Evidence map›Paper›PMID 33080169›Full record

ArticleEmerging infectious diseases2020

The Problem of Microbial Dark Matter in Neonatal Sepsis.

Shamim A Sinnar, Steven J Schiff

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Clinical value of cerebrospinal fluid metagenomic next-generation sequencing in the diagnosis of neonatal intracranial infection].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Paediatric hydrocephalus.Nature reviews. Disease primers · 2024
    Review
  9. Review
  10. Review
  11. Brain imaging with portable low-field MRI.Nature reviews bioengineering · 2023
    Article
  12. Observational
  13. Article
  14. Review
  15. Article
  16. Article
  17. Molecular Methodologies for Improved Polymicrobial Sepsis Diagnosis.International journal of molecular sciences · 2022
    Review
  18. Article
  19. Immune activation duringiScience · 2021
    Article
  20. 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

2 authors.

Shamim A Sinnar
Steven J Schiff

Funding

Predictive Personalized Public Health (P3H): A Novel Paradigm to Treat Infectious DiseaseR01AI145057 · NIAID · YALE UNIVERSITY · PI SCHIFF, STEVEN J · 2018 to 2022
$8.1M
Control of the Neonatal Septisome and Hydrocephalus in sub-Saharan AfricaDP1HD086071 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SCHIFF, STEVEN J · 2015 to 2019
$4.1M
NIAID NIH HHS R01 AI145057NICHD NIH HHS DP1 HD086071
6 · The paper itself

Abstract

Neonatal sepsis (NS) kills 750,000 infants every year. Effectively treating NS requires timely diagnosis and antimicrobial therapy matched to the causative pathogens, but most blood cultures for suspected NS do not recover a causative pathogen. We refer to these suspected but unidentified pathogens as microbial dark matter. Given these low culture recovery rates, many non-culture-based technologies are being explored to diagnose NS, including PCR, 16S amplicon sequencing, and whole metagenomic sequencing. However, few of these newer technologies are scalable or sustainable globally. To reduce worldwide deaths from NS, one possibility may be performing population-wide pathogen discovery. Because pathogen transmission patterns can vary across space and time, computational models can be built to predict the pathogens responsible for NS by region and season. This approach could help to optimally treat patients, decreasing deaths from NS and increasing antimicrobial stewardship until effective diagnostics that are scalable become available globally.

Indexed as

BacteriaNeonatal SepsisAnti-Bacterial AgentsBlood CultureComputer SimulationHumansInfantPolymerase Chain ReactionAnti-Bacterial Agents16S amplicon sequencingantimicrobial stewardshipbacteriabloodborne pathogenscerebral palsydiagnosisDNA sequence analysisEscherichia coliGroup B StreptococcusKlebsiellamolecular diagnosisneonatal sepsisPaenibacillus thiaminolyticuspoint of carepolymicrobial infectionsRNA sequence analysisStaphylococcus aureustotal metagenomic sequencing

Identifiers

PMID33080169
PMCPMC7588532

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.