Evidence map›Paper›PMID 37863983›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

A quality improvement initiative standardizing the antibiotic treatment and feeding practices in patients with medical necrotizing enterocolitis.

Zoya Mahmood, Brighid O'Donnell, Beverly S Brozanski, Kalyani Vats, Jennifer Kloesz, Laura E Jackson, Jennifer Shenk, Melinda Miller, Mary Beth Pasqualicchio, Haley Schmidt and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. 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
0.2field-weighted citation impact, top 50% 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

12 authors at 4 institutions in 1 country.

Zoya MahmoodDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Brighid O'DonnellDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Beverly S BrozanskiDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Kalyani VatsDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Jennifer KloeszDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Laura E JacksonDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Jennifer ShenkDepartment of Pharmacy, UPMC Children's Hospital of Pittsburgh, Pittsburgh, USA.ORCID 0000-0002-9779-231X
Melinda MillerDepartment of Pharmacy, UPMC Children's Hospital of Pittsburgh, Pittsburgh, USA.
Mary Beth PasqualicchioDepartment of Pharmacy, Magee Womens Hospital of UPMC, Pittsburgh, USA.
Haley SchmidtNeonatal Dietitian, UPMC Children's Hospital of Pittsburgh and Medical University of South Carolina, Pittsburgh, USA.
Abeer AzzuqaDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.ORCID 0000-0002-5922-2105
Toby Debra YanowitzDepartment of Pediatrics, Division of Newborn Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA. yanotd@upmc.edu.ORCID 0000-0002-3973-0559
University of Pittsburgh · USChildren's Hospital of Pittsburgh · USMagee-Womens Hospital · USMedical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the impact of a multidisciplinary guideline standardizing antibiotic duration and enteral feeding practices following medical necrotizing enterocolitis (mNEC). STUDY

designFor preterm infants with Bell Stage 2 A mNEC and negative blood culture, antibiotic treatment was standardized to 7 days. Trophic feeds of unfortified human milk began 72 h after resolution of pneumatosis. Feeds were advanced by 20 cc/kg/day starting on the last day of antibiotics. Primary outcomes were antibiotic days and days to full feeds, defined as 120 cc/kg/day of enteral nutrition. Secondary outcomes included central line days and length of stay (LOS).

resultsAntibiotic duration decreased 23%. Time to start trophic feeds and time to full feeds decreased 33 and 16% respectively. Central line use dropped (98 to 72% of infants) and central line days were reduced by 59%.

conclusionImplementation of a mNEC QI package reduced antibiotic duration, time to full feeds, central line use and CL days.

Indexed as

Enterocolitis, NecrotizingInfant, Newborn, DiseasesAnti-Bacterial AgentsEnteral NutritionHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightQuality ImprovementAnti-Bacterial Agents

Identifiers

PMID37863983
OpenAlexW4387810592

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.