Evidence map›Paper›PMID 42472022›Full record

ArticleCase reports in pediatrics2026

Increased Incidence of Urinary Tract Infections in Newborns With Neonatal Opiate Withdrawal Syndrome Treated With Morphine and Clonidine: A Case Series With Supplemental Descriptive Cohort Data.

Alexandra A Richmond, M Cody Smith, Micah Butcher, Lesley Cottrell, Mark J Polak

Abstract read
In one paragraph

Article in Case reports in pediatrics, 2026. 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

5 authors.

Alexandra A RichmondDepartment of Medical Education, West Virginia University School of Medicine, Morgantown, West Virginia, USA, wvu.edu.ORCID https://orcid.org/0009-0001-3030-4422
M Cody SmithDepartment of Pediatrics, Section of Neonatology, West Virginia University School of Medicine, WVU Medicine Golisano Children's Hospital, Morgantown, West Virginia, USA, wvu.edu.ORCID https://orcid.org/0000-0002-7560-279X
Micah ButcherDepartment of Pharmacy Services, WVU Medicine Golisano Children's Hospital, Morgantown, West Virginia, USA.ORCID https://orcid.org/0009-0007-6669-5369
Lesley CottrellDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia, USA, wvu.edu.ORCID https://orcid.org/0000-0001-9799-9727
Mark J PolakDepartment of Pediatrics, Section of Neonatology, West Virginia University School of Medicine, WVU Medicine Golisano Children's Hospital, Morgantown, West Virginia, USA, wvu.edu.ORCID https://orcid.org/0000-0003-3817-9088

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal opioid withdrawal syndrome has become a prevalent diagnosis with the rise of maternal substance use during pregnancy. Manifestation of this syndrome is characterized by altered activity of the central nervous system with symptoms including irritability, gastrointestinal dysfunction, and activation of the autonomic nervous system. There is currently no standardized pharmacological protocol for the treatment of this syndrome. Opioids such as morphine and methadone are first-line medications with clonidine as the recommended adjunct therapy. We observed increases in urinary tract infection in infants, especially male infants, with neonatal opioid withdrawal syndrome that were treated with morphine and clonidine. Urinary tract infection is uncommon among newborns and poses a significant risk to their health secondary to their immature renal and immune systems. We describe 4 cases in newborns treated with morphine and clonidine, prompting an investigation into the individual cases to highlight a potential association between clonidine exposure and urinary tract infection.

Indexed as

clonidineneonatal opioid withdrawal syndromeurinary tract infection

Identifiers

PMID42472022
PMCPMC13379939

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.