Evidence map›Paper›PMID 41278318›Full record

ArticleKidney international reports2025

Universal Exit-Site Antibiotic Prophylaxis Reduces Exit-Site Infections in Pediatric Peritoneal Dialysis.

Eugene Yu-Hin Chan, Dongyang Zhou, Chloe Wing-Yan Siu, Kyle Ying-Kit Lin, Mei-Shan Liu, Po-Chu Or, Po-Ying Chan, Po-Yee Wong, Justin Ming-Yin Ma, Sze-Wa Wong and 5 more

Abstract read
In one paragraph

Article in Kidney international reports, 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

15 authors.

Eugene Yu-Hin ChanDepartment of Pediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
Dongyang ZhouDepartment of Pediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
Chloe Wing-Yan SiuDepartment of Pediatric and Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR.
Kyle Ying-Kit LinPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Mei-Shan LiuPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Po-Chu OrPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Po-Ying ChanPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Po-Yee WongPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Justin Ming-Yin MaPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Sze-Wa WongPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Tsz-Wai HoPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Pak-Chiu TongPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Wai-Ming LaiPediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong SAR.
Cheuk Chun SzetoDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
Alison Lap-Tak MaDepartment of Pediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Data on exit-site antibiotic prophylaxis in children undergoing peritoneal dialysis (PD) is scarce. Methods: We conducted a prospective observational cohort study of pediatric patients (aged < 21 years) who received chronic PD 2 years before (preprophylaxis) and/or 3 years after (postprophylaxis) implementing universal exit-site antibiotic prophylaxis. Catheter and exit-site care remained unchanged. The primary outcomes were annualized rates of exit-site infection (ESI), tunnel infection (TI), and peritonitis. Results: Fifty-seven children (32 girls; 15.1 years, interquartile range: 9.2-17.2) were included. All, except 2 patients underwent automated PD. Thirty-nine and 42 subjects, respectively, received PD during the preprophylaxis and postprophylaxis periods with comparable clinical characteristics. The observation period was 110.0 patient-years. Thirty-seven and 5 patients from the postprophylaxis period received mupirocin and gentamicin, respectively. The annualized ESI or TI rate was significantly lower in the postprophylaxis group (0.17, 95% confidence interval [CI]: 0.07-0.30 vs. 0.46, 95% CI: 0.29-0.68 episodes/patient-yrs; Conclusion: Daily exit-site antibiotic prophylaxis prevents gram-positive ESI or TI and shortens hospital stays in children undergoing PD.

Indexed as

childrenend-stage kidney diseaseexit-site infectionperitoneal dialysisperitonitistunnel infection

Identifiers

PMID41278318
PMCPMC12640057

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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.