Evidence map›Paper›PMID 35459905›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Managing antibiotics wisely in a neonatal intensive care unit in a low resource setting.

Juan M Graus, Cecilia Herbozo, Roger Hernandez, Alfonso Francisco Pantoja, Jaime Zegarra

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of Perinatal Antibiotic Stewardship - where we are, where to go?Journal of perinatology : official journal of the California Perinatal Association · 2025
    Pooled it
  3. Pooled it
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  8. Short-course antibiotic therapy for pneumonia in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
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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

5 authors at 1 institution in 2 countries.

Juan M GrausUniversidad Peruana Cayetano Heredia, School of Medicine, Lima, Peru.
Cecilia HerbozoUniversidad Peruana Cayetano Heredia, School of Medicine, Lima, Peru. Cecilia.herbozo.n@upch.pe.ORCID http://orcid.org/0000-0001-8390-3675
Roger HernandezUniversidad Peruana Cayetano Heredia, School of Medicine, Lima, Peru.
Alfonso Francisco PantojaUniversidad Peruana Cayetano Heredia, School of Medicine, Lima, Peru.
Jaime ZegarraUniversidad Peruana Cayetano Heredia, School of Medicine, Lima, Peru.
Universidad Peruana Cayetano Heredia · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesUnnecessary early antibiotic exposure is deleterious, it may induce the selection of multi-drug-resistant organisms. The objective of this project was to decrease antibiotic exposure of newborns admitted to the neonatal intensive care unit at Hospital Cayetano Heredia, a level 3 unit in Lima, Peru.

methodsQuality improvement project in which we implemented an antibiotic stewardship program for early onset sepsis in the neonatal intensive care unit. Primary outcome measure was antibiotic usage rate, total number of days infants were exposed to antibacterial agents divided by 1000 patient-days.

resultsAntibiotic usage rate declined from 291/1000 patient-days to 82/1000 patient-days during the last months of 2020, representing a total decrease of 65.1%.

conclusionsAntibiotic stewardship for early-onset sepsis implemented in a perinatal center like ours is effective, appears to be safe and results in a sustained and significant decrease in the use of antibiotics for early-onset sepsis.

Indexed as

Antimicrobial StewardshipSepsisAnti-Bacterial AgentsFemaleHospitalizationHumansInfantInfant, NewbornIntensive Care Units, NeonatalPregnancyAnti-Bacterial Agents

Identifiers

PMID35459905
PMCPMC9023725
OpenAlexW4224249384

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.