Evidence map›Paper›PMID 39087803›Full record

SynthesisPediatrics2024

Efficacy of Antibiotic Regimens for Pneumonia in Young Infants Aged 0-59 Days: A Systematic Review.

Krysten North, Alejandro Frade Garcia, Mark Crouch, Spencer Kimsen, Amber Hoey, Carrie Wade, Yumin Kim, Roger Chou, Karen M Edmond, Anne C C Lee and 1 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06599125 (Risk Factors of Mortality in Neonatal Pneumonia), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06599125 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Risk Factors of Mortality in Neonatal Pneumonia

TypeobservationalSponsorAssiut UniversityRan2025 to 2025Enrolled85ConditionsNeonatal Pneumonia
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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.

Krysten NorthDepartment of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts.
Alejandro Frade GarciaCentro Médico ABC, Mexico City, Mexico.
Mark CrouchNazarene General Hospital, Kudjip and University of Papua New Guinea, Port Moresby, Papua New Guinea.
Spencer KimsenNazarene General Hospital, Kudjip and University of Papua New Guinea, Port Moresby, Papua New Guinea.
Amber HoeyBryn Mawr College, Bryn Mawr, Pennsylvania.
Carrie WadeHarvard Medical School, Boston, Massachusetts.
Yumin KimHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Roger ChouDepartments of Medicine and Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
Karen M EdmondWorld Health Organization, Geneva, Switzerland.
Anne C C LeeDepartment of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts.
Chris A ReesDivision of Pediatric Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.

Funding

Advancing Approaches to Identify Young Children at Risk for Post-Discharge MortalityK23HL173694 · NHLBI · EMORY UNIVERSITY · PI Christopher A. Rees · 2024 to 2026
$585k
NHLBI NIH HHS K23 HL173694World Health Organization 001
6 · The paper itself

Abstract

contextPneumonia is a leading cause of death in young infants.

objectivesTo evaluate the efficacy of different antibiotic regimens to treat young infant pneumonia on critical clinical outcomes. DATA SOURCES: MEDLINE, Embase, CINAHL, World Health Organization (WHO) Global Index Medicus, Cochrane Central Registry of Trials. STUDY SELECTION: We included randomized controlled trials of young infants aged 0 to 59 days with pneumonia (population) comparing the efficacy of antibiotic regimens (intervention) with alternate regimens or management (control) on clinical outcomes. DATA EXTRACTION: We extracted data and assessed risk of bias in duplicate. We used Grading of Recommendations, Assessment, Development, and Evaluation to assess certainty of evidence. LIMITATIONS: Trials were heterogeneous, which precluded data pooling.

resultsOf 2601 publications screened, 10 randomized controlled trials were included. Seven trials were hospital-based (n = 869) and 3 were nonhospital-based (n = 4329). No hospital-based trials evaluated WHO-recommended first-choice regimens. One trial found the WHO-recommended second-choice antibiotic, cefotaxime, to have similar rates of treatment success as non-WHO-recommended regimens of either amoxicillin-clavulanate (RR 0.99, 95% confidence interval 0.82-1.10) or amoxicillin-clavulanate/cefotaxime (RR 1.02, 95% confidence interval 0.86-1.12). Among 3 nonhospital-based trials comparing oral amoxicillin to alternate regimens to treat isolated tachypnea among infants aged 7-59 days, there were no differences in treatment failure between amoxicillin and alternate regimens. Certainty of evidence was low or very low for all primary outcomes.

conclusionsWe found limited evidence to support the superiority of any single antibiotic regimen over alternate regimens to treat young infant pneumonia.

Indexed as

Anti-Bacterial AgentsHumansInfantInfant, NewbornPneumoniaPneumonia, BacterialRandomized Controlled Trials as TopicTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID39087803
PMCPMC11460314

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Registered trials

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.