Evidence map›Paper›PMID 30446572›Full record

ArticleBMJ open2018

Delivery, setting and outcomes of paediatric Outpatient Parenteral Antimicrobial Therapy (OPAT): a scoping review.

Bernie Carter, Enitan D Carrol, David Porter, Matthew Peak, David Taylor-Robinson, Debra Fisher-Smith, Lucy Blake

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

7 authors.

Bernie CarterFaculty of Health and Social Care, Edge Hill University, Ormskirk, UK.
Enitan D CarrolDepartment of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK.
David PorterDepartment of Infectious Diseases and Immunology, Alder Hey Children's Hospital, Liverpool, UK.ORCID 0000-0002-3424-3516
Matthew PeakPaediatric Medicines Research Unit, Alder Hey Children's Hospital, Liverpool, UK.
David Taylor-RobinsonDepartment of Public Health and Policy, University of Liverpool, Liverpool, UK.
Debra Fisher-SmithDepartment of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK.
Lucy BlakeFaculty of Health and Social Care, Edge Hill University, Ormskirk, UK.ORCID 0000-0002-9809-605X

Funding

Medical Research Council MR/P008577/1
6 · The paper itself

Abstract

backgroundThere has been little detailed systematic consideration of the delivery, setting and outcomes of paediatric Outpatient Parenteral Antimicrobial Therapy (OPAT), although individual studies report that it is a safe and effective treatment.

objectiveThis scoping review aimed to examine what is known about the delivery, settings and outcomes of paediatric OPAT and to identify key knowledge deficits.

designA scoping review using Arksey and O'Malley's framework was undertaken. DATA SOURCES: Keywords were identified and used to search MEDLINE and CINAHL. STUDY APPRAISAL

methodsPrimary research studies were included if samples comprised children and young people 21 or under, who had received OPAT at home or in a day treatment centre. The Mixed Methods Appraisal Tool was used to review the methodological quality of the studies MAIN

findingsFrom a preliminary pool of 157 articles, 51 papers were selected for full review. 19 studies fitted the inclusion criteria. Factors influencing delivery of OPAT were diverse and included child's condition, home environment, child-related factors, parental compliance, training and monitoring. There is little consensus as to what constitutes success of and adverse events in OPAT.

conclusionsFuture studies need to clearly define and use success indicators and adverse events in order to provide evidence that paediatric OPAT is safe and effective. IMPLICATIONS: Consensus outcomes that include child and parent perspectives need to be developed to allow a clearer appreciation of a successful paediatric OPAT service.

Indexed as

Ambulatory CareAnti-Infective AgentsChildFemaleHome Care ServicesHumansInfusions, ParenteralMaleParentsAnti-Infective Agentsinfectious diseases

Identifiers

PMID30446572
PMCPMC6252693

What OpenQuestion holds

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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.