Evidence map›Paper›PMID 28518131›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2017

Incidence of respiratory viral infection in infants with respiratory symptoms evaluated for late-onset sepsis.

J B Cerone, R P Santos, D Tristram, D M Lamson, K A Stellrecht, K St George, M J Horgan, A Rios

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Multiple Respiratory Syncytial Virus Introductions Into a Neonatal Intensive Care Unit.Journal of the Pediatric Infectious Diseases Society · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Review
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 2 institutions in 1 country.

J B CeroneDepartment of Pediatrics/Division of Neonatology, Albany Medical Center, Albany, NY, USA.
R P SantosDepartment of Pediatrics/Division of Infectious Disease at Albany Medical Center, Albany, NY, USA.
D TristramDepartment of Pediatrics/Division of Infectious Disease at Albany Medical Center, Albany, NY, USA.
D M LamsonLaboratory of Viral Diseases at Wadsworth Center, New York State Department of Health, Albany, NY, USA.
K A StellrechtDepartment of Pathology and Laboratory Medicine at Albany Medical Center, Albany, NY, USA.
K St GeorgeLaboratory of Viral Diseases at Wadsworth Center, New York State Department of Health, Albany, NY, USA.
M J HorganDepartment of Pediatrics/Division of Neonatology, Albany Medical Center, Albany, NY, USA.
A RiosDepartment of Pediatrics/Division of Neonatology, Albany Medical Center, Albany, NY, USA.
Albany Medical Center Hospital · USWadsworth Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the frequency, etiology and impact of respiratory viral infection (RVI) on infants evaluated for late-onset sepsis (LOS), defined as sepsis occurring >72 h of life, in the neonatal intensive care unit. STUDY

designProspective observational study conducted from 6 March 2014 to 3 May 2016 on infants evaluated for LOS. PCR viral panel performed on nasopharyngeal specimens among infants with clinical suspicion for RVI. Sequence analysis was performed to determine viral subtypes. Fisher's exact or χ

resultsDuring the 26-month study, there were 357 blood cultures obtained for LOS evaluations, 29 (8%) had a respiratory virus detected. Only 88 (25%) of infants evaluated for LOS also had clinical suspicion for a respiratory viral infection. RSV (14 of 29; 48%) was the predominant virus detected. Almost all infants (13 of 14; 93%) with RSV required increased respiratory support. Antimicrobial therapy was withheld or discontinued on most infants with a virus detected (18 of 29; 62%) and in the majority where there was no confirmed bacterial co-infection (18 of 20; 90%).

conclusionThe incidence of RVI in infants being evaluated for LOS is about 8%. RVI should be considered in LOS evaluation to prevent unnecessary antibiotic therapy.

Indexed as

Neonatal SepsisRespiratory Tract InfectionsVirus DiseasesAnti-Bacterial AgentsCoinfectionFemaleHumansIncidenceInfant, NewbornIntensive Care Units, NeonatalMaleMedical OveruseNasopharynxRespiratory Syncytial VirusesUnited StatesWithholding TreatmentAnti-Bacterial Agents

Identifiers

PMID28518131
PMCPMC7100264
OpenAlexW2616705917

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.