Evidence map›Paper›PMID 29128874›Full record

SynthesisPediatric surgery international2018

The initial prophylactic antibiotic usage and subsequent necrotizing enterocolitis in high-risk premature infants: a systematic review and meta-analysis.

Xue Fan, Li Zhang, Jun Tang, Chao Chen, Juan Chen, Yi Qu, Dezhi Mu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Prevention Strategies and Management of Necrotizing Enterocolitis.Current treatment options in pediatrics · 2024
    Article
  2. Review
  3. Article
  4. 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

7 authors at 2 institutions in 1 country.

Xue FanDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Li ZhangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Jun TangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. tj1234753@sina.com.
Chao ChenDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Juan ChenDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yi QuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Dezhi MuDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Sichuan University · CNWest China Second University Hospital of Sichuan University · CN

Funding

Clinical Discipline Program (Neonatology) from the Ministry of Health of China 1311200003303Major State Basic Research Development Program 2012BAI04B04Major State Basic Research Development Program 2013CB967404National Key Research and Development Program 2017YFA0104200National Natural Science Foundation of China 81300524National Natural Science Foundation of China 81330016National Natural Science Foundation of China 81630038Science and Technology Bureau of Sichuan province 2014SZ0149Science and Technology Bureau of Sichuan province 2016TD0002
6 · The paper itself

Abstract

objectiveTo investigate the correlation between the initial prophylactic antibiotic use and the subsequent NEC in high-risk premature infants.

methodsWe performed a literature search of PubMed, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), and the Web of Science, and nine studies with a total of 5207 infants were selected for inclusion in this study.

resultsThe pooled estimate for the seven studies combined indicating that prophylactic antibiotic usage was associated with a non-significant trend toward increased incidence of NEC [odds ratio (OR) 0.75; 95% confidence interval (CI) 0.26-2.17], and prolonged exposure to prophylactic antibiotics, compared with limited prophylactic antibiotic use, was associated with a significant trend toward the risk of increasing incidence of NEC (OR 1.31; 95% CI 1.08-1.59).

conclusionCurrent evidence does not support the use of prophylactic antibiotics to reduce the incidence of NEC for high-risk premature infants.

Indexed as

Antibiotic ProphylaxisEnterocolitis, NecrotizingHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesRisk FactorsAntibioticMeta-analysisNECPremature infantsProphylactic

Identifiers

PMID29128874
OpenAlexW2768043372

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.