Evidence map›Paper›PMID 35760891›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

Variability in antibiotic duration for necrotizing enterocolitis and outcomes in a large multicenter cohort.

Irfan Ahmad, Muralidhar H Premkumar, Amy B Hair, Kevin M Sullivan, Isabella Zaniletti, Jotishna Sharma, Sujir Pritha Nayak, Kristina M Reber, Michael Padula, Beverly Brozanski and 3 more

Abstract readMulticenter Study
PubMed Publisher
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Irfan AhmadCHOC Children's Hospital, Orange, CA, USA. iahmad@choc.org.ORCID http://orcid.org/0000-0001-7528-6443
Muralidhar H PremkumarBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Amy B HairBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.ORCID http://orcid.org/0000-0001-7570-0667
Kevin M SullivanSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-4801-137X
Isabella ZanilettiChildren's Hospital Association, Lenexa, KS, USA.ORCID http://orcid.org/0000-0003-1234-3468
Jotishna SharmaUniversity of Missouri Kansas City School of Medicine, Kansas City, MO, USA.
Sujir Pritha NayakUniversity of Texas Southwestern, Dallas, TX, USA.
Kristina M ReberBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Michael PadulaUniversity of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Beverly BrozanskiWashington University School of Medicine, St. Louis, MO, USA.
Robert DiGeronimoUniversity of Washington School of Medicine, Seattle, WA, USA.
Toby Debra YanowitzUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-3973-0559
Children’s Hospitals Neonatal Consortium NEC Focus Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate variability in antibiotic duration for necrotizing enterocolitis (NEC) and associated clinical outcomes. STUDY

designFive-hundred ninety-one infants with NEC (315 medical; 276 surgical) were included from 22 centers participating in Children's Hospitals Neonatal Consortium (CHNC). Multivariable analyses were used to determine predictors of variability in time to full feeds (TFF) and length of stay (LOS).

resultsMedian (IQR) antibiotic duration was 12 (9, 17) days for medical and 17 (14, 21) days for surgical NEC. Wide variability in antibiotic use existed both within and among centers. Duration of antibiotic therapy was associated with longer TFF in both medical (OR 1.04, 95% CI [1.01, 1.05], p < 0.001) and surgical NEC (OR 1.02 [1, 1.03] p = 0.046); and with longer LOS in medical (OR 1.03 [1.02, 1.04], p < 0.001) and surgical NEC (OR 1.01 [1.01, 1.02], p = 0.002).

conclusionAntibiotic duration for both medical and surgical NEC remains variable within and among high level NICUs.

Indexed as

Enterocolitis, NecrotizingInfant, Newborn, DiseasesAnti-Bacterial AgentsChildCohort StudiesHumansInfantInfant, NewbornIntensive Care Units, NeonatalRetrospective StudiesAnti-Bacterial Agents

Identifiers

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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.