Evidence map›Paper›PMID 32193830›Full record

ArticleWorld journal of pediatrics : WJP2020

Polymyxin for the treatment of intracranial infections of extensively drug-resistant bacteria in children after neurosurgical operation.

Jing Ye, Lin-Hua Tan, Zhi-Peng Shen, Yun-Song Yu, Deng-Ming Lai, Jie Fan, Qiang Shu

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of pediatrics : WJP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 35% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Efficacy analysis of intraventricular/intrathecal polymyxin B sulphate injections in the treatment of Post-neurosurgical CNS infections in neurocritical ill patients: a prospective observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Observational
  3. Article
  4. Post Trauma Acinetobacter Baumanii Meningitis Treatment Approach.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  5. Article
  6. Clinical outcomes and risk factors ofFrontiers in cellular and infection microbiology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
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

7 authors at 3 institutions in 2 countries.

Jing YeDepartment of Surgical ICU, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Child Health, Hangzhou, 310052, China.
Lin-Hua TanDepartment of Surgical ICU, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Child Health, Hangzhou, 310052, China.
Zhi-Peng ShenDepartment of Neurosurgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Child Health, Hangzhou, 310052, China.
Yun-Song YuDepartment of Infectious Diseases, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Deng-Ming LaiDepartment of Neonatal Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Child Health, Hangzhou, Zhejiang, China.
Jie FanDepartment of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Qiang ShuDepartment of Thoracic and Cardiovascular Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Child Health, No. 3333 Bin-Sheng Road, Bin-Jiang District, Hangzhou, 310052, China. shuqiang@zju.edu.cn.
Children's Hospital of Zhejiang University · CNSir Run Run Shaw Hospital · CNUniversity of Pittsburgh · US

Funding

China Postdoctoral Science Foundation 2019M652108Department of Education of Zhejiang Province Y201737787National Natural Science Foundation of China 81901989
6 · The paper itself

Abstract

backgroundIncreased meningitis caused by extensively drug-resistant bacillary presents a significant challenge in antibiotic selection. The aim of our study was to evaluate the efficacy and safety of polymyxin in the treatment of post-neurosurgical meningitis due to the extensively drug-resistant bacillary in children.

methodsWe performed a retrospective study on post-neurosurgical meningitis caused by the extensively drug-resistant bacillary in children, who were treated with polymyxin for ≥ 3 days.

resultsAmong five post-neurosurgical meningitis cases that were included, the children were infected by Acinetobacter baumannii (n = 3), Klebsiella pneumonia (n = 1), and Pseudomonas aeruginosa (n = 1). The drug susceptibility test showed that they were extensively drug-resistant bacillary. Two patients received intravenous polymyxin E. Three children received intravenous combined with intraventricular injection of polymyxin B. One patient infected by Klebsiella pneumonia eventually died of septic shock. No serious adverse effects of polymyxin were observed.

conclusionsPolymyxin is a safe and effective therapy for post-neurosurgical, multidrug-resistant bacillary meningitis in children.

Indexed as

Neurosurgical ProceduresAdolescentAnti-Bacterial AgentsChildDrug Resistance, Multiple, BacterialFemaleHumansInfantMaleMeningitis, BacterialMicrobial Sensitivity TestsPolymyxinsRetrospective StudiesSurgical Wound InfectionAnti-Bacterial AgentsPolymyxinsDrug resistanceMeningitisNeurosurgical proceduresPolymyxin

Identifiers

PMID32193830
OpenAlexW3011894350

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.