Evidence map›Paper›PMID 33617441›Full record

ArticleJournal of hospital medicine2021

Antibiotic Regimens and Associated Outcomes in Children Hospitalized With Staphylococcal Scalded Skin Syndrome.

Hannah C Neubauer, Matthew Hall, Michelle A Lopez, Andrea T Cruz, Mary Ann Queen, Dana M Foradori, Paul L Aronson, Jessica L Markham, Jennifer A Nead, Gabrielle Z Hester and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2021. 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
0.2field-weighted citation impact, top 48% 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, 6 citations in OpenAlex.

  1. Article
  2. Methicillin-resistantiScience · 2026
    Review
  3. 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

12 authors at 7 institutions in 1 country.

Hannah C NeubauerSection of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Matthew HallChildren's Hospital Association, Lenexa, Kansas, Children's Mercy Kansas City, Kansas City, Missouri.
Michelle A LopezSection of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Andrea T CruzSections of Pediatric Emergency Medicine and Pediatric Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Mary Ann QueenDivision of Pediatric Hospital Medicine, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri.
Dana M ForadoriDepartment of Pediatric Hospital Medicine, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
Paul L AronsonDepartments of Pediatrics and of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
Jessica L MarkhamDivision of Pediatric Hospital Medicine, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri.
Jennifer A NeadDepartment of Pediatrics, SUNY Upstate Medical University, Syracuse, New York.
Gabrielle Z HesterDepartment of Quality, Children's Minnesota, Minneapolis, Minnesota.
Russell J McCullohDepartment of Pediatrics, University of Nebraska Medical Center and Children's Hospital & Medical Center, Omaha, Nebraska.
Sowdhamini S WallaceSection of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USChildren's Mercy Hospital · USChildren's Minnesota · USCleveland Clinic · USSUNY Upstate Medical University · USUniversity of Nebraska Medical Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Nebraska Pediatric Clinic Trials UnitUG1OD024953 · OD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Bradford A Brabec, Ellen Kerns · 2016 to 2026
$4.4M
Development and pilot trial of a web-based tool to facilitate shared decision-making with parents of febrile infantsK08HS026006 · AHRQ · YALE UNIVERSITY · PI ARONSON, PAUL L · 2018 to 2020
$460k
AHRQ HHS K08 HS026006NCATS NIH HHS UL1 TR001863NIH HHS UG1 OD024953
6 · The paper itself

Abstract

backgroundControversy exists regarding the optimal antibiotic regimen for use in hospitalized children with staphylococcal scalded skin syndrome (SSSS). Various regimens may confer toxin suppression and/or additional coverage for methicillin-susceptible Staphylococcus aureus (MSSA) or methicillin-resistant S aureus (MRSA).

objectivesTo describe antibiotic regimens in hospitalized children with SSSS and examine the association between antistaphylococcal antibiotic regimens and patient outcomes. DESIGN/

methodsRetrospective cohort study of children hospitalized with SSSS using the Pediatric Health Information System database (2011-2016). Children who received clindamycin monotherapy, clindamycin plus MSSA coverage (eg, nafcillin), or clindamycin plus MRSA coverage (eg, vancomycin) were included. The primary outcome was hospital length of stay (LOS); secondary outcomes were treatment failure and cost. Generalized linear mixed-effects models were used to compare outcomes among antibiotic groups.

resultsOf 1,259 children included, 828 children received the most common antistaphylococcal antibiotic regimens: clindamycin monotherapy (47%), clindamycin plus MSSA coverage (33%), and clindamycin plus MRSA coverage (20%). Children receiving clindamycin plus MRSA coverage had higher illness severity (44%) compared with clindamycin monotherapy (28%) and clindamycin plus MSSA (32%) (P =.001). In adjusted analyses, LOS and treatment failure did not differ among the 3 regimens (P =.42 and P =.26, respectively). Cost was significantly lower for children receiving clindamycin monotherapy and highest in those receiving clindamycin plus MRSA coverage (mean, $4,839 vs $5,348, respectively; P <.001).

conclusionsIn children with SSSS, the addition of MSSA or MRSA coverage to clindamycin monotherapy was associated with increased cost and no incremental difference in clinical outcomes.

Indexed as

Methicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsStaphylococcal Scalded Skin SyndromeAnti-Bacterial AgentsChildHumansRetrospective StudiesAnti-Bacterial Agents

Identifiers

PMID33617441
PMCPMC7929614
OpenAlexW3130650767

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.