Evidence map›Paper›PMID 39696002›Full record

ArticleBMC infectious diseases2024

The frequency of serious bacterial infection in febrile infants less than 90 days infected with SARS-CoV-2 and other respiratory viral pathogens.

Hande Yigit, Emel Ulusoy, Songul Tomar Guneysu, Ozlem Colak, Ayse Gultekingil, Oksan Derinoz Guleryuz, Durgul Yilmaz, Murat Duman, Ozlem Teksam

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Hande YigitFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Hacettepe University, Ankara, Türkiye, Turkey. drhandeyigit@gmail.com.ORCID http://orcid.org/0000-0001-5891-724X
Emel UlusoyFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Dokuz Eylul University, İzmir, Türkiye, Turkey.
Songul Tomar GuneysuFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Gazi University, Ankara, Türkiye, Turkey.
Ozlem ColakFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Gazi University, Ankara, Türkiye, Turkey.
Ayse GultekingilFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baskent University, Ankara, Türkiye, Turkey.
Oksan Derinoz GuleryuzFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Gazi University, Ankara, Türkiye, Turkey.
Durgul YilmazFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Dokuz Eylul University, İzmir, Türkiye, Turkey.
Murat DumanFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Dokuz Eylul University, İzmir, Türkiye, Turkey.
Ozlem TeksamFaculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Hacettepe University, Ankara, Türkiye, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary aim of this study was to compare the groups, SARS-CoV-2-positive and -negative patients, in terms of the frequency of SBI. The SARS-CoV-2-positive group was compared with the other-RVPs-positive group as a secondary evaluation in terms of serious bacterial infection (SBI).

methodsThis retrospective multicenter cohort study was conducted at four university hospitals from March 2020 to December 2021. Patients under 90 days old, with a measured fever of ≥ 38 °C, who were tested for SARS-CoV-2 and had blood and urine cultures taken, were included in the study. The patient groups who tested positive and negative for SARS-CoV-2 were compared regarding clinical characteristics, laboratory data, and the frequency of serious bacterial infections. As a secondary analysis, among patients tested for other respiratory viruses, the SARS-CoV-2-positive group and other respiratory virus-positive groups were compared in terms of the frequency of SBI.

resultsA total of 208 patients met the inclusion criteria. Two distinct comparisons were conducted among the patients included in the study: the first between the SARS-CoV-2-positive and SARS-CoV-2-negative patient groups, and the second between the SARS-CoV-2-positive and other RVPs-positive patient groups. In the first comparison, fifty-five patients were SARS-CoV-2-positive and 153 were SARS-CoV-2-negative. The rate of SBI in the SARS-CoV-2-positive patients was 16.4%, whereas that in the SARS-CoV-2-negative patients was 47.1%. The laboratory parameters for infection suspicion were significantly lower in the SARS-CoV-2-positive group than the SARS-CoV-2-negative group. In the second comparison, 90 patients who were tested for both SARS-CoV-2 and other RVPs were evaluated. The mean WBC, ANC and CRP levels were significantly lower in the SARS-CoV-2-positive group than the other RVPs-positive group, however, there was no significant difference in the mean ALC, NLR and PCT levels and the frequency of SBI between the SARS-CoV-2-positive and other RVPs-positive patient groups.

conclusionsThese results suggest that febrile infants younger than 90 days with SARS-CoV-2 have lower rates of SBI than patients without SARS-CoV-2. These data are consistent with previous studies describing lower risks of SBI in febrile infants with RVPs.

trial registrationNot applicable.

Indexed as

Bacterial InfectionsCOVID-19FeverSARS-CoV-2FemaleHumansInfantInfant, NewbornMaleRespiratory Tract InfectionsRetrospective StudiesCOVID-19FeverInfantRespiratory viral pathogensSARS-CoV-2Serious bacterial infection

Identifiers

PMID39696002
PMCPMC11657879

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Registered trials

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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.