Evidence map›Paper›PMID 36474348›Full record

ArticleGut microbes

Preterm infants at low risk for early-onset sepsis differ in early fecal microbiome assembly.

Sagori Mukhopadhyay, Jung-Jin Lee, Erica Hartman, Emily Woodford, Miren B Dhudasia, Lisa M Mattei, Scott G Daniel, Kelly C Wade, Mark A Underwood, Kyle Bittinger

Open access · goldAbstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Higher abundance ofmSystems · 2026
    Article
  3. Clonally relatedASM case reports · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Microbiome dysbiosis: a modifiable state and target to prevent Staphylococcus aureus infections and other diseases in neonates.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  12. Article
  13. Host microbiome-pathogen interactions in pediatric infections.Current opinion in infectious diseases · 2023
    Review
  14. Early antibiotic exposure in very-low birth weight infants and infection risk at 3-7 days after birth.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  15. 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

10 authors at 2 institutions in 1 country.

Sagori MukhopadhyayDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.ORCID 0000-0002-5851-8414
Jung-Jin LeeDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.ORCID 0000-0003-1025-8980
Erica HartmanDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Emily WoodfordDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Miren B DhudasiaDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.ORCID 0000-0002-2448-1019
Lisa M MatteiDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.ORCID 0000-0002-2238-0281
Scott G DanielDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Kelly C WadeDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Mark A UnderwoodDepartment of Pediatrics, University of California Davis, Sacramento, California, United States.
Kyle BittingerDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States.ORCID 0000-0003-3472-5934
Children's Hospital of Philadelphia · USUniversity of California, Davis · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Incidence of atopy and childhood infections in uninfected term newborns with perinatal antibiotic exposureK23HD088753 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI MUKHOPADHYAY, SAGORI · 2017 to 2021
$790k
NCATS NIH HHS UL1 TR001878NICHD NIH HHS K23 HD088753
6 · The paper itself

Abstract

Antibiotics are administered near-universally to very low birth weight (VLBW) infants after birth for suspected early-onset sepsis (EOS). We previously identified a phenotypic group of VLBW infants, referred to as low-risk for EOS (LRE), whose risk of EOS is low enough to avoid routine antibiotic initiation. In this cohort study, we compared 18 such infants with 30 infants categorized as non-LRE to determine if the lower risk of pathogen transmission at birth is accompanied by differences in microbiome acquisition and development. We did shotgun metagenomic sequencing of 361 fecal samples obtained serially. LRE infants had a higher human-to-bacterial DNA ratio than non-LRE infants in fecal samples on days 1-3 after birth, confirming lower bacterial acquisition among LRE infants. The microbial diversity and composition in samples from days 4-7 differed between the groups with a predominance of

Indexed as

Gastrointestinal MicrobiomeInfant, PrematureAnti-Bacterial AgentsCohort StudiesHumansInfant, NewbornMetagenomicsAnti-Bacterial Agentslow-riskmicrobiomePretermsepsisvertical transmission

Identifiers

PMID36474348
PMCPMC9733690
OpenAlexW4311581773

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.