Evidence map›Paper›PMID 38114744›Full record

ArticleScientific reports2023

Incidence of bacterial and fungal infections in Polish pediatric patients with acute lymphoblastic leukemia during the pandemic.

Joanna Zawitkowska, Katarzyna Drabko, Monika Lejman, Adrian Kowalczyk, Krzysztof Czyżewski, Magdalena Dziedzic, Kamila Jaremek, Patrycja Zalas-Więcek, Anna Szmydki-Baran, Łukasz Hutnik and 36 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Clinical Analysis ofPathogens (Basel, Switzerland) · 2026
    Article
  2. Enterococcal bacteremia in children with malignancy or after hematopoietic stem cell transplantation: real-world multicenter data from a nationwide survey in Poland (2014-2021).European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Article
  5. Diagnostic and Therapeutic Challenge Caused byPathogens (Basel, Switzerland) · 2024
    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

46 authors at 14 institutions in 1 country.

Joanna ZawitkowskaDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland. joannazawitkowska@umlub.pl.ORCID 0000-0001-7207-156X
Katarzyna DrabkoDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.
Monika LejmanIndependent Laboratory of Genetic Diagnostics, Medical University of Lublin, Lublin, Poland.
Adrian KowalczykStudent Scientific Society of Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.
Krzysztof CzyżewskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland.
Magdalena DziedzicDepartment of Pediatric Hematology and Oncology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland.
Kamila JaremekDepartment of Pediatric Hematology and Oncology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland.
Patrycja Zalas-WięcekDepartment of Microbiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Torun, Poland.
Anna Szmydki-BaranDepartment of Hematology and Pediatrics, Medical University of Warsaw, Warsaw, Poland.
Łukasz HutnikDepartment of Hematology and Pediatrics, Medical University of Warsaw, Warsaw, Poland.
Wojciech CzogałaDepartment of Pediatric Oncology and Hematology, Intitute of Pediatrics, Jagiellonian University Medical College, Kraków, Poland.
Walentyna BalwierzDepartment of Pediatric Oncology and Hematology, Intitute of Pediatrics, Jagiellonian University Medical College, Kraków, Poland.
Iwona ŻakDepartment of Microbiology, University Children's Hospital, Jagiellonian University Medical College, Kraków, Poland.
Małgorzata Salamonowicz-BodziochDepartment of Pediatric Bone Marrow Transplantation, Oncology and Haematology, Wroclaw Medical University, Wroclaw, Poland.
Bernarda KazanowskaDepartment of Pediatric Bone Marrow Transplantation, Oncology and Haematology, Wroclaw Medical University, Wroclaw, Poland.
Grażyna WróbelDepartment of Pediatric Bone Marrow Transplantation, Oncology and Haematology, Wroclaw Medical University, Wroclaw, Poland.
Jowita FrączkiewiczDepartment of Pediatric Bone Marrow Transplantation, Oncology and Haematology, Wroclaw Medical University, Wroclaw, Poland.
Krzysztof KałwakDepartment of Pediatric Bone Marrow Transplantation, Oncology and Haematology, Wroclaw Medical University, Wroclaw, Poland.
Renata TomaszewskaDepartment of Pediatrics, Hematology and Oncology, Medical University of Silesia, Katowice, Poland.
Tomasz SzczepańskiDepartment of Pediatrics, Hematology and Oncology, Medical University of Silesia, Katowice, Poland.
Olga Zając-SpychałaDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Jacek WachowiakDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Marcin PłonowskiDepartment of Pediatric Oncology, Hematology, Medical University of Bialystok, Bialystok, Poland.
Maryna Krawczuk-RybakDepartment of Pediatric Oncology, Hematology, Medical University of Bialystok, Bialystok, Poland.
Aleksandra KrólakDepartment of Pediatrics, Hemato-Oncology and Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Tomasz OciepaDepartment of Pediatrics, Hemato-Oncology and Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Tomasz UrasińskiDepartment of Pediatrics, Hemato-Oncology and Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Filip PierlejewskiDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.
Wojciech MłynarskiDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.
Justyna Urbańska-RakusUnit of Pediatric Hematology and Oncology, City Hospital, Chorzow, Poland.
Katarzyna MachnikUnit of Pediatric Hematology and Oncology, City Hospital, Chorzow, Poland.
Sonia PająkUnit of Pediatric Hematology and Oncology, City Hospital, Chorzow, Poland.
Wanda BadowskaCollegium Medicum University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Tomasz BrzeskiCollegium Medicum University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Katarzyna MyckoCollegium Medicum University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Hanna Mańko-GlińskaCollegium Medicum University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Agnieszka Urbanek-DądelaDepartment of Pediatric Oncology and Hematology, Collegium Medium of Jan Kochanowski University in Kielce, Kielce, Poland.
Grażyna KarolczykDepartment of Pediatric Oncology and Hematology, Collegium Medium of Jan Kochanowski University in Kielce, Kielce, Poland.
Agnieszka Mizia-MalarzDepartment of Oncology, Hematology and Chemotherapy, Upper Silesia Children's Care Health, Medical University of Silesia, Katowice, Poland.
Weronika StolpaDepartment of Oncology, Hematology and Chemotherapy, Upper Silesia Children's Care Health, Medical University of Silesia, Katowice, Poland.
Katarzyna Skowron-KandziaDepartment of Oncology, Hematology and Chemotherapy, Upper Silesia Children's Care Health, Medical University of Silesia, Katowice, Poland.
Jakub MusiałClinic of Pediatric Oncology and Hematology, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland.
Radosław ChaberClinic of Pediatric Oncology and Hematology, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland.
Ninela Irga-JaworskaDepartment of Pediatrics, Hematology, Oncology and Endocrinology, Medical University of Gdansk, Gdańsk, Poland.
Ewa BieńDepartment of Pediatrics, Hematology, Oncology and Endocrinology, Medical University of Gdansk, Gdańsk, Poland.
Jan StyczyńskiStudent Scientific Society of Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.
Medical University of Lublin · PLMedical University of Silesia · PLWroclaw Medical University · PLNicolaus Copernicus University · PLUniversity of Warmia and Mazury in Olsztyn · PLJagiellonian University · PLPomeranian Medical University · PLGdańsk Medical University · PLJan Kochanowski University · PLMedical University of Białystok · PLMedical University of Lodz · PLMedical University of Warsaw · PLPoznan University of Medical Sciences · PLUniversity of Rzeszów · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most common complications related to the treatment of childhood acute lymphoblastic leukemia (ALL) are infections. The aim of the study was to analyze the incidence and mortality rates among pediatric patients with ALL who were treated in 17 Polish pediatric hematology centers in 2020-2021 during the pandemic. Additionally, we compared these results with those of our previous study, which we conducted in the years 2012-2017. The retrospective analysis included 460 patients aged 1-18 years with newly diagnosed ALL. In our study, 361/460 (78.5%) children were reported to have microbiologically documented bacterial infections during chemotherapy. Ten patients (2.8%) died due to sepsis. Fungal infections were reported in 99 children (21.5%), of whom five (5.1%) died due to the infection. We especially observed an increase in bacterial infections during the pandemic period compared to the previous study. The directions of our actions should be to consider antibiotic prophylaxis, shorten the duration of hospitalization, and educate parents and medical staff about complications (mainly infections) during anticancer therapy. It is necessary to continue clinical studies evaluating infection prophylaxis to improve outcomes in childhood ALL patients.

Indexed as

Bacterial InfectionsMycosesPrecursor Cell Lymphoblastic Leukemia-LymphomaChildHumansIncidencePandemicsPolandRetrospective Studies

Identifiers

PMID38114744
PMCPMC10730514
OpenAlexW4389981360

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