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Record W4284888798 · doi:10.3389/fped.2022.894005

Practice Summary of Antimicrobial Therapy for Commonly Encountered Conditions in the Neonatal Intensive Care Unit: A Canadian Perspective

2022· review· en· W4284888798 on OpenAlex
Joseph Ting, Julie Autmizguine, Michael Dunn, J Choudhury, Julie Blackburn, Shikha Gupta, Katrin Assen, Julie Emberley, Sarah Khan, Jessica Leung, Grace J. Lin, Destiny Lu-Cleary, Frances Morin, Lindsay L. Richter, Isabelle Viel‐Thériault, Ashley Roberts, Kyong‐Soon Lee, Erik D. Skarsgard, Joan Robinson, Prakesh S. Shah

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueFrontiers in Pediatrics · 2022
Typereview
Languageen
FieldMedicine
TopicNeonatal and Maternal Infections
Canadian institutionsUniversity of ManitobaQueen's UniversityMcMaster UniversityHealth Sciences CentreSunnybrook Health Science CentreUniversity of TorontoUniversité LavalUniversité de MontréalUniversity of AlbertaNOSM UniversityUniversity of British Columbia
FundersCanadian Institutes of Health Research
KeywordsMedicineAntimicrobialIntensive care medicineNeonatal intensive care unitPediatricsClinical PracticeAntimicrobial drugBroad spectrumAdverse effectInternal medicineFamily medicine

Abstract

fetched live from OpenAlex

Neonates are highly susceptible to infections owing to their immature cellular and humoral immune functions, as well the need for invasive devices. There is a wide practice variation in the choice and duration of antimicrobial treatment, even for relatively common conditions in the NICU, attributed to the lack of evidence-based guidelines. Early decisive treatment with broad-spectrum antimicrobials is the preferred clinical choice for treating sick infants with possible bacterial infection. Prolonged antimicrobial exposure among infants without clear indications has been associated with adverse neonatal outcomes and increased drug resistance. Herein, we review and summarize the best practices from the existing literature regarding antimicrobial use in commonly encountered conditions in neonates.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.462
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.041
GPT teacher head0.350
Teacher spread0.310 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it