Evidence map›Paper›PMID 41578231›Full record

Observational studyBMC pediatrics2026

Antimicrobial use in pediatric hematopoietic stem cell transplantation in China: a retrospective multicenter cohort study.

Ying Cui, Haixin Cheng, Biqing Liu, Xuli Zhong, Jianmin Zhang

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pediatrics, 2026. 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
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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

5 authors.

Ying CuiDepartment of Pharmacy, Capital Center for Children's Health, Capital Medical University, No. 2 Yabao Road, Beijing, China. cuiyingcpuyaoli@163.com.
Haixin ChengDepartment of Pharmacy, Capital Center for Children's Health, Capital Medical University, No. 2 Yabao Road, Beijing, China.
Biqing LiuDepartment of Pharmacy, Capital Center for Children's Health, Capital Medical University, No. 2 Yabao Road, Beijing, China.
Xuli ZhongDepartment of Pharmacy, Capital Center for Children's Health, Capital Medical University, No. 2 Yabao Road, Beijing, China.
Jianmin ZhangDepartment of Pharmacy, Capital Center for Children's Health, Capital Medical University, No. 2 Yabao Road, Beijing, China. zjm051525@126.com.

Funding

Capital Institute of Pediatrics Clinical Training General Project LCYJ-2025-11National Key Research and Development Program of China 2022YFC3501900
6 · The paper itself

Abstract

backgroundHematopoietic stem cell transplantation (HSCT) is integral to the management of pediatric hematologic malignancies and non-malignant disease, but infection is a significant cause of morbidity and mortality. The purpose of this study is to assess the application of antimicrobial agents in pediatric HSCT.

methodsThis multicenter retrospective observational cohort study was conducted across 21 hospitals in China. We included pediatric patients who underwent HSCT and received antimicrobial treatment between January 2023 and April 2024. The study collected and analyzed data on patients' disease types, antibiotic use, antifungal drug use, and treatment durations, with subgroup analysis based on age. Statistical analysis was performed using Python 3.13.

resultsWe included a total of 186 patients with 73 patients in the tumor group and 113 patients in the non-tumor group. The most frequent disease in the tumor group was acute lymphoblastic leukemia (37 patients, 50.68%), and the most frequent disease in the non-tumor group was mucopolysaccharidosis (48 patients, 42.48%). The antibiotic piperacillin-tazobactam (136 prescriptions, 63.85%) and antifungal agents fluconazole (118 prescriptions) and voriconazole (72 prescriptions, 36.36%) were the most frequently applied antibiotics and antifungal agents, respectively. In patients receiving antibacterial therapy, the median treatment period was 10 days, and the majority of patients were found to have treatment periods of between 7 and 14 days. This corresponded to a non-significant trend toward longer treatment in school-age children compared with infants (10 vs. 8 days).

conclusionIn pediatric HSCT recipients, antibacterial and antifungal therapy is predominantly broad-spectrum with moderate durations; school-age children have slightly longer courses without significant differences.

Indexed as

Anti-Bacterial AgentsAntifungal AgentsHematopoietic Stem Cell TransplantationAdolescentChildChild, PreschoolChinaFemaleHumansInfantMaleRetrospective StudiesAnti-Bacterial AgentsAntifungal AgentsAntimicrobialHematopoietic stem cell transplantationMulticenterPediatricsRetrospective study

Identifiers

PMID41578231
PMCPMC12911267

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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.