Evidence map›Paper›PMID 40255168›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Use of Antibiotics and Severe Bacterial Infections Within the First 6 Months of Life-A Population-Based Cohort Study From East Denmark.

Anna Bjerager Arnesen, Nini Møller, Louise Dyrberg Vibede, Kristian Vestergaard, Sara Krøis Holm, Cæcilie Trier, Hristo Stanchev, Gholamreza Dayani, Ulrikka Nygaard, Emma Malchau Carlsen and 1 more

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Anna Bjerager ArnesenDepartment of Neonatology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.ORCID 0009-0008-7782-3589
Nini MøllerDepartment of Gynaecology and Obstetrics, Nordsjællands Hospital, Hillerød, Copenhagen University, Copenhagen, Denmark.
Louise Dyrberg VibedeDepartment of Paediatrics and Adolescent Medicine, Herlev Hospital, Copenhagen University, Herlev, Denmark.
Kristian VestergaardDepartment of Paediatrics and Adolescent Medicine, Holbæk Hospital, Copenhagen University, Holbæk, Denmark.
Sara Krøis HolmDepartment of Neonatology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
Cæcilie TrierDepartment of Paediatrics and Adolescent Medicine, Nykøbing-Falster Hospital, Copenhagen University, Nykøbing-Falster, Denmark.
Hristo StanchevDepartment of Paediatrics and Adolescent Medicine, Slagelse Hospital, Copenhagen University, Slagelse, Denmark.
Gholamreza DayaniDepartment of Paediatrics and Adolescent Medicine, Roskilde Hospital, Copenhagen University, Roskilde, Denmark.
Ulrikka NygaardDepartment of Paediatrics, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
Emma Malchau CarlsenDepartment of Neonatology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
Bo Mølholm HansenDepartment of Paediatrics and Adolescent Medicine, Nordsjællands Hospital, Hillerød, Copenhagen University, Copenhagen, Denmark.ORCID 0000-0002-3087-3983

Funding

Innovation Fund, Denmark 0176‐00020B
6 · The paper itself

Abstract

aimTo investigate antibiotic exposure and the incidence of severe bacterial infections during the first 6 months of life in preterm infants born between 28 and 37 weeks of gestation.

methodsRetrospective population-based study of preterm infants in East Denmark, 2019-2021. Participants were identified based on dispensed antibiotics through the joint electronic health system. Infectious episodes were defined as suspected (≤ 4 days of treatment), probable (≥ 5 days of treatment) or proven if blood culture positive.

resultsDuring the first 6 months of life, 557 of 5128 (11%) preterm infants received 635 courses. Two-thirds of all antibiotic courses were administered within the first 72 h of life, with 12 proven infections, that is, 2.3 per 1000 live births. Beyond 72 h of age, nearly all bacterial infection episodes were hospital acquired, with 24 proven infections, that is, 4.7 per 1000 live births. Three infants had sepsis-related mortality, that is, 0.58 per 1000 live births.

conclusionIn preterm Danish infants aged 28-37 weeks of gestation, antibiotic treatment for suspected or probable infections was 15 times higher than for confirmed infections. Antibiotic exposure was high in this group of preterm infants, while confirmed infections were low.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsInfant, Premature, DiseasesDenmarkFemaleHumansIncidenceInfantInfant, NewbornInfant, PrematureMaleRetrospective StudiesAnti-Bacterial Agentsantibiotic stewardshipneonatal antibiotic useneonatal infectionspreterm infants

Identifiers

PMID40255168
PMCPMC12336968

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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.