Academic PerformanceAnti-Bacterial AgentsCreatineDrug MonitoringFemaleGentamicinsHumansInfant, NewbornIntensive Care Units, NeonatalMaleRegression AnalysisRetrospective StudiesRisk FactorsSepsisSurveys and QuestionnairesAnti-Bacterial AgentsCreatineGentamicins

Identifiers

PMID27537855
OpenAlexW2510015683

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.