Evidence map›Paper›PMID 28630687›Full record

ArticleAntimicrobial resistance and infection control2017

Emerging antimicrobial resistance in early and late-onset neonatal sepsis.

Lamiaa Mohsen, Nermin Ramy, Dalia Saied, Dina Akmal, Niveen Salama, Mona M Abdel Haleim, Hany Aly

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03275090 (The Effects of Two Different Intravenous Lipid Emulsions on the Outcomes of Preterm Infants With Sepsis), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
9.4field-weighted citation impact, top 2% 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.

NCT03275090 phase4completednot on this map

The Effects of Two Different Intravenous Lipid Emulsions on the Outcomes of Preterm Infants With Sepsis: a Randomized Pilot Controlled Trial

TypeinterventionalSponsorMansoura University Children HospitalRan2016 to 2017Enrolled40ConditionsSepsis NewbornArmsSmoflipid ®
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  14. Changes in the epidemiology of neonatal bacteremia during the COVID-19 pandemic in Wuhan, China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  15. Antimicrobial Properties of Colostrum and Milk.Antibiotics (Basel, Switzerland) · 2024
    Review
  16. Observational
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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

7 authors at 3 institutions in 2 countries.

Lamiaa MohsenDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Nermin RamyDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Dalia SaiedDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Dina AkmalDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Niveen SalamaDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mona M Abdel HaleimDepartment of Clinical and Chemical Pathology, Cairo University, Cairo, Egypt.
Hany AlyDivision of Neonatology, the George Washington University and Children's National Health System, 900 23rd Street, N.W. Suite G2092, Washington, DC 20037 USA.
Cairo University hospitals · EGCairo University · EGChildren's National · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to developed countries, the use of antimicrobials in Egypt is less regulated and is available over the counter without the need for prescriptions. The impact of such policy on antimicrobial resistance has not been studied. This study aimed to determine the prevalence of early and late onset sepsis, and the frequency of antimicrobial resistance in a major referral neonatal intensive care unit (NICU).

methodsThe study included all neonates admitted to the NICU over a 12-month period. Prospectively collected clinical and laboratory data were retrieved, including blood cultures and endotracheal aspirate cultures if performed.

resultsA total of 953 neonates were admitted, of them 314 neonates were diagnosed with sepsis; 123 with early onset sepsis (EOS) and 191 with late onset sepsis (LOS). A total of 388 blood cultures were obtained, with 166 positive results. Total endotracheal aspirate samples were 127; of them 79 were culture-positive. The most frequently isolated organisms in blood were

conclusionsAntibiotic resistance constitutes a challenge to the management of neonatal sepsis in Egypt. Resistance was predominant in both early and late onset sepsis. This study supports the need to implement policies that prohibits the non-prescription community use of antibiotics.

Indexed as

Antibiotic susceptibilityBlood culturesEarly onset sepsisGram positive cocciKlebsiella pneumoniaeLate onset sepsisMultidrug resistanceNeonatal sepsisTracheal aspirate

Identifiers

PMID28630687
PMCPMC5470277
OpenAlexW2625915932

What OpenQuestion holds

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LicenceCC BY
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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.