Evidence map›Paper›PMID 30879729›Full record

ArticleThe Journal of pediatrics2019

Risk Factors for Complications in Children with Staphylococcus aureus Bacteremia.

Rana F Hamdy, Daniele Dona, Marni B Jacobs, Jeffrey S Gerber

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Investigating Different Clinical Manifestations ofChildren (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. [Screening of pathogenic molecular markers ofZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
  12. Article
  13. Open forum infectious diseases · 2023
    Article
  14. Frontiers in pediatrics · 2023
    Article
  15. Antimicrobial resistance profile of methicillin-resistantFrontiers in cellular and infection microbiology · 2023
    Article
  16. Management and Prevention of Staphylococcus aureus Infections in Children.Infectious disease clinics of North America · 2022
    Review
  17. A Multicenter Analysis of Changes in Pediatric Antibiotic Susceptibilities AmongThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  18. Article
  19. Review
  20. 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

4 authors at 2 institutions in 1 country.

Rana F HamdyDepartment of Pediatrics, Children's National Health System, Washington, DC. Electronic address: rhamdy@childrensnational.org.
Daniele DonaDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Marni B JacobsDepartment of Biostatistics and Study Epidemiology, Children's National Health System, Washington, DC.
Jeffrey S GerberDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Children's Hospital of Philadelphia · USChildren's National · US

Funding

Clinical Pharmacoepidemiology Training ProgramT32GM075766 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sean Hennessy, Charles Edward Leonard · 2006 to 2026
$8.4M
NIGMS NIH HHS T32 GM075766
6 · The paper itself

Abstract

objectivesTo determine risk factors for complications in children with Staphylococcus aureus (S aureus) bacteremia, including methicillin resistance. STUDY

designSingle center, retrospective cohort study of children ≤18 years of age hospitalized with S aureus bacteremia. We compared clinical characteristics and outcomes between those with methicillin-sensitive S aureus (MSSA) and methicillin-resistant S aureus (MRSA) bacteremia. Multivariate regression models identified risk factors associated with developing complications and with longer duration of bacteremia.

resultsWe identified 394 episodes of S aureus bacteremia, 279 (70.8%) with MSSA, and 115 (29.2%) with MRSA. Primary site of infection was catheter-related in 34%, musculoskeletal in 30%, skin/soft tissue in 10.2%, pneumonia in 6.4%, and endovascular in 6.6%. Eight children (2.0%) died within 30 days because of S aureus bacteremia, 15 (3.5%) had recurrence within 30 days, and 38 (9.6%) had complications including septic emboli or a metastatic focus of infection. Methicillin resistance was associated with development of a complication (aOR 3.31; 95% CI 1.60-6.85), and catheter-related infections were less likely to be associated with a complication (aOR 0.40; 95% CI 0.15-1.03). In a Poisson regression analysis on duration of bacteremia, methicillin resistance, musculoskeletal infection, endovascular infection, black race, and delayed intervention for source control were significantly associated with longer duration of bacteremia.

conclusionsIn this cohort of children with S aureus bacteremia, MRSA infections ere associated with longer duration of bacteremia and a higher likelihood of complications.

Indexed as

Methicillin-Resistant Staphylococcus aureusAnti-Bacterial AgentsBacteremiaCatheter-Related InfectionsChildChild, PreschoolCross InfectionFemaleHumansInfantMaleMethicillin ResistanceMultivariate AnalysisPoisson DistributionRegression AnalysisRetrospective StudiesAnti-Bacterial AgentsbacteremiachildrenMRSAStaphylococcus aureus

Identifiers

PMID30879729
PMCPMC13599612
OpenAlexW2922387047

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.