Shorter versus longer duration antibiotic regimens for treatment of culture-positive neonatal sepsis
- PMID: 38989924
- PMCID: PMC11238623
- DOI: 10.1002/14651858.CD015555
Shorter versus longer duration antibiotic regimens for treatment of culture-positive neonatal sepsis
Abstract
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the safety and effectiveness of shorter versus longer duration antibiotic regimens for the treatment of culture-positive neonatal sepsis with or without meningitis.
Copyright © 2024 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Conflict of interest statement
AL: none.
AG: is a member and past chair of the Sepsis Prevention quality improvement group in New South Wales, Australia.
DO: is a Senior Editor for Cochrane Neonatal; however, he did not participate in the editorial process for this protocol.
JM: is employed by a non‐profit organisation, Royal Prince Alfred Hospital, NSW Health, as a research co‐ordinator. Royal Prince Alfred Hospital, NSW Health, does not have an interest in the topic of interest.
MF: is a Managing Editor and Information Specialist for Cochrane Neonatal; however, she did not participate in the editorial process for this protocol.
JC: is a Managing Editor for Cochrane Neonatal; however, she did not participate in the editorial process for this protocol.
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References
Additional references
Al‐Taiar 2013
Alm 2008
Anderson 1990
Antimicrobial Resistance Collaborators 2022
ANZNN 2023
-
- Australian and New Zealand Neonatal Network. ANZNN 2023 Data Dictionary. Sydney, Australia, 2022. anznn.net/dataresources/datadictionaries (accessed prior to 17 June 2024).
Bakhuizen 2014
Bell 1978
Benitz 1999
-
- Benitz WE, Gould JB, Druzin ML. Antimicrobial prevention of early-onset group B streptococcal sepsis: estimates of risk reduction based on a critical literature review. Pediatrics 1999;103(6):e78. [PMID: ] - PubMed
Benjamin 2006
-
- Benjamin DK Jr, Stoll BJ, Fanaroff AA, McDonald SA, Oh W, Higgins RD, et al, National Institute of Child Health, Human Development Neonatal Research Network. Neonatal candidiasis among extremely low birth weight infants: risk factors, mortality rates, and neurodevelopmental outcomes at 18 to 22 months. Pediatrics 2006;117(1):84-92. [DOI: 10.1542/peds.2004-2292] [PMID: ] - DOI - PubMed
Boghossian 2013
-
- Boghossian NS, Page GP, Bell EF, Stoll BJ, Murray JC, Cotten CM, et al, Eunice Kennedy Shriver National Institute of Child Health, Human Development Neonatal Research Network. Late-onset sepsis in very low birth weight infants from singleton and multiple-gestation births. Journal of Pediatrics 2013;162(6):1120-4, 1124 e1. [DOI: 10.1016/j.jpeds.2012.11.089] [PMID: ] - DOI - PMC - PubMed
Cailes 2018
-
- Cailes B, Kortsalioudaki C, Buttery J, Pattnayak S, Greenough A, Matthes J, et al, neonIN network. Epidemiology of UK neonatal infections: the neonIN infection surveillance network. Archives of Disease in Childhood. Fetal and Neonatal Edition 2018;103(6):F547-53. [DOI: 10.1136/archdischild-2017-313203] [PMID: ] - DOI - PubMed
Camacho‐Gonzalez 2013
Campbell 1992
Campbell 2020
Clark 2006
Coggins 2023
Connell 2007
Cordero 2003
Cortese 2016
Cotten 2006
-
- Cotten CM, McDonald S, Stoll B, Goldberg RN, Poole K, Benjamin DK Jr, National Institute for Child Health, Human Development Neonatal Research Network. The association of third-generation cephalosporin use and invasive candidiasis in extremely low birth-weight infants. Pediatrics 2006;118(2):717-22. [DOI: 10.1542/peds.2005-2677] [PMID: ] - DOI - PubMed
Cotten 2009
-
- Cotten CM, Taylor S, Stoll B, Goldberg RN, Hansen NI, Sanchez PJ, et al, NICHD Neonatal Research Network. Prolonged duration of initial empirical antibiotic treatment is associated with increased rates of necrotizing enterocolitis and death for extremely low birth weight infants. Pediatrics 2009;123(1):58-66. [DOI: 10.1542/peds.2007-3423] [PMID: ] - DOI - PMC - PubMed
Covidence [Computer program]
-
- Covidence. Version accessed 8 September 2023. Melbourne, Australia: Veritas Health Innovation. Available at covidence.org.
de Man 2000
Deeks 2022
-
- Deeks JJ, Higgins JP, Altman DG. Chapter 10: Analysing data and undertaking meta-analyses. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (updated February 2022). Cochrane, 2022. Available from training.cochrane.org/handbook/archive/v6.3.
Dong 2015
Egger 1997
El‐Naggar 2019
Endnote [Computer program]
-
- Endnote. Version X9. Philadelphia (PA): Clarivate, 2023. Available at https://endnote.com/.
EPOC
-
- Cochrane Effective Practice and Organisation of Care (EPOC). Cochrane Effective Practice and Organisation of Care Review Group. Data collection check list. methods.cochrane.org/sites/methods.cochrane.org.bias/files/uploads/EPOC%... (accessed 8 September 2023).
Flannery 2022
Fleischmann 2021
Fleischmann‐Struzek 2018
Gkentzi 2019
Gordon 2006
GRADEpro GDT [Computer program]
-
- GRADEpro GDT. Version accessed 8 September 2023. Hamilton (ON): McMaster University (developed by Evidence Prime). Available at https://gradepro.org.
Hammoud 2012
Higgins 2011
-
- Higgins JP, Altman DG, Sterne JA. Chapter 8: Assessing risk of bias in included studies. In: Higgins JP, Churchill R, Chandler J, Cumpston MS, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). Cochrane, 2011. Available from training.cochrane.org/handbook/archive/v5.1/.
Higgins 2022a
-
- Higgins JP, Li T, Deeks JJ. Chapter 6: Choosing effect measures and computing estimates of effect. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (updated February 2022). Cochrane, 2022. Available from training.cochrane.org/handbook/archive/v6.3.
Isaacs 1995
Isaacs 1996
Isaacs 2006
Isaacs 2014
-
- Isaacs D. Evidence-Based Neonatal Infections. Hoboken (NJ): John Wiley & Sons, 2014. [PRINT ISBN: 9780470654606]
Jenkins 2017
Kayange 2010
Korang 2021a
Korang 2021b
Kuppala 2011
Lawn 2014
Laxminarayan 2016
Leal 2012
-
- Leal YA, Alvarez-Nemegyei J, Velazquez JR, Rosado-Quiab U, Diego-Rodriguez N, Paz-Baeza E, et al. Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up. BMC Pregnancy and Childbirth 2012;12:48. [DOI: 10.1186/1471-2393-12-48] [PMID: ] - DOI - PMC - PubMed
Lee 2013
Legge 2023
-
- Legge A, Gordon A, Middleton JL, Fiander M, Cracknell J, Osborn DA. Shorter versus longer duration antibiotic regimens for treatment of suspected neonatal sepsis. Protocol under development. To be published in the Cochrane Database of Systematic Reviews: https://www.cochrane.library.com.
Linder 2013
Liu 2016
-
- Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet 2016;388(10063):3027-35. [DOI: 10.1016/S0140-6736(16)31593-8] [PMID: ] - DOI - PMC - PubMed
Makhoul 2002
Manan 2016
Marshall 2018
McKenzie 2023
-
- McKenzie JE, Brennan SE. Chapter 12: Synthesizing and presenting findings using other methods. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 6.4 (updated August 2023). Cochrane, 2023. Available from training.cochrane.org/handbook.
McMullan 2016
-
- McMullan BJ, Andresen D, Blyth CC, Avent ML, Bowen AC, Britton PN, et al, ANZPID-ASAP group. Antibiotic duration and timing of the switch from intravenous to oral route for bacterial infections in children: systematic review and guidelines. Lancet. Infectious Diseases 2016;16(8):e139-52. [DOI: 10.1016/S1473-3099(16)30024-X] [PMID: ] - DOI - PubMed
Milton 2022
-
- Milton R, Gillespie D, Dyer C, Taiyari K, Carvalho MJ, Thomson K, et al. Neonatal sepsis and mortality in low-income and middle-income countries from a facility-based birth cohort: an international multisite prospective observational study. Lancet Global Health 2022;10(5):e661-72. [DOI: 10.1016/S2214-109X(22)00043-2] [PMID: ] - DOI - PMC - PubMed
Mukhopadhyay 2019
Mukhopadhyay 2021
-
- Mukhopadhyay S, Puopolo KM, Hansen NI, Lorch SA, DeMauro SB, Greenberg RG, et al, NICHD Neonatal Research Network. Neurodevelopmental outcomes following neonatal late-onset sepsis and blood culture negative conditions. Archives of Disease in Childhood. Fetal and Neonatal Edition 2021;106(5):467-73. [PMID: ] - PMC - PubMed
Murki 2010
NICE 2021
-
- National Institute for Health and Care Excellence. Neonatal infection: antibiotics for prevention and treatment. 2021. Available from www.nice.org.uk/guidance/ng195. - PubMed
Noel‐Storr 2020
-
- Noel-Storr AH, Dooley G, Wisniewski S, Glanville J, Thomas J, Cox S, et al. Cochrane Centralised Search Service showed high sensitivity identifying randomised controlled trials: a retrospective analysis. Journal of Clinical Epidemiology 2020;127:142-50. [DOI: 10.1016/j.jclinepi.2020.08.008] [PMID: ] - DOI - PubMed
Noel‐Storr 2021
-
- Noel-Storr AH, Dooley G, Elliott J, Steele E, Shemilt I, Mavergames C, et al. An evaluation of Cochrane Crowd found that crowdsourcing produced accurate results in identifying randomised trials. Journal of Clinical Epidemiology 2021;4356(21):130-9. [DOI: 10.1016/j.jclinepi.2021.01.006] [PMID: ] - DOI - PubMed
O'Grady 2011
-
- O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al, Healthcare Infection Control Practices Advisory Committee. Guidelines for the prevention of intravascular catheter-related infections. American Journal of Infection Control 2011;39(4 Suppl 1):S1-34. [DOI: 10.1016/j.ajic.2011.01.003] [PMID: ] - DOI - PubMed
Okascharoen 2005
-
- Oskascharoen C, Sirinavin S, Thakkinstian, Kitayaporn D, Supapanachart S. A bedside prediction-scoring model for late-onset neonatal sepsis. Journal of Perinatology 2005;25(12):778-83. [PMID: ] - PubMed
Okascharoen 2007
-
- Okascharoen C, Hui C, Cairnie J, Morris AM, Kirpalani H. External validation of bedside prediction score for diagnosis of late-onset neonatal sepsis. Journal of Perinatology 2007;27(8):496-501. [PMID: ] - PubMed
Oosterloo 2018
Page 2021a
Page 2021b
Papile 1978
-
- Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm. Journal of Pediatrics 1978;92(4):529-34. [PMID: ] - PubMed
Park 2014
Perin 2022
-
- Perin J, Mulick A, Yeung D, Villavicencio F, Lopez G, Strong KL, et al. Global, regional, and national causes of under-5 mortality in 2000-19: an updated systematic analysis with implications for the sustainable development goals. Lancet. Child and Adolescent Health 2022;6(2):106-15. [DOI: 10.1016/S2352-4642(21)00311-4] [PMID: ] - DOI - PMC - PubMed
Pittard 1976
Polin 2012
-
- Polin RA, Committee on Fetus and Newborn. Management of neonates with suspected or proven early-onset bacterial sepsis. Pediatrics 2012;129(5):1006-15. [PMID: ] - PubMed
RevMan 2024 [Computer program]
-
- Review Manager (RevMan). Version 7.7.2. The Cochrane Collaboration, 2024. Available at https://revman.cochrane.org.
Reyman 2022
Roine 2000
-
- Roine I, Ledermann W, Foncea LM, Banfi A, Cohen J, Peltola H. Randomized trial of four vs. seven days of ceftriaxone treatment for bacterial meningitis in children with rapid initial recovery. Pediatric Infectious Disease Journal 2000;19(3):219-22. [DOI: 10.1097/00006454-200003000-00009] [PMID: ] - DOI - PubMed
Rosenthal 2009
S4M
-
- Cochrane. Screen4Me. https://training.cochrane.org/online-learning/good-practice-resources-co... (accessed 11 September 2023).
Sands 2022
Schelonka 1996
Schlapbach 2011
-
- Shlapbach LJ, Aebischer M, Adams M, Natalucci G, Bonhoeffer J, Latzin P, et al, Swiss Neonatal Network and Follow-Up Group. Impact of sepsis on neurodevelopmental outcome in a Swiss national cohort of extremely premature infants. Pediatrics 2011;128(2):e348-57. [DOI: 10.1542/peds.2010-3338] [PMID: ] - DOI - PubMed
Schrag 2016
Schünemann 2013
-
- Schünemann H, Brożek J, Guyatt G, Oxman A, editor(s). Handbook for grading the quality of evidence and the strength of recommendations using the GRADE approach (updated October 2013). GRADE Working Group, 2013. Available from https://gdt.gradepro.org/app/handbook/handbook.html.
Schünemann 2022
-
- Schünemann HJ, Vist GE, Higgins JP, Santesso N, Deeks JJ, Glasziou P, et al. Chapter 15: Interpreting results and drawing conclusions. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (updated February 2022). Available from training.cochrane.org/handbook/archive/v6.3.
Shane 2017
Singer 2016
Stark 2022
Stoll 2002
Stoll 2011
-
- Stoll BJ, Hansen NI, Sánchez PJ, Faix RG, Poindexter BB, Meurs KP, et al, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continues. Pediatrics 2011;127(5):817-26. [PMID: 10.1542/peds.2010-2217] [PMID: ] - DOI - PMC - PubMed
Thaver 2009
Thomas 2021
-
- Thomas J, McDonald S, Noel-Storr AH, Shemilt I, Elliott J, Mavergames C, et al. Machine learning reduces workload with minimal risk of missing studies: development and evaluation of an RCT classifier for Cochrane reviews. Journal of Clinical Epidemiology 2021;133:140-51. [DOI: 10.1016/j.jclinepi.2020.11.003] [PMID: ] - DOI - PMC - PubMed
Thomas 2022
-
- Thomas R, Ondongo-Ezhet C, Motsoaledi N, Sharland M, Clements M, Velaphi S. Incidence and all-cause mortality rates in neonates infected with carbapenem resistant organisms. Frontiers in Tropical Diseases 2022;3:832011. [DOI: 10.3389/fitd.2022.832011] [URL: https://www.frontiersin.org/articles/10.3389/fitd.2022.832011/full] - DOI
Ting 2016
-
- Ting JY, Synnes A, Roberts A, Deshpandey A, Dow K, Yoon EW, et al, Canadian Neonatal Network Investigators. Association between antibiotic use and neonatal mortality and morbidities in very low-birth-weight infants without culture-proven sepsis or necrotizing enterocolitis. JAMA Pediatrics 2016;170(12):1181-7. [DOI: 10.1001/jamapediatrics.2016.2132] [PMID: ] - DOI - PubMed
Tsai 2014a
Tsai 2014b
Vergnano 2005
Vergnano 2011
Viswanathan 2012
Wu 2012
Wynn 2016
Zaidi 2009
Zaidi 2011
Zipursky 2019
-
- Zipursky AR, Yoon EW, Emberley J, Bertelle V, Kanungo J, Lee SK, et al, Canadian Neonatal Network Investigators. Central line-associated blood stream infections and non-central line-associated blood stream infections surveillance in Canadian tertiary care neonatal intensive care units. Journal of Pediatrics 2019;208:176-82.e. [DOI: 10.1016/j.jpeds.2018.12.011] [PMID: ] - DOI - PubMed
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