Evidence map›Paper›PMID 31101087›Full record

ArticleBMC infectious diseases2019

Time to positivity of blood culture is a risk factor for clinical outcomes in Staphylococcus aureus bacteremia children: a retrospective study.

Yuanyuan Li, Qinyuan Li, Guangli Zhang, Huan Ma, Yi Wu, Qian Yi, Lili Jiang, Jiao Wan, Fengtao Suo, Zhengxiu Luo

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Short time to blood culture positivity in Enterococcus faecalis infective endocarditis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Observational
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Yuanyuan Li, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Qinyuan Li, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Guangli ZhangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing, 401122, China.
Huan Ma, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Yi Wu, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Qian Yi, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Lili Jiang, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Jiao Wan, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Fengtao Suo, Key Laboratory of Pediatrics in Chongqing, Chongqing, China.
Zhengxiu LuoDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing, 401122, China. luozhengxiu816@hospital.cqmu.edu.cn.ORCID http://orcid.org/0000-0003-3029-9624
Chongqing University · CNChildren's Hospital of Chongqing Medical University · CN

Funding

National Key Clinical Specialty Discipline Construction Program of China (CN) 2011-873
6 · The paper itself

Abstract

backgroundStaphylococcus aureus (S. aureus) is a common cause of bacteremia, which leads to significant morbidity and mortality. We investigated the relationship between time to positivity (TTP) and clinical outcomes in children with S.aureus bacteremia in the China.

methodsA retrospective study of Staphylococcus aureus bacteremia inpatient was performed in Children's Hospital of Chongqing Medical University in China between 29 January 2014 and 29 August 2017. TTP and clinical parameters were determined and analyzed. The receiver operating characteristic (ROC) curves were plotted for optimal cut-off selection, multivariate logistic regression tests were performed to evaluate the association between TTP and clinical outcomes.

resultsOverall, 84 cases were enrolled. We stated that in-hospital mortality is significantly higher in the early TTP (≤17 h) than in the late TTP (> 17 h) group (57.14% vs 7.14%, P = 0.000). Septic shock occurred in 57.14% of patients with early TTP and in 18.57% of patients with late TTP (P = 0.002). Detailed multivariate and statistical analysis revealed that early TTP, need for vasoactive agent were independent risk factors of in-hospital mortality; early TTP, need for vasoactive agent and APACHE II score ≥ 15 were independent risk factors of septic shock incidence in S. aureus bacteremia children.

conclusionsOverall, TTP of ≤17 h appeared to correlate with the worse outcomes for S. aureus bacteremia children. These results have important implications in the assessments and management of pediatric S. aureus bacteremia in a clinical setting.

trial registrationRetrospectively registered.

Indexed as

AgedBacteremiaBlood CultureChildChild, PreschoolChinaFemaleHospital MortalityHumansInfantLogistic ModelsMaleRetrospective StudiesRisk FactorsROC CurveShock, SepticChildrenS.aureus bacteremiaTime to positivity

Identifiers

PMID31101087
PMCPMC6525363
OpenAlexW4229650615

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.