Evidence map›Paper›PMID 40105039›Full record

ReviewPharmacotherapy2025

A review of antibiotic safety in pregnancy-2025 update.

Johny Nguyen, Victoria Madonia, Christopher M Bland, Kayla R Stover, Lea S Eiland, Julia Keating, Madeline Lemmon, P Brandon Bookstaver, as part of the Southeastern Research Group Endeavor (SERGE‐45) research network

Abstract readReview
In one paragraph

Review in Pharmacotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Medication use during pregnancy in Japan from 2005 to 2019: Trends and safety considerations.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Treating Extensively Drug-ResistantPathogens (Basel, Switzerland) · 2026
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. 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

9 authors.

Johny NguyenUniversity of South Carolina College of Pharmacy, Columbia, South Carolina, USA.ORCID 0009-0005-9196-8440
Victoria MadoniaUniversity of South Carolina College of Pharmacy, Columbia, South Carolina, USA.
Christopher M BlandUniversity of Georgia College of Pharmacy, Savannah, Georgia, USA.ORCID 0000-0001-8806-4583
Kayla R StoverUniversity of Mississippi School of Pharmacy, Jackson, Mississippi, USA.ORCID 0000-0002-8635-0137
Lea S EilandAuburn University Harrison College of Pharmacy, Auburn, Alabama, USA.ORCID 0000-0001-7873-3157
Julia KeatingUniversity of South Carolina College of Pharmacy, Columbia, South Carolina, USA.ORCID 0009-0006-9511-9072
Madeline LemmonUniversity of South Carolina College of Pharmacy, Columbia, South Carolina, USA.ORCID 0009-0001-1560-8161
P Brandon BookstaverUniversity of South Carolina College of Pharmacy, Columbia, South Carolina, USA.ORCID 0000-0002-4409-0963
as part of the Southeastern Research Group Endeavor (SERGE‐45) research network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotics constitute the majority of prescriptions for women during pregnancy. Common bacterial infections, including urinary tract infections, skin and soft tissue infections, and upper and lower respiratory tract infections, are expected in pregnancy, similar to the general public. These infections carry additional risks to both the woman and fetus; thus, antibiotics are often prescribed. Antibiotics, like other drugs, are not benign and may carry additional risks to the fetus beyond commonly encountered adverse drug events seen across most patient populations. Since 2014, 19 new antibiotics have been approved by the United States Food and Drug Administration. Additionally, in 2018, the previously held pregnancy category rating expired, and all manufacturers' labeling was updated with new narrative language reflecting safety in pregnancy, lactation, and males and females of reproductive potential. This review provides a comprehensive summary of available data and an update to the 2015 publication regarding the safe use of antibiotics in pregnancy. The primary focus of this review is on newly approved antibiotics, along with any additional published evidence on previously reviewed antibiotics. Data on lactation or antiviral or antifungal use in pregnancy are not included. Clinicians should remain updated on current available evidence and vigilant to provide safe and effective antibiotic decision-making in pregnant women.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsPregnancy Complications, InfectiousFemaleHumansPregnancyUnited StatesAnti-Bacterial Agentsantibioticantimicrobialsbeta‐lactamsobstetricspregnancysafetywomen's health

Identifiers

PMID40105039
PMCPMC11998890

What OpenQuestion holds

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LicenceCC BY-NC
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.