Evidence map›Paper›PMID 40703205›Full record

ReviewIJID regions2025

Febrile neutropenia in the Middle East and North Africa Region: trends, management, and outcomes (2000-2024)-A systematic review.

Nassar El Assaad, Akel Azzi, Francois Haddad, Joe Lebbos, Elie Haddad, Nabil Chehata, Jacques Choucair, Gebrael Saliba

Abstract readReview
In one paragraph

Review in IJID regions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

8 authors.

Nassar El AssaadFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Akel AzziFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Francois HaddadFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Joe LebbosFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Elie HaddadFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Nabil ChehataFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Jacques ChoucairFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Gebrael SalibaFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Febrile neutropenia (FN) is a serious complication of chemotherapy, especially in hematologic malignancies, and carries significant risk of morbidity and mortality risks. Infections, often originating from endogenous flora, are common, with gram-positive and gram-negative bacteria being the predominant pathogens. This systematic review, registered in PROSPERO (ID: CRD420241008055) examines FN incidence, characteristics, infections, and treatment outcomes in the Middle East and North Africa. A total of 22 studies from nine countries, covering 2864 patients and 3245 FN episodes, were included. Bloodstream infections were the most common source, with gram-negative pathogens more prevalent in solid tumors and gram-positive in hematologic malignancies. Empirical antibiotic choices varied significantly across countries, with piperacillin-tazobactam being the most commonly used. However, antimicrobial resistance, particularly from multidrug-resistant organisms, posed significant challenges. Mortality rates reached 12.5%, influenced by healthcare access and antimicrobial resistance. The findings highlight regional disparities in FN management and emphasize the need for tailored antimicrobial stewardship programs, rapid diagnostics, and standardized treatment protocols to improve patient outcomes.

Indexed as

Antimicrobial resistanceBloodstream infectionsFebrile neutropeniaHematologic malignanciesInfection managementMENA regionStandardized treatment protocols

Identifiers

PMID40703205
PMCPMC12284531

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.