Evidence map›Paper›PMID 32803000›Full record

ArticleJournal of preventive medicine and hygiene2020

Bacterial invasive infections in a neonatal intensive care unit: a 13 years microbiological report from an Italian tertiary care centre.

M Mariani, R Bandettini, D LA Masa, D Minghetti, I Baldelli, S Serveli, A Mesini, C Saffioti, L A Ramenghi, E Castagnola

Open access · greenAbstract read
In one paragraph

Article in Journal of preventive medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

10 authors at 2 institutions in 1 country.

M MarianiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genova, Italy.
R BandettiniIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
D LA MasaIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
D MinghettiIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
I BaldelliIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
S ServeliIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
A MesiniIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
C SaffiotiIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
L A RamenghiIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
E CastagnolaIRCCS Istituto Giannina Gaslini, Children's Hospital, Genova, Italy.
Istituto Giannina Gaslini · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate the aetiology of neonatal invasive diseases (positive cultures from blood or cerebrospinal fluid, CSF) due to bacteria other than coagulase-negative staphylococci in a large tertiary care centre and compare with results of surveillance cultures.

methodsRetrospective analysis of microbiological data of children admitted in neonatal intensive care unit (NICU) of a large tertiary care centre from 2005 to 2018.

results230 bacterial strains, 223 from blood and 7 from CSF, respectively, were detected as cause of invasive infections, while 152 were detected in surveillance cultures. Methicillin-susceptible Staphylococcus aureus (MSSA) was the most frequently isolated pathogen both in invasive infections (18%) and colonizations (23%) followed by Escherichia coli (16% on invasive disease and 20% of colonizations). Other common bacteria include Enterococcus faecalis and Streptococcus agalactiae for invasive disease and methicillin-resistant Staphylococcus aureus in colonizations. Invasive infection was due to a pathogen detected in surveillance cultures in 33% of cases. In more than 50% of invasive diseases the identified pathogen was not present in surveillance cultures.

conclusionsThe high percentage of invasive infections due to bacteria not previously identified in surveillance cultures raises doubts about the efficiency of this procedure and highlights the need to search for alternative infection sources. This finding and the high prevalence of invasive infections due to nosocomial pathogens such as Staphylococcus aureus could be the result of horizontal transmission between patients through the hands of health care professionals, emphasizing once again the importance of applying stringent hand hygiene procedures and isolation standards.

Indexed as

Intensive Care Units, NeonatalTertiary Care CentersAnti-Bacterial AgentsDatabases, FactualHumansInfant, NewbornInfection ControlItalyRetrospective StudiesStaphylococcal InfectionsStaphylococcus aureusAnti-Bacterial AgentsColonizationInvasive infectionsNICUStaphylococcus aureus

Identifiers

PMID32803000
PMCPMC7419127
OpenAlexW3081482871

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.