Antibiotic Use in a Neonatal Intensive Care Unit Practicing Integrative Medicine—A Retrospective Analysis Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1089/jicm.2023.0001
Background: Antibiotic use in neonatal intensive care units (NICUs) remains high. Low antibiotic prescribing has been documented among physicians trained in complementary medicine. This study sought to identify if an NICU integrating complementary medicine has low antibiotic prescribing. Methods: We conducted a retrospective analysis at the level-2 NICU of the Filderklinik, an integrative medicine hospital in Southern Germany, to compare antibiotic use locally and internationally; to compare neonates with suspected infection, managed with and without antibiotics; and to describe use and safety of complementary medicinal products. Results: Among 7778 live births, 1086 neonates were hospitalized between 2014 and 2017. Two hundred forty-six were diagnosed with suspected or confirmed infection, their median gestational age was 40.3 weeks (range 29-42), 3.25% had a birthweight Conclusions: Antibiotic use was low in this NICU in both local and international comparison, while the disease burden was in the mid-range, confirming an association between integrative medicine practice and low antibiotic prescribing in newborns. Complementary medicinal products were widely used and well tolerated. Clinical Trial Registration number: NCT04893343.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1089/jicm.2023.0001
- OA Status
- hybrid
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387472621
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4387472621Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1089/jicm.2023.0001Digital Object Identifier
- Title
-
Antibiotic Use in a Neonatal Intensive Care Unit Practicing Integrative Medicine—A Retrospective AnalysisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-10Full publication date if available
- Authors
-
Jan Vagedes, Benedikt Huber, Mohammad Oli Al Islam, Katrin Vagedes, Matthias Kohl, Tido von Schoen-AngererList of authors in order
- Landing page
-
https://doi.org/10.1089/jicm.2023.0001Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1089/jicm.2023.0001Direct OA link when available
- Concepts
-
Antibiotics, Medicine, Retrospective cohort study, Neonatal intensive care unit, Pediatrics, Gestational age, Cohort, Adverse effect, Intensive care, Emergency medicine, Pregnancy, Intensive care medicine, Internal medicine, Biology, Microbiology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.without. | 193 |
| abstract_inverted_index.Australia | 230 |
| abstract_inverted_index.conducted | 40 |
| abstract_inverted_index.confirmed | 107, 231 |
| abstract_inverted_index.diagnosed | 103 |
| abstract_inverted_index.different | 199 |
| abstract_inverted_index.forty-six | 101 |
| abstract_inverted_index.inclusion | 216 |
| abstract_inverted_index.infection | 139 |
| abstract_inverted_index.intensive | 5 |
| abstract_inverted_index.medicinal | 84, 195, 277 |
| abstract_inverted_index.medicine. | 22 |
| abstract_inverted_index.networks. | 240 |
| abstract_inverted_index.newborns. | 275 |
| abstract_inverted_index.products. | 85 |
| abstract_inverted_index.suspected | 69, 105 |
| abstract_inverted_index.treatment | 159 |
| abstract_inverted_index.Antibiotic | 1, 242 |
| abstract_inverted_index.antibiotic | 12, 36, 60, 158, 164, 172, 272 |
| abstract_inverted_index.comprising | 197 |
| abstract_inverted_index.confirming | 263 |
| abstract_inverted_index.described. | 211 |
| abstract_inverted_index.documented | 16 |
| abstract_inverted_index.infection, | 70, 108 |
| abstract_inverted_index.laboratory | 188 |
| abstract_inverted_index.mid-range, | 262 |
| abstract_inverted_index.parameters | 189 |
| abstract_inverted_index.physicians | 18 |
| abstract_inverted_index.substances | 201 |
| abstract_inverted_index.tolerated. | 284 |
| abstract_inverted_index.antibiotics | 128, 181 |
| abstract_inverted_index.association | 265 |
| abstract_inverted_index.birthweight | 121 |
| abstract_inverted_index.comparison, | 254 |
| abstract_inverted_index.gestational | 111 |
| abstract_inverted_index.integrating | 31 |
| abstract_inverted_index.integrative | 52, 267 |
| abstract_inverted_index.prescribing | 13, 239, 273 |
| abstract_inverted_index.subanalysis | 213 |
| abstract_inverted_index.NCT04893343. | 289 |
| abstract_inverted_index.Registration | 287 |
| abstract_inverted_index.antibiotics. | 153 |
| abstract_inverted_index.antibiotics; | 75 |
| abstract_inverted_index.corresponded | 161 |
| abstract_inverted_index.hospitalized | 94 |
| abstract_inverted_index.prescribing. | 37 |
| abstract_inverted_index.Complementary | 194, 276 |
| abstract_inverted_index.Filderklinik, | 50 |
| abstract_inverted_index.complementary | 21, 32, 83 |
| abstract_inverted_index.international | 253 |
| abstract_inverted_index.retrospective | 42 |
| abstract_inverted_index.culture-proven | 138 |
| abstract_inverted_index.internationally; | 64 |
| abstract_inverted_index.<b><i>Methods:</i></b> | 38 |
| abstract_inverted_index.<b><i>Results:</i></b> | 86 |
| abstract_inverted_index.<b><i>Background:</i></b> | 0 |
| abstract_inverted_index.<b><i>Conclusions:</i></b> | 241 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5009431231 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I154338468, https://openalex.org/I4210104685, https://openalex.org/I4210144912 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6600000262260437 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.25827568 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |