Evidence map›Paper›PMID 37237826›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Challenges in the Implementation of the NeoOBS Study, a Global Pragmatic Observational Cohort Study, to Investigate the Aetiology and Management of Neonatal Sepsis in the Hospital Setting.

Amy Riddell, Aislinn Cook, Nathalie Khavessian, Sally Ellis, Davide Bilardi, Erika Correia, Tomislav Kostyanev, Alessandra Nardone, Neal Russell, Tuba Vilken and 44 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. 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
1.7field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  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

54 authors at 20 institutions in 16 countries.

Amy RiddellCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
Aislinn CookCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.ORCID 0000-0002-9189-7815
Nathalie KhavessianGARDP, 1202 Geneva, Switzerland.
Sally EllisGARDP, 1202 Geneva, Switzerland.
Davide BilardiFondazione Penta ETS, 35127 Padova, Italy.ORCID 0000-0002-8765-7384
Erika CorreiaGARDP, 1202 Geneva, Switzerland.
Tomislav KostyanevLaboratory of Medical Microbiology, Vaccine & Infectious Disease Institute, University of Antwerp, 2610 Antwerpen, Belgium.ORCID 0000-0002-1259-4876
Alessandra NardoneFondazione Penta ETS, 35127 Padova, Italy.
Neal RussellCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
Tuba VilkenLaboratory of Medical Microbiology, Vaccine & Infectious Disease Institute, University of Antwerp, 2610 Antwerpen, Belgium.ORCID 0009-0005-1769-1682
Wolfgang StohrMRC Clinical Trials Unit, University College London, London WC1V 6LJ, UK.ORCID 0000-0002-6533-2888
Bethou AdhisivamDepartment of Neonatology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry 605006, India.
Iana Rosa Alves de MoraesSanta Casa de São Paulo, Sao Paulo 01221-010, Brazil.
Nawshad Uddin AhmedChild Health Research Foundation, Dhaka 1207, Bangladesh.ORCID 0000-0001-8103-6096
Adrie BekkerDepartment of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
Eitan Naaman BerezinSanta Casa de São Paulo, Sao Paulo 01221-010, Brazil.ORCID 0000-0003-4575-0430
Suppawat BoonkasidechaQueen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.
Cristina G CarvalheiroDepartment of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil.ORCID 0000-0003-1248-472X
Prachi ChauhanDepartment of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi 110001, India.
Sara ChiurchiùAcademic Department of Pediatrics (DPUO), Infectious Disease Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Elisavet ChorafaInfectious Diseases Unit, 3rd Dept Pediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University and Hippokration General Hospital, 546 43 Thessaloniki, Greece.
Angela DramowskiDepartment of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
Madhusudhan DsSeth G. S. Medical College & KEM Hospital, Mumbai 400012, India.
Jinxing FengDepartment of Neonatology, Shenzhen Children's Hospital, Shenzhen 518048, China.
Shengnan JiaDepartment of Neonatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100051, China.
Yuan KongClinical Laboratory, Shenzhen Children's Hospital, Shenzhen 518048, China.
Mary KyohereMUJHU Research Collaboration, Kampala P.O. Box 23491, Uganda.
Angeliki Kontou1st Neonatology Department and Neonatal Intensive Care Unit, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Hippokration General Hospital, 546 42 Thessaloniki, Greece.ORCID 0000-0002-9961-9537
Sorasak LochindaratQueen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.
Maia De LucaAcademic Department of Pediatrics (DPUO), Infectious Disease Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0001-7549-3514
Aripfani MphaphuliSchool of Clinical Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa AND Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg 2193, South Africa.
Marisa M Mussi-PinhataDepartment of Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil.ORCID 0000-0001-8985-1570
Sheila MurungaClinical Research Department, KEMRI-Wellcome Trust Research Programme, Kilifi P.O. Box 230, Kenya.
Firdose Lambey NakwaDepartment of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 1864, South Africa.
Sushma NangiaDepartment of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi 110001, India.ORCID 0000-0002-7664-2259
Erinah NassoloMUJHU Research Collaboration, Kampala P.O. Box 23491, Uganda.
Ngoc Thi Bin HoangDepartment of Microbiology, Vietnam National Children's Hospital, Hanoi 100000, Vietnam.
Christina W ObieroClinical Research Department, KEMRI-Wellcome Trust Research Programme, Kilifi P.O. Box 230, Kenya.
Linus OlsonDepartment of Women's and Children's Health, Karolinska institutet, Stockholm, Sweden and Department of Global Public Health, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0003-0046-6348
Wang PingBeijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.
Nishad PlakkalDepartment of Neonatology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry 605006, India.
Priyanka PrasadSeth G. S. Medical College & KEM Hospital, Mumbai 400012, India.
Kanchana PreedisripipatChiangrai Prachanukroh Hospital, Chiang Rai 57000, Thailand.
Sheikh Wasik RahmanChild Health Research Foundation, Dhaka 1207, Bangladesh.ORCID 0009-0004-2081-5167
Tiffany SeefSchool of Clinical Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa AND Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg 2193, South Africa.
Pra-Ornsuda SukrakanchanaAMS-PHPT Research Collaboration, Chiang Mai University, Chiang Mai 50200, Thailand.ORCID 0000-0002-3292-0499
Reenu ThomasDepartment of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 1864, South Africa.ORCID 0000-0002-5931-0850
Zhang YuBeijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.
Qiaoru ZhangDepartment of Neonatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100051, China.
A Sarah WalkerMRC Clinical Trials Unit, University College London, London WC1V 6LJ, UK.
Julia BielickiCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
Paul T HeathCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
Michael SharlandCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
Tatiana Munera-HuertasCentre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
St George's, University of London · GBCapital Medical University · CNGlobal Antibiotic Research & Development Partnership · CHBambino Gesù Children's Hospital · ITChild Health Research Foundation · BDJawaharlal Institute of Post Graduate Medical Education and Research · INJohannesburg Hospital · ZAKenya Medical Research Institute · KELady Hardinge Medical College · INMRC Clinical Trials Unit at UCL · GBMUJHU Research Collaboration · UGPENTA Foundation · ITQueen Sirikit National Institute of Child Health · THShenzhen Children's Hospital · CNUniversidade de São Paulo · BRUniversity of Antwerp · BEUniversity of the Witwatersrand · ZAWestern Cape Department of Health · ZAAristotle University of Thessaloniki · GRChiang Mai University · TH

Funding

Medical Research Council MC_UU_00004/05Wellcome Trust
6 · The paper itself

Abstract

Neonatal sepsis is a significant cause of mortality and morbidity in low- and middle-income countries. To deliver high-quality data studies and inform future trials, it is crucial to understand the challenges encountered when managing global multi-centre research studies and to identify solutions that can feasibly be implemented in these settings. This paper provides an overview of the complexities faced by diverse research teams in different countries and regions, together with actions implemented to achieve pragmatic study management of a large multi-centre observational study of neonatal sepsis. We discuss specific considerations for enrolling sites with different approval processes and varied research experience, structures, and training. Implementing a flexible recruitment strategy and providing ongoing training were necessary to overcome these challenges. We emphasize the attention that must be given to designing the database and monitoring plans. Extensive data collection tools, complex databases, tight timelines, and stringent monitoring arrangements can be problematic and might put the study at risk. Finally, we discuss the complexities added when collecting and shipping isolates and the importance of having a robust central management team and interdisciplinary collaborators able to adapt easily and make swift decisions to deliver the study on time and to target. With pragmatic approaches, appropriate training, and good communication, these challenges can be overcome to deliver high-quality data from a complex study in challenging settings through a collaborative research network.

Indexed as

antibiotic treatmentantimicrobial resistanceclinical trialsempiric antibioticsglobal collaborationLMICneonatal sepsis

Identifiers

PMID37237826
PMCPMC10215156
OpenAlexW4377103541

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.