Evidence map›Paper›PMID 38643191›Full record

ArticleScientific reports2024

The changing epidemiology of pulmonary infection in children and adolescents with cystic fibrosis: an 18-year experience.

Jagdev Singh, Sharon Hunt, Sharon Simonds, Christie Boyton, Anna Middleton, Matthew Elias, Susan Towns, Chetan Pandit, Paul Robinson, Dominic A Fitzgerald and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Bridging bench and bedside: translational omics ofEuropean respiratory review : an official journal of the European Respiratory Society · 2026
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  8. OvercomingAntibiotics (Basel, Switzerland) · 2025
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  11. Recent developments inMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  12. Article
  13. The role of NETosis in heart failure.Heart failure reviews · 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

11 authors at 2 institutions in 1 country.

Jagdev SinghDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia. Jagdev.singh@health.nsw.gov.au.
Sharon HuntDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Sharon SimondsDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Christie BoytonDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Anna MiddletonDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Matthew EliasDepartment of Pharmacy, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Susan TownsDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Chetan PanditDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Paul RobinsonDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Dominic A FitzgeraldDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Hiran SelvaduraiDepartment of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Children's Hospital at Westmead · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of evolving treatment regimens, airway clearance strategies, and antibiotic combinations on the incidence and prevalence of respiratory infection in cystic fibrosis (CF) in children and adolescents remains unclear. The incidence, prevalence, and prescription trends from 2002 to 2019 with 18,339 airway samples were analysed. Staphylococcus aureus [- 3.86% (95% CI - 5.28-2.43)] showed the largest annual decline in incidence, followed by Haemophilus influenzae [- 3.46% (95% CI - 4.95-1.96)] and Pseudomonas aeruginosa [- 2.80%95% CI (- 4.26-1.34)]. Non-tuberculous mycobacteria and Burkholderia cepacia showed a non-significant increase in incidence. A similar pattern of change in prevalence was observed. No change in trend was observed in infants < 2 years of age. The mean age of the first isolation of S. aureus (p < 0.001), P. aeruginosa (p < 0.001), H. influenza (p < 0.001), Serratia marcescens (p = 0.006) and Aspergillus fumigatus (p = 0.02) have increased. Nebulised amikacin (+ 3.09 ± 2.24 prescription/year, p = 0.003) and colistin (+ 1.95 ± 0.3 prescriptions/year, p = 0.032) were increasingly prescribed, while tobramycin (- 8.46 ± 4.7 prescriptions/year, p < 0.001) showed a decrease in prescription. Dornase alfa and hypertonic saline nebulisation prescription increased by 16.74 ± 4.1 prescriptions/year and 24 ± 4.6 prescriptions/year (p < 0.001). There is a shift in CF among respiratory pathogens and prescriptions which reflects the evolution of cystic fibrosis treatment strategies over time.

Indexed as

Cystic FibrosisPneumoniaPseudomonas InfectionsAdolescentAnti-Bacterial AgentsChildHumansInfantPseudomonas aeruginosaRespiratory SystemStaphylococcus aureusAnti-Bacterial Agents

Identifiers

PMID38643191
PMCPMC11032396
OpenAlexW4394978128

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.