Evidence map›Paper›PMID 31930442›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2020

Urinary tract infections in children < 2 years of age hospitalized in a tertiary medical center in Southern Israel: epidemiologic, imaging, and microbiologic characteristics of first episode in life.

David Shaki, Gabriel Hodik, Siham Elamour, Raouf Nassar, Eyal Kristal, Ron Leibovitz, Amir Horev, Eugene Leibovitz

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

David ShakiDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Gabriel HodikSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Siham ElamourDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Raouf NassarDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Eyal KristalDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Ron LeibovitzDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Amir HorevDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel.
Eugene LeibovitzDivision of Pediatrics, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 84101, Beer Sheva, Israel. eugenel@bgu.ac.il.
Soroka Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objectives of the study were to describe the epidemiologic, microbiologic, and imaging characteristics of first 44 UTI episode in hospitalized infants and children < 2 years of age. A UTI episode was diagnosed based on suprapubic aspiration or urinary catheterization and report of a significant bacterial growth of true uropathogens. Two thousand two hundred ninety-four UTI episodes were recorded during 2009-2013 in 1694 patients; 1350 (79.7%), 223 (13.2%), and 66 (3.9%) had one, two, and three episodes, respectively. Of 1955 pathogens isolated, the most frequent were E. coli, Klebsiella spp., and Enterococcus spp. (56.9%, 14.1%, and 11%, respectively). E. coli percentages increased with increase in patient age while Klebsiella spp. and Enterococcus spp. decreased with decrease in age. 136/344 (39.5%) renal ultrasound examinations performed were reported abnormal. The percentages of abnormal ultrasound examinations in Enterococcus spp.-UTI were higher than in E. coli and Klebsiella spp.-UTI (P < 0.001 and P = 0.007, respectively). The E. coli nonsusceptibility to ampicillin, TMP/SMX, ceftriaxone, amoxicillin/clavulanic acid, cefuroxime, and gentamicin was 71%, 31%, 14.9%, 14.7%, 7%, and 4.4%, respectively. Nonsusceptibility of Klebsiella spp. to ampicillin, amoxicillin/clavulanic acid, TMP/SMX, ceftriaxone, gentamicin, and cefuroxime was 98.7%, 10.4%, 9.5%, 8.4%, 4.8%, and 4.3%, respectively. E. coli nonsusceptibility to amoxicillin/clavulanate, TMP/SMX, and ciprofloxacin decreased during the study period. E. coli percentages increased and those of Klebsiella spp. and Enterococcus spp. decreased with increase in patient age. Enterococcus. spp.-UTI was associated with older age and more severe findings on renal ultrasound. E. coli and Klebsiella spp. nonsusceptibility to amoxicillin/clavulanate, TMP/SMX, cefuroxime, and ceftriaxone was low.

Indexed as

Age FactorsAnti-Bacterial AgentsBacteriaDrug Resistance, Multiple, BacterialFemaleHospitalizationHumansInfantInfant, NewbornIsraelKidneyMaleMicrobial Sensitivity TestsRetrospective StudiesTertiary Care CentersUltrasonographyAnti-Bacterial AgentsAntibioticsEscherichia coliInfantsUltrasoundUrinary tract infection

Identifiers

PMID31930442
OpenAlexW3000328929

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Registered trials

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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.