Evidence map›Paper›PMID 39833335›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2025

A systematic review of Perinatal Antibiotic Stewardship - where we are, where to go?

Cristina Winteler, Sara Ardabili, Markus Hodel, Martin Stocker

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  3. Review
  4. Review
  5. Article
  6. Article
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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

4 authors.

Cristina WintelerFaculty of Health Science and Medicine, University of Lucerne, Lucerne, Switzerland.
Sara ArdabiliDepartment of Gynecology and Obstetrics, Luzerner Kantonsspital LUKS, Lucerne, Switzerland.ORCID http://orcid.org/0000-0002-3524-2371
Markus HodelDepartment of Gynecology and Obstetrics, Luzerner Kantonsspital LUKS, Lucerne, Switzerland.
Martin StockerFaculty of Health Science and Medicine, University of Lucerne, Lucerne, Switzerland. martin.stocker@luks.ch.ORCID http://orcid.org/0000-0002-1461-333X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The perinatal period is associated with high antibiotic exposure, which raises concerns about antimicrobial resistance (AMR) and future health impacts. The aim of this comprehensive systematic review, including publications from 2000 to 2022, is to describe the current evidence and state of antimicrobial stewardship (AMS) in the perinatal period and to identify gaps in knowledge for future research. The review included 36 studies from the Americas, Europe, Asia and Australia, involving a total of 64,798 pregnant women and 84,137 newborns. 33 out of 36 studies reported reduced antibiotic use, suggesting the potential to reduce antibiotic exposure. There is a lack of studies in the antepartum and intrapartum periods, of comprehensive AMS strategies across the entire perinatal period, and from low- and middle-income countries with a high burden of maternal and neonatal morbidity and mortality. Future research should include prospective, adequately powered studies including safety endpoints, clinical outcomes and AMR reports.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipPerinatal CarePregnancy Complications, InfectiousFemaleHumansInfant, NewbornPregnancyAnti-Bacterial Agents

Identifiers

PMID39833335
PMCPMC12479340

What OpenQuestion holds

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LicenceCC BY
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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.