Evidence map›Paper›PMID 31978082›Full record

ArticlePloS one2020

PCR for the detection of pathogens in neonatal early onset sepsis.

Clarissa Oeser, Marcus Pond, Philip Butcher, Alison Bedford Russell, Philipp Henneke, Ken Laing, Timothy Planche, Paul T Heath, Kathryn Harris

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 6 pooled it
7.7field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 6 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Factors associated with persistent bloodstream infection in the Neonatal Intensive Care Unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Article
  10. Article
  11. PCR targeting 16S rRNA,Biomarkers in medicine · 2025
    Article
  12. Observational
  13. Screening of Group BOpen medicine (Warsaw, Poland) · 2025
    Review
  14. Article
  15. Article
  16. Congenital Sepsis withMicroorganisms · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. A decade of neonatal sepsis in Stockholm, Sweden: Gram-positive pathogens were four times as common as Gram-negatives.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    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

9 authors at 4 institutions in 2 countries.

Clarissa OeserPaediatric Infectious Diseases, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.ORCID 0000-0003-1939-1964
Marcus PondMolecular Microbiology, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.
Philip ButcherMolecular Microbiology, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.
Alison Bedford RussellNeonatology, Birmingham Women's NHS Foundation Trust, Birmingham, United Kingdom.
Philipp HennekePediatric Infectious Disease and Rheumatology, University Medical Center Freiburg, Freiburg, Germany.
Ken LaingMolecular Microbiology, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.
Timothy PlancheMolecular Microbiology, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.
Paul T HeathPaediatric Infectious Diseases, Institute of Infection and Immunity, St George's, University of London, London, United Kingdom.
Kathryn HarrisMicrobiology, Virology and Infection Control, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
St George's, University of London · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA large proportion of neonates are treated for presumed bacterial sepsis with broad spectrum antibiotics even though their blood cultures subsequently show no growth. This study aimed to investigate PCR-based methods to identify pathogens not detected by conventional culture.

methodsWhole blood samples of 208 neonates with suspected early onset sepsis were tested using a panel of multiplexed bacterial PCRs targeting Streptococcus pneumoniae, Streptococcus agalactiae (GBS), Staphylococcus aureus, Streptococcus pyogenes (GAS), Enterobacteriaceae, Enterococcus faecalis, Enterococcus faecium, Ureaplasma parvum, Ureaplasma urealyticum, Mycoplasma hominis and Mycoplasma genitalium, a 16S rRNA gene broad-range PCR and a multiplexed PCR for Candida spp.

resultsTwo-hundred and eight samples were processed. In five of those samples, organisms were detected by conventional culture; all of those were also identified by PCR. PCR detected bacteria in 91 (45%) of the 203 samples that did not show bacterial growth in culture. S. aureus, Enterobacteriaceae and S. pneumoniae were the most frequently detected pathogens. A higher bacterial load detected by PCR was correlated positively with the number of clinical signs at presentation.

conclusionReal-time PCR has the potential to be a valuable additional tool for the diagnosis of neonatal sepsis.

Indexed as

Age of OnsetBacteriaBacterial InfectionsCandidaCandidiasisDNA, RibosomalEarly DiagnosisEnterobacteriaceaeEnterococcusHumansInfant, Extremely PrematureInfant, NewbornInfant, PrematureMultiplex Polymerase Chain ReactionMycoplasmaNeonatal SepsisDNA, RibosomalRNA, Ribosomal, 16S

Identifiers

PMID31978082
PMCPMC6980546
OpenAlexW3001047827

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.