Evidence map›Paper›PMID 31431480›Full record

ArticlePediatrics2019

Parenteral Antibiotic Therapy Duration in Young Infants With Bacteremic Urinary Tract Infections.

Sanyukta Desai, Paul L Aronson, Veronika Shabanova, Mark I Neuman, Frances Balamuth, Christopher M Pruitt, Adrienne G DePorre, Lise E Nigrovic, Sahar N Rooholamini, Marie E Wang and 7 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Guideline
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  9. Association Between Antibiotic Duration and Recurrence of Urinary Tract Infection in the Neonatal Critical Care Unit.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 12 institutions in 1 country.

Sanyukta DesaiDivisions of Hospital Medicine and sanyukta.desai86@gmail.com.
Paul L AronsonDepartments of Pediatrics and.
Veronika ShabanovaDepartments of Pediatrics and.
Mark I NeumanDivision of Emergency Medicine, Department of Pediatrics, Harvard Medical School, Harvard University and Boston Children's Hospital, Boston, Massachusetts.
Frances BalamuthDivision of Emergency Medicine and.
Christopher M PruittDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama.
Adrienne G DePorreDivision of Hospital Medicine, Department of Pediatrics, Children's Mercy Hospital, Kansas City, Missouri.
Lise E NigrovicDivision of Emergency Medicine, Department of Pediatrics, Harvard Medical School, Harvard University and Boston Children's Hospital, Boston, Massachusetts.
Sahar N RooholaminiDivision of Hospital Medicine, Department of Pediatrics, School of Medicine, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Marie E WangDivision of Pediatric Hospital Medicine, Department of Pediatrics, School of Medicine, Stanford University and Lucile Packard Children's Hospital Stanford, Palo Alto, California.
Richard D MarbleDivision of Emergency Medicine, Feinberg School of Medicine, Northwestern University and Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Derek J WilliamsDivisions of Hospital Medicine and.
Laura SartoriPediatric Emergency Medicine, Department of Pediatrics, School of Medicine, Vanderbilt University and Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee; and.
Rianna C LeazerDivision of Hospital Medicine, Department of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, Virginia.
Christine MitchellDivision of Emergency Medicine and.
Samir S ShahDivisions of Hospital Medicine and.
FEBRILE YOUNG INFANT RESEARCH COLLABORATIVE
Boston Children's Hospital · USChildren's Hospital of The King's Daughters · USChildren's Mercy Hospital · USHarvard University · USLucile Packard Children's Hospital · USLurie Children's Hospital · USMonroe Carell Jr. Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USUniversity of Pennsylvania · USUniversity of Washington · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Development and pilot trial of a web-based tool to facilitate shared decision-making with parents of febrile infantsK08HS026006 · AHRQ · YALE UNIVERSITY · PI ARONSON, PAUL L · 2018 to 2020
$460k
AHRQ HHS K08 HS026006NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectivesTo determine the association between parenteral antibiotic duration and outcomes in infants ≤60 days old with bacteremic urinary tract infection (UTI).

methodsThis multicenter retrospective cohort study included infants ≤60 days old who had concomitant growth of a pathogen in blood and urine cultures at 11 children's hospitals between 2011 and 2016. Short-course parenteral antibiotic duration was defined as ≤7 days, and long-course parenteral antibiotic duration was defined as >7 days. Propensity scores, calculated using patient characteristics, were used to determine the likelihood of receiving long-course parenteral antibiotics. We conducted inverse probability weighting to achieve covariate balance and applied marginal structural models to the weighted population to examine the association between parenteral antibiotic duration and outcomes (30-day UTI recurrence, 30-day all-cause reutilization, and length of stay).

resultsAmong 115 infants with bacteremic UTI, 58 (50%) infants received short-course parenteral antibiotics. Infants who received long-course parenteral antibiotics were more likely to be ill appearing and have growth of a non-

conclusionsYoung infants with bacteremic UTI who received ≤7 days of parenteral antibiotics did not have more frequent recurrent UTIs or hospital reutilization compared with infants who received long-course therapy. Short-course parenteral therapy with early conversion to oral antibiotics may be considered in this population.

Indexed as

Anti-Bacterial AgentsBacteremiaBacteriuriaDrug Administration ScheduleFemaleHumansInfantInfant, NewbornInjections, IntramuscularInjections, IntravenousLength of StayMalePropensity ScoreRecurrenceRetrospective StudiesTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID31431480
PMCPMC6855812
OpenAlexW2969644998

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.