Evidence map›Paper›PMID 39060554›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Epidemiology and outcomes of bacterial meningitis in the neonatal intensive care unit.

Samia Aleem, Daniel K Benjamin, Charles M Burns, Jacob Duncan, Kalkidan Melaku, Abdulaziz Norbekov, Bethany Graham, Sriya Mantena, Tomi Ladipo, Ayan Jung and 3 more

Abstract read
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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Duration of Antibiotic Therapy forThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  5. Review
  6. Article
  7. Review
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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

13 authors.

Samia AleemDepartment of Pediatrics, Duke University, Durham, NC, USA.ORCID 0000-0003-0291-7608
Daniel K BenjaminDepartment of Pediatrics, Duke University, Durham, NC, USA. danny.benjamin@duke.edu.
Charles M BurnsDepartment of Medicine, Duke University, Durham, NC, USA.ORCID 0000-0002-4183-0532
Jacob DuncanDuke Clinical Research Institute, Durham, NC, USA.
Kalkidan MelakuDuke Clinical Research Institute, Durham, NC, USA.
Abdulaziz NorbekovDuke Clinical Research Institute, Durham, NC, USA.
Bethany GrahamDuke Clinical Research Institute, Durham, NC, USA.
Sriya MantenaDuke Clinical Research Institute, Durham, NC, USA.
Tomi LadipoDuke Clinical Research Institute, Durham, NC, USA.
Ayan JungCary Academy, Cary, NC, USA.
Kanecia O ZimmermanDepartment of Pediatrics, Duke University, Durham, NC, USA.
Reese H ClarkPediatrix Center for Research, Education, Quality, and Safety, Sunrise, FL, USA.ORCID 0000-0002-7363-4640
Rachel G GreenbergDepartment of Pediatrics, Duke University, Durham, NC, USA. rachel.greenberg@duke.edu.ORCID 0000-0003-4156-8543

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., HERNANDEZ, ADRIAN · 2016 to 2022
$177.0M
NIH Summer Research Experience Programs (R25)R25HD076475 · NICHD · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K. · 2013 to 2023
$1.1M
NCATS NIH HHS U24 TR001608NICHD NIH HHS HHSN275201000003INICHD NIH HHS R25 HD076475
6 · The paper itself

Abstract

objectiveExamine pathogen distribution, antibiotic resistance patterns, and hospital outcomes of infants with bacterial meningitis in neonatal intensive care units (NICUs) in the US from 2013-2018. STUDY

designInfants were divided into 2 groups based on age at the time of meningitis: early-onset (0-3 days) and late-onset (>3 days). We compared demographics, clinical characteristics, epidemiology, hospital outcomes, distribution of organisms and resistance, and blood culture timing relative to cerebrospinal fluid culture.

resultsFrom 345 NICUs, 659 infants were diagnosed with bacterial meningitis. The cumulative incidence was 1.1-1.3 cases/1000 NICU discharges. Median gestational age was 33 weeks, median birth weight was 1910 grams, 12% failed hearing screening, and 9% died prior to discharge. Of 141 cases of E. coli meningitis, 53% were resistant to ampicillin.

conclusionsSignificant morbidities occur in infants with culture-proven meningitis in NICUs. Culture and subsequent discernment of sensitivity are crucial to guide definitive therapy.

Indexed as

Anti-Bacterial AgentsIntensive Care Units, NeonatalMeningitis, BacterialDrug Resistance, BacterialFemaleGestational AgeHumansIncidenceInfant, NewbornMaleRetrospective StudiesUnited StatesAnti-Bacterial Agents

Identifiers

PMID39060554
PMCPMC12285275

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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.