Evidence map›Paper›PMID 40936586›Full record

ArticleSouthern African journal of infectious diseases2025

Paediatric colistin prescribing practices in South Africa: A clinician survey.

Veshni Pillay-Fuentes Lorente, Trusha Nana, Marianne Black, Gary Reubenson, Reenu Thomas, Angela Dramowski, Adrie Bekker, Nicolette du Plessis, Despina Demopoulos, Vindana Chibabhai

Abstract read
In one paragraph

Article in Southern African journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Veshni Pillay-Fuentes LorenteDivision of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-5365-0320
Trusha NanaDivision of Clinical Microbiology and Infectious Diseases, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-0216-1575
Marianne BlackDivision of Clinical Microbiology and Infectious Diseases, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-6341-433X
Gary ReubensonDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-2541-4165
Reenu ThomasDivision of Neonatology, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-5931-0850
Angela DramowskiDepartment of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0161-9791
Adrie BekkerDepartment of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-3836-3432
Nicolette du PlessisDivision of Paediatric Infectious Diseases, Department of Paediatrics, University of Pretoria, Tshwane, South Africa.ORCID https://orcid.org/0000-0002-9009-691X
Despina DemopoulosDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0009-0008-2048-1776
Vindana ChibabhaiDivision of Clinical Microbiology and Infectious Diseases, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-5115-5999

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Increasing multidrug-resistant bacterial infections are a global health challenge. Colistin, a polymyxin antimicrobial, has activity against some resistant strains, and despite its adverse effects, it presents a last-line option to treat resistant Gram-negative pathogens. However, paediatric colistin prescribing guidelines are lacking. Objectives: To determine paediatric colistin prescribing practices and challenges in South Africa (SA) to aid the development of a paediatric colistin guideline. Method: We conducted an anonymous online survey of registered medical practitioners in SA who prescribed colistin to patients aged ≤ 14 years in the past 12 months. Results: Of 196 participants, 71.9% ( Conclusion: This survey demonstrated varied paediatric colistin prescribing practices. Recently, a new evidence-based paediatric guideline for colistin use in SA has been published. A follow-up survey will be conducted to assess the impact of the guideline on paediatric colistin prescribing practices in SA. Contribution: This study highlighted paediatric colistin dosing practices in the absence of a paediatric colistin guideline in South Africa.

Indexed as

antimicrobial stewardshipcolistimethate sodiumcolistinmulti-drug resistant gram negative bacteriapolymixin

Identifiers

PMID40936586
PMCPMC12421566

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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.