Evidence map›Paper›PMID 32429874›Full record

Trial reportBMC pediatrics2020

Microbiological analyses of nasally guided catheters after less invasive surfactant administration - a pilot study.

Christian A Maiwald, Julia Dick, Matthias Marschal, Christian Gille, Axel R Franz, Christian F Poets

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04086095 (Feasibility Study - Neofact Feasibility Study of the Application Aid Neofact), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 92% 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.

NCT04086095 nacompletednot on this map

Feasibility Study - Neofact Feasibility Study of the Application Aid Neofact (Formerly: QuickSF) in the Less Invasive Surfactant Administration (LISA) in Premature Infants With Respiratory Distress Syndrome.

TypeinterventionalSponsorUniversity Hospital TuebingenRan2019 to 2019Enrolled20ConditionsRespiratory Distress Syndrome in Premature Infant, Surfactant Deficiency Syndrome NeonatalArmsNeofact application aid
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 2 institutions in 1 country.

Christian A MaiwaldDepartment of Neonatology, University Children's Hospital Tübingen, Tübingen, Germany. Christian.Maiwald@med.uni-tuebingen.de.ORCID 0000-0002-2240-6488
Julia DickInstitute of Medical Microbiology and Hygiene, University Hospital Tübingen, Tübingen, Germany.
Matthias MarschalInstitute of Medical Microbiology and Hygiene, University Hospital Tübingen, Tübingen, Germany.
Christian GilleDepartment of Neonatology, University Children's Hospital Tübingen, Tübingen, Germany.
Axel R FranzDepartment of Neonatology, University Children's Hospital Tübingen, Tübingen, Germany.
Christian F PoetsDepartment of Neonatology, University Children's Hospital Tübingen, Tübingen, Germany.
University Children's Hospital Tübingen · DEInstitute of Medical Microbiology and Hygiene · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory distress syndrome (RDS) is a frequent complication of premature birth. Treating RDS by continuous positive airway pressure and less invasive surfactant administration (LISA) may reduce bronchopulmonary dysplasia. Surfactant, however, can be inactivated by bacterial infection. Therefore, potential routes of microbe transmission into the airway are of interest. The aim of this study was to evaluate microbiological contamination of catheters used for LISA procedures and its association with postnatal age.

methodsCatheter tips used for LISA procedures via the nasal route (LISA-n) in infants with RDS were placed into a sterile eSwab container directly after the procedure, cultured and examined for microbiological contamination.

resultsInterpretable results could be collected from 20 catheter tips. Four showed positive culture results (20%) with microbes potentially associated with the development of early onset neonatal sepsis. Risk of positive microbe detection increased with postnatal age (< 4 h: 10%; 4-18 h: 20%; > 18 h: 40%).

conclusionsIn this pilot study, the risk of tracheal microbe transmission following the LISA-n procedure increased with postnatal age. Although the clinical relevance of this finding is unclear, earlier surfactant administration might reduce the risk of catheter contamination. TRIAL REGISTRATION NUMBER: Substudy of the registered Trial: feasibility study - Neofact: NCT04086095, www.ClinicalTrials.gov, September 11, 2019.

Indexed as

Pulmonary SurfactantsRespiratory Distress Syndrome, NewbornBronchopulmonary DysplasiaCathetersContinuous Positive Airway PressureFemaleHumansInfant, NewbornInfant, PrematurePilot ProjectsPregnancySurface-Active AgentsPulmonary SurfactantsSurface-Active AgentsLISAMISTNeonateRespiratory distress syndromeSurfactant administration

Identifiers

PMID32429874
PMCPMC7236511
OpenAlexW3026865255

What OpenQuestion holds

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Registered trials

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.