Evidence map›Paper›PMID 36474777›Full record

ArticleWorld journal of pediatric surgery2021

Survey on antibiotic regimens for necrotizing enterocolitis prescribed by Chinese pediatricians in 2020.

Zhongyao Zhang, Yu He, Zhengli Wang, Lei Bao, Yuan Shi, Luquan Li

Open access · diamondAbstract read
In one paragraph

Article in World journal of pediatric surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

6 authors at 2 institutions in 1 country.

Zhongyao ZhangNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Yu HeNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Zhengli WangNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Lei BaoNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Yuan ShiNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Luquan LiNeonatal Diagnosis and Treatment Center, Chongqing Medical University Affiliated Children's Hospital, Chongqing, China.
Children's Hospital of Chongqing Medical University · CNChongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Necrotizing enterocolitis (NEC) is a serious intestinal inflammatory disease in neonates, and intravenous antibiotics constitute the main therapeutic strategy. Studies have shown that substantial variation in the selection of antibiotic regimens for NEC remains in many countries. The variability in antibiotic therapy selection in China is unclear. Methods: A cross-sectional study using an online questionnaire regarding antibiotic regimens for NEC was conducted among pediatricians working in tertiary hospitals in China. Results: A total of 284 pediatricians from 29 provinces completed the survey; 37.9% of them administered one antibiotic, 56.7% administered two antibiotics and 2.4% administered three antibiotics. The top three single-antibiotic regimens for NEC were beta-lactamase inhibitors (n=66, 41.5%), carbapenems (n=46, 28.9%) and cephalosporins (n=33, 20.8%). Twenty combinations of two antibiotics were identified, and the top three combinations were beta-lactamase inhibitors and antianaerobic agents (n=49, 19.6%), carbapenems and glycopeptides (n=42, 16.8%), and cephalosporins and antianaerobic agents (n=37, 14.8%). Regarding the therapeutic duration of antibiotic treatment, 77.5% (n=220) of the pediatricians chose 5-10 days for stage II NEC, and 79.6% (n=226) chose 7-14 days for stage III NEC. Forty-three percent (n=122) of the respondents preferred to use carbapenems when NEC was diagnosed, and 83.3% (n=135) adjusted the antibiotics to carbapenems if a patient's medical condition deteriorated or if the therapeutic efficacy was poor. Conclusion: This survey revealed that carbapenems were the most common antibiotics selected when NEC was diagnosed or a patient's condition deteriorated, but the duration of the course of treatment for NEC varied substantially among doctors.

Indexed as

child healthneonatology

Identifiers

PMID36474777
PMCPMC9648576
OpenAlexW3157250872

What OpenQuestion holds

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LicenceCC BY-NC
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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.