Evidence map›Paper›PMID 39949417›Full record

ArticleJournal of pediatrics. Clinical practice2024

Prevalence of Serious Bacterial Infection in Young Infants with Hypothermia with Positive Respiratory Pathogen Testing.

Madhuri Prasad, John M Morrison, Sumeet L Banker, Jennifer Lee, Julie K Wood, Annalise Van Meurs, Kathryn Westphal, Emma Schwendeman, Stephanie Berger, Elizabeth O Mertens and 9 more

Abstract read
In one paragraph

Article in Journal of pediatrics. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Entering the Icy Waters of Viral Testing and Infant Hypothermia.Journal of pediatrics. Clinical practice · 2024
    Article
  3. 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

19 authors.

Madhuri PrasadDivision of Pediatric Hospital Medicine, Johns Hopkins All Children's Hospital, St Petersburg, FL.
John M MorrisonDivision of Pediatric Hospital Medicine, Johns Hopkins All Children's Hospital, St Petersburg, FL.
Sumeet L BankerDepartment of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Jennifer LeeDepartment of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Julie K WoodDepartment of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC.
Annalise Van MeursDepartment of Pediatrics, Oregon Health and Science University, Doernbecher Children's Hospital, Portland, OR.
Kathryn WestphalDivision of Hospital Medicine, Nationwide Children's Hospital, Columbus, OH.
Emma SchwendemanDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
Stephanie BergerDepartment of Pediatrics, University of Alabama Heersink School of Medicine, Birmingham, AL.
Elizabeth O MertensDepartment of Pediatrics, University of Alabama Heersink School of Medicine, Birmingham, AL.
Saylor McCartorDepartment of Pediatrics, University of South Carolina of Medicine - Greenville, Prisma Children's Health Hospital - Upstate, Greenville, SC.
Meredith MitchellDepartment of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA.
Clifton LeeDepartment of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA.
Monica D CombsDepartment of Pediatrics, Keck School of Medicine of University of Southern California, Children's Hospital Los Angeles, Los Angeles, CA.
Kira Molas-TorreblancaDepartment of Pediatrics, Keck School of Medicine of University of Southern California, Children's Hospital Los Angeles, Los Angeles, CA.
Joseph A EwingDepartment of Pediatrics, University of South Carolina of Medicine - Greenville, Prisma Children's Health Hospital - Upstate, Greenville, SC.
Elizabeth E HalvorsonDepartment of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC.
Nicholas M PotisekDepartment of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC.
Hypothermic Young Infant Research Collaborative

Funding

Prognostic modeling of pediatric tracheostomy-associated respiratory tract infectionsK23HL163331 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI John M Morrison · 2023 to 2026
$790k
NHLBI NIH HHS K23 HL163331
6 · The paper itself

Abstract

Objectives: We sought to compare the prevalence of serious bacterial infections (SBI; urinary tract infection, bacteremia, and/or meningitis) and invasive bacterial infections (IBI; bacteremia and/or meningitis) among infants with hypothermia with positive vs negative respiratory pathogen testing. Study design: We conducted a multicenter retrospective cohort study of infants ≤90 days presenting to an emergency department or directly admitted to a hospital from September 1, 2016, to May 5, 2021, with reported or documented hypothermia (≤36°C). Positive respiratory pathogen testing included positive single or multiplex nucleic acid amplification testing. The primary outcome was prevalence of SBI, defined as positive blood, urine, and/or cerebrospinal fluid culture and antibiotic treatment course; the prevalence of SBI and IBI was compared between infants with positive vs negative respiratory pathogen tests using the χ Results: Respiratory pathogen testing was obtained in 40.6% (446/1098) of infants with hypothermia; of those, 24.9% (111/446) had a positive respiratory pathogen result. Infants with a positive respiratory pathogen result were more often older, ill-appearing at presentation, and evaluated during fall/winter months. The prevalence of SBI in our cohort was 7.4%, and the prevalence of IBI was 4.5%. There were no associations between respiratory pathogen test result and SBI or IBI. Conclusions: Most young infants with hypothermia evaluated did not have respiratory pathogen testing performed. The diagnosis of SBI or IBI was not associated with a positive respiratory pathogen test. Further research is needed to understand the utility of respiratory pathogen testing in risk stratification for infants with hypothermia.

Indexed as

hypothermiainfantsinvasive bacterial infectionneonatal sepsisserious bacterial infection

Identifiers

PMID39949417
PMCPMC11824670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.