Evidence map›Paper›PMID 34107906›Full record

Observational studyBMC infectious diseases2021

Risk factors for the development of neonatal sepsis in a neonatal intensive care unit of a tertiary care hospital of Nepal.

Sulochana Manandhar, Puja Amatya, Imran Ansari, Niva Joshi, Nhukesh Maharjan, Sabina Dongol, Buddha Basnyat, Sameer M Dixit, Stephen Baker, Abhilasha Karkey

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  3. Molecular Characterization and Clinical Outcomes ofChildren (Basel, Switzerland) · 2026
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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 4 institutions in 2 countries.

Sulochana ManandharOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal.
Puja AmatyaDepartment of Pediatrics, Patan Academy of Health Sciences, Patan Hospital, Kathmandu, Nepal.
Imran AnsariDepartment of Pediatrics, Patan Academy of Health Sciences, Patan Hospital, Kathmandu, Nepal.
Niva JoshiOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal.
Nhukesh MaharjanOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal.
Sabina DongolOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal.
Buddha BasnyatOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal.
Sameer M DixitCentre for Molecular Dynamics Nepal, Kathmandu, Nepal.
Stephen BakerCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID) Department of Medicine, University of Cambridge, Cambridge, UK.
Abhilasha KarkeyOxford University Clinical Research Unit, Patan Academy of Health Sciences, Kathmandu, Nepal. akarkey@oucru.org.
Patan Academy of Health Sciences · NPUniversity of Oxford · GBCenter for Molecular Dynamics - Nepal · NPUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is an overwhelming and life-threatening response to bacteria in bloodstream and a major cause of neonatal morbidity and mortality. Understanding the etiology and potential risk factors for neonatal sepsis is urgently required, particularly in low-income countries where burden of infection is high and its epidemiology is poorly understood.

methodsA prospective observational cohort study was conducted between April 2016 and October 2017 in a level three NICU at a tertiary care hospital in Nepal to determine the bacterial etiology and potential risk factors for neonatal sepsis.

resultsAmong 142 NICU admitted neonates, 15% (21/142) and 32% (46/142) developed blood culture-positive and -negative neonatal sepsis respectively. Klebsiella pneumoniae (34%, 15/44) and Enterobacter spp. (25%, 11/44) were the most common isolates. The antimicrobial resistance of isolates to ampicillin (100%, 43/43), cefotaxime (74%, 31/42) and ampicillin-sulbactam (55%, 21/38) were the highest. Bla

conclusionsOur study indicated various nosocomial risk factors and underscored the need to improve local infection control measures so as to reduce the existing burden of sepsis. We have highlighted certain sepsis associated laboratory parameters along with identification of antimicrobial resistance genes, which can guide for early and better therapeutic management of sepsis. These findings could be extrapolated to other low-income settings within the region.

Indexed as

Cohort StudiesHumansInfant, NewbornIntensive Care Units, NeonatalNeonatal SepsisNepalProspective StudiesRisk FactorsTertiary Care CentersEpidemiologyESBLEtiologyMDRNeonatal sepsisNepalNICURisk factors

Identifiers

PMID34107906
PMCPMC8191200
OpenAlexW3113318534

What OpenQuestion holds

Textmetadata
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.