Evidence map›Paper›PMID 35910696›Full record

ArticleCureus2022

Characteristics and Management of Children With Suspected COVID-19 Admitted to Hospitals in India: Implications for Future Care.

Santosh Kumar, Mainul Haque, Arvind Shetty, Sumesh Choudhary, Rohan Bhatt, Vivek Sinha, Balaji Manohar, Kona Chowdhury, Nadia Nusrat, Nasim Jahan and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

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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

17 authors at 12 institutions in 8 countries.

Santosh KumarPeriodontology and Implantology, Karnavati University, Gandhinagar, IND.
Mainul HaquePharmacology and Therapeutics, National Defence University of Malaysia, Kuala Lumpur, MYS.
Arvind ShettyPeriodontology and Implantology, Dr DY Patil University, Navi Munbai, IND.
Sumesh ChoudharyPeriodontology and Implantology, Dr DY Patil University, Mumbai, IND.
Rohan BhattPediatric Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND.
Vivek SinhaPediatrics, Rajendra Institute of Medical Sciences, Ranchi, IND.
Balaji ManoharPeriodontology and Implantology, Kalinga Institute of Industrial Technology, Bhubaneswar, IND.
Kona ChowdhuryPediatrics, Gonoshasthaya Samaj Vittik Medical College, Dhaka, BGD.
Nadia NusratPediatrics, Delta Medical College and Hospital, Dhaka, BGD.
Nasim JahanPediatrics, Asgar Ali Hospital, Dhaka, BGD.
Amanj KurdiTherapeutics, University of Strathclyde, Glasgow, GBR.
Zia Ul MustafaPharmacy, District Headquarter (DHQ) Hospital, Pakpattan, PAK.
Johanna C MeyerPharmacy, Division of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria, South Africa, Pretoria, ZAF.
Israel A SefahPharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Keta-Dzelukope, GHA.
Adnan AbdullahMedicine and Defence Health, Universiti Pertahanan Nasional Malaysia, (National Defence University of Malaysia), Kuala Lumpur, MYS.
Ammar Abdulrahman JairounHealth and Safety, Dubai Municipality, Ajman University, United Arab Emirates, Dubai, ARE.
Brian GodmanHealth Policy, Centre of Medical and Bio allied Health Sciences Research, Ajman University, Ajman, ARE.
D.Y. Patil University · INNational Defence University of Malaysia · MYUniversity of Strathclyde · GBAjman University · AEDelta State University · USGono University · BDKarnavati UniversityKIIT University · INRajendra Institute of Medical Sciences · INSant Gadge Baba Amravati University · INSefako Makgatho Health Sciences University · ZAUniversity of Health and Allied Sciences · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a growing focus on researching the management of children with COVID-19 admitted to hospital, especially among developing countries with new variants alongside concerns with the overuse of antibiotics. Patient care can be improved with guidelines, but concerns with the continued imprudent prescribing of antimicrobials, including antibiotics, antivirals, and antimalarials.

objectiveConsequently, a need to document the current management of children with COVID-19 across India. Key outcome measures included the percentage of prescribed antimicrobials, adherence to current guidelines, and mortality. METHODOLOGY: A point prevalence study using specially developed report forms among 30 hospitals in India.

resultsThe majority of admitted children were aged between 11 and 18 years (70%) and boys (65.8%). Reasons for admission included respiratory distress, breathing difficulties, and prolonged fever. 75.3% were prescribed antibiotics typically empirically (68.3% overall), with most on the Watch list (76.7%). There were no differences in antibiotic prescribing whether hospitals followed guidelines or not. There was also appreciable prescribing of antimalarials (21.4% of children), antivirals (15.2%), and antiparasitic medicines (27.2%) despite limited evidence. The majority of children (92.2%) made a full recovery.

conclusionIt was encouraging to see low hospitalization rates. However, concerns about high empiric use of antibiotics and high use of antimalarials, antivirals, and antiparasitic medicines exist. These can be addressed by instigating appropriate stewardship programs.

Indexed as

antibioticsantimicrobial stewardship programschildrencovid-19guidelineshospitalsindiaoutcomes

Identifiers

PMID35910696
PMCPMC9311229
OpenAlexW4287834180

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.