Evidence map›Paper›PMID 31676904›Full record

GuidelineClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Guideline for Antibacterial Prophylaxis Administration in Pediatric Cancer and Hematopoietic Stem Cell Transplantation.

Thomas Lehrnbecher, Brian T Fisher, Bob Phillips, Sarah Alexander, Roland A Ammann, Melissa Beauchemin, Fabianne Carlesse, Elio Castagnola, Bonnie L Davis, L Lee Dupuis and 10 more

Open access · bronzeAbstract readSystematic ReviewPractice Guideline
In one paragraph

Guideline in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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  17. Clinical practice guideline- and care pathway-inconsistent care following implementation of adapted infection management care pathways.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 10 countries.

Thomas LehrnbecherPediatric Hematology and Oncology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
Brian T FisherDivision of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Bob PhillipsLeeds Children's Hospital, Leeds General Infirmary , Leeds Teaching Hospitals, NHS Trust, Leeds, United Kingdom.
Sarah AlexanderDivision of Haematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Roland A AmmannDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Melissa BeaucheminColumbia University/Herbert Irving Cancer Center, Pediatric Oncology, New York, New York, USA.
Fabianne CarlessePediatric Oncology Institute, GRAACC/Federal University of Sao Paulo, Sao Paulo, Brazil.
Elio CastagnolaInfectious Diseases Unit, Department of Pediatrics, Istituto Giannina Gaslini, Genova, Italy.
Bonnie L DavisHigh Tor Limited, Nassau, Bahamas.
L Lee DupuisDepartment of Pharmacy, The Hospital for Sick Children, and Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
Grace EganDivision of Haematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Andreas H GrollInfectious Disease Research Program, Center for Bone Marrow Transplantation, Department of Pediatric Hematology/Oncology, University Children's Hospital, Muenster, Germany.
Gabrielle M HaeuslerDepartment of Infectious Diseases and Infection Prevention, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Maria SantolayaDepartment of Pediatrics, Hospital Luis Calvo Mackenna, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
William J SteinbachDuke University Medical Center, Pediatric Infectious Diseases, Durham, North Carolina, USA.
Marianne van de WeteringDepartment of Pediatric Oncology, Princess Maxima Centre, Utrecht, Netherlands.
Joshua WolfDivision of Infectious Diseases, St Jude's Children's Research Hospital, Memphis, Tennessee, USA.
Sandra CabralPediatric Oncology Group of Ontario, Toronto, Ontario, Canada.
Paula D RobinsonPediatric Oncology Group of Ontario, Toronto, Ontario, Canada.
Lillian SungDivision of Haematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CAPediatric Oncology Group · CAChildren's Hospital of Philadelphia · USColumbia University · USDuke Medical Center · USGoethe University Frankfurt · DEIstituto Giannina Gaslini · ITLeeds General Infirmary · GBPeter MacCallum Cancer Centre · AUPrincess Máxima Center · NLSt. Jude Children's Research Hospital · USSupport group for adolescents and children with cancer · BRUniversity Hospital of Bern · CHUniversity of Chile · CL

Funding

Department of Health PDF-2014-07-072Medical Research Council G0800472
6 · The paper itself

Abstract

backgroundBacteremia and other invasive bacterial infections are common among children with cancer receiving intensive chemotherapy and in pediatric recipients of hematopoietic stem cell transplantation (HSCT). Systemic antibacterial prophylaxis is one approach that can be used to reduce the risk of these infections. Our purpose was to develop a clinical practice guideline (CPG) for systemic antibacterial prophylaxis administration in pediatric patients with cancer and those undergoing HSCT.

methodsAn international and multidisciplinary panel was convened with representation from pediatric hematology/oncology and HSCT, pediatric infectious diseases (including antibiotic stewardship), nursing, pharmacy, a patient advocate, and a CPG methodologist. The panel used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to generate recommendations based on the results of a systematic review of the literature.

resultsThe systematic review identified 114 eligible randomized trials of antibiotic prophylaxis. The panel made a weak recommendation for systemic antibacterial prophylaxis for children receiving intensive chemotherapy for acute myeloid leukemia and relapsed acute lymphoblastic leukemia (ALL). Weak recommendations against the routine use of systemic antibacterial prophylaxis were made for children undergoing induction chemotherapy for ALL, autologous HSCT and allogeneic HSCT. A strong recommendation against its routine use was made for children whose therapy is not expected to result in prolonged severe neutropenia. If used, prophylaxis with levofloxacin was recommended during severe neutropenia.

conclusionsWe present a CPG for systemic antibacterial prophylaxis administration in pediatric cancer and HSCT patients. Future research should evaluate the long-term effectiveness and adverse effects of prophylaxis.

Indexed as

BacteremiaHematopoietic Stem Cell TransplantationNeoplasmsAnti-Bacterial AgentsAntibiotic ProphylaxisChildHumansLevofloxacinAnti-Bacterial AgentsLevofloxacinbacterial infectionhematopoietic stem cell transplantationpediatric oncologypractice guidelineprevention

Identifiers

PMID31676904
PMCPMC7312235
OpenAlexW2988966444

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.