Evidence map›Paper›PMID 37438484›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2023

Short-course antibiotic therapy for pneumonia in the neonatal intensive care unit.

Zachery S Lewald, Pavel Prusakov, Jacqueline K Magers, Matthew J Kielt, Concepción de Alba Romero, Natalie O White, Randy R Miller, Richard Moraille, Anthony R Theile, Pablo J Sánchez and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Urinary tract infection in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Investigating antibiotics in the NICU and patient safety.Frontiers in cellular and infection microbiology · 2025
    Review
  3. The spectrum of pneumonia among intubated neonates in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  4. 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

11 authors at 1 institution in 2 countries.

Zachery S LewaldThe Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0009-0006-2711-7841
Pavel PrusakovDepartment of Pharmacy, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-5787-5623
Jacqueline K MagersDepartment of Pharmacy, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-8422-8157
Matthew J KieltDepartment of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-4568-9070
Concepción de Alba RomeroDepartment of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.ORCID http://orcid.org/0000-0003-0794-2466
Natalie O WhitePediatrix Medical Group of Ohio, Columbus, OH, USA.
Randy R MillerPediatrix Medical Group of Ohio, Columbus, OH, USA.ORCID http://orcid.org/0000-0003-1524-6129
Richard MorailleCentral Ohio Newborn Medicine, Columbus, OH, USA.
Anthony R TheileCentral Ohio Newborn Medicine, Columbus, OH, USA.
Pablo J SánchezDepartment of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA. Pablo.Sanchez@NationwideChildrens.org.ORCID http://orcid.org/0000-0003-2437-1247
Nationwide Children’s Hospital Neonatal Antimicrobial Stewardship Program (NEO-ASP)
Nationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the adherence and safety outcomes of a 5-day antibiotic course with a "time-out" for treatment of "blood culture-negative" pneumonia in the NICU. STUDY

designProspective surveillance of all infants diagnosed with pneumonia at 7 NICUs from 8/2020-12/2021. Safety outcomes were defined a priori by re-initiation of antibiotic therapy within 14 days after discontinuation and overall and sepsis-related mortality.

results128 infants were diagnosed with 136 episodes of pneumonia; 88% (n = 119) were treated with 5 days of definitive antibiotic therapy. Antibiotics were restarted within 14 days in 22 (16%) of the 136 pneumonia episodes. However, only 3 (3%) of the 119 episodes of pneumonia treated for 5 days had antibiotics restarted for pneumonia. Mortality was 5% (7/128); 5 of the 7 deaths were assessed as sepsis-related.

conclusionAdherence to the 5-day definitive antibiotic treatment for "culture-negative" pneumonia was high and the intervention seemed safe.

Indexed as

PneumoniaSepsisAnti-Bacterial AgentsHumansInfantInfant, NewbornIntensive Care Units, NeonatalProspective StudiesAnti-Bacterial Agents

Identifiers

PMID37438484
OpenAlexW4384068795

What OpenQuestion holds

Textmetadata
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.