Evidence map›Paper›PMID 40382485›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Time to positive blood cultures in neonatal sepsis evaluations.

Emily Willey, Michelle Mitchell, Carey Ehlert, Jacob Swoveland, Tracy Zembles

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In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Emily WilleyChildren's Wisconsin, Milwaukee, WI, USA. ewilley@childrenswi.org.ORCID http://orcid.org/0009-0000-2285-9674
Michelle MitchellMedical College of Wisconsin, Milwaukee, WI, USA.
Carey EhlertMedical College of Wisconsin, Milwaukee, WI, USA.
Jacob SwovelandChildren's Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0009-0006-8074-7842
Tracy ZemblesChildren's Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0000-0003-3727-7970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluates the time to blood culture positivity among neonates evaluated for sepsis to determine when antibiotics may be safely discontinued. STUDY

designRetrospective review of clinically relevant blood culture time to positivity from infants in a neonatal intensive care unit. The primary endpoint was overall median time to blood culture positivity. Secondary endpoints compared time to positivity among gram-positive versus gram-negative organisms, early versus late onset sepsis, and a sub-analysis excluding contaminants.

resultAmong 151 cultures, the overall median time to positivity was 17 h (IQR 12-23). Most (47/48, 97.9%) gram-negative organisms resulted within 24 h and most (88/94, 93.6%) gram-positive by 36 h. All (13/13, 100%) early onset cultures resulted within 24 h and most (132/138, 95.7%) late onset by 36 h.

conclusionAntibiotics for neonatal sepsis evaluation may be safely discontinued in well-appearing infants without an identified infection source with negative cultures at 36 h.

Indexed as

Anti-Bacterial AgentsBlood CultureGram-Negative Bacterial InfectionsNeonatal SepsisFemaleGram-Negative BacteriaHumansInfant, NewbornIntensive Care Units, NeonatalMaleRetrospective StudiesTime FactorsAnti-Bacterial Agents

Identifiers

What OpenQuestion holds

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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.