Evidence map›Paper›PMID 29954420›Full record

ArticleItalian journal of pediatrics2018

Secondary prevention of early-onset sepsis: a less invasive Italian approach for managing neonates at risk.

Alberto Berardi, Chryssoula Tzialla, Laura Travan, Jenny Bua, Daniele Santori, Milena Azzalli, Caterina Spada, Laura Lucaccioni, GBS Prevention Working Group of Emilia-Romagna

Abstract readLetterComment
In one paragraph

Article in Italian journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Early-onset sepsis: a cohort study comparing serial clinical observation with laboratory testing.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alberto BerardiUnità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico, Modena, Italy. berardi.alberto@policlinico.mo.it.
Chryssoula TziallaNeonatologia, Patologia Neonatale e Terapia Intensiva Neonatale, Fondazione IRCCS Policlinico "San Matteo", Pavia, Italy.
Laura TravanUnità Operativa di Terapia Intensiva Neonatale, IRCCS "Burlo Garofolo", Trieste, Italy.
Jenny BuaUnità Operativa di Terapia Intensiva Neonatale, IRCCS "Burlo Garofolo", Trieste, Italy.
Daniele SantoriStruttura Complessa di Pediatria e Neonatologia, Azienda Ospedaliera Santa Maria degli Angeli, Pordenone, Italy.
Milena AzzalliUnità Operativa di Terapia Intensiva Neonatale, Ospedale S. Anna, Ferrara, Italy.
Caterina SpadaScuola di specializzazione in Pediatria, Università di Modena e Reggio Emilia, Azienda Ospedaliero-Universitaria Policlinico, Via del Pozzo, 71 -, 41124, Modena, MO, Italy.
Laura LucaccioniUnità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico, Modena, Italy.
GBS Prevention Working Group of Emilia-Romagna

Funding

Agenzia Sanitaria Regione Emilia-Romagna 517147
6 · The paper itself

Abstract

Strategies to prevent early-onset sepsis (EOS) have led to a substantial decline in many countries. However, one of the most controversial topics in neonatology is the management of asymptomatic full-term and late preterm neonates at risk for EOS, and guidelines lack substantial consensus regarding this issue. A strategy for managing neonates, entirely based on serial physical examinations, has been developed in two Italian regions. This strategy seems safe, while reducing laboratory tests and unnecessary antibiotics. In the current commentary we provide area-based data concerning the prevention of EOS in 2 northern Italian regions, and we detail the results of their strategy for managing healthy-appearing newborns at risk for EOS.

Indexed as

SepsisAnti-Bacterial AgentsAntibiotic ProphylaxisFemaleHumansInfant, NewbornItalyPregnancyRisk FactorsSecondary PreventionStreptococcal InfectionsStreptococcus agalactiaeSurveys and QuestionnairesAnti-Bacterial AgentsGroup B streptococcusIntrapartum antibiotic prophylaxisNeonatal sepsisNewborn infantPreventionRisk factors

Identifiers

PMID29954420
PMCPMC6025713

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.