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Table 1 Characteristics of included studies

From: Sepsis prediction during outbreaks at neonatal intensive care units through body surface screening for Gram-negative bacteria: systematic review and meta-analysis

Study

Country

Study period

No. of participants (in final analysis)

Gestational age (weeks)

Birth weight (g)

Age at screening (days)

Hill et al. 1974 (I) [8]

USA

1972

31

28–38

1100–3380

3–90

Hill et al. 1974 (II) [8]

USA

1972

23

28–38

1100–3380

3–90

Parry et al. 1980 [9]

USA

1978

128

NR

NR

NR

Samuelsson et al. 2014 [1]

Sweden

2006–2011 (recurrent outbreaks)

38

25 (36 for controls)

725 (2570 for controls)

NR

Tsiatsiou et al. 2015 [10]

Greece

2011

96

26–40

800–4300

10–80

Study

Screening interval (s)

Screening location

Outbreak bacteria species/strain

Definition of sepsis

Control measures

Risk of bias

Hill et al. 1974 (I) [8]

Weekly

Rectal/respiratory

Klebsiella pneumoniae type 26

NR

Enhanced handwashing; use of long-sleeved gowns; isolation

High

Hill et al. 1974 (II) [8]

Weekly

Rectal/respiratory

Klebsiella pneumoniae type 26

NR

Enhanced handwashing; use of long-sleeved gowns; isolation

High

Parry et al. 1980 [9]

Daily

Nose/throat/umbilicus/rectum

Citrobacter diversus

NR

Closure of nursery; sterile cleaning; cohorting

High

Samuelsson et al. 2014 [1]

Weekly

Nose/throat/perineum/rectum

Serratia marcescens

Positive blood culture plus ≥ 2 additional criteria; or: negative blood culture plus ≥ 3 additional criteriaa

Hand hygiene; cleaning; handling of venous catheters; distribution of patients in room; antibiotics

High

Tsiatsiou et al. 2015 [10]

Weekly

Perianal/stool

Carbapenem-resistant Acinetobacter baumannii

NR

Antimicrobial therapy; closure of department to new admissions

High

  1. NR not reported
  2. aAdditional criteria: (1) leucocyte particle conc. < 5 × 109/L or > 20 × 109/L; (2) platelet particle conc. < 100 109/L; (3) C-reactive protein > 15 mg/L; (4) impaired respiratory function with respiratory rate > 70 breaths/min, grunting/gasping or increased ventilator support in ventilated infants that cannot be explained by other factors