{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:36:19Z","timestamp":1777876579195,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Respiratory distress is a common reason for NICU admission among late preterm and term neonates. Antibiotic use is prevalent among these neonates requiring respiratory support. This study investigates antibiotic use and its associated risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted at Al Wakra Hospital, Qatar, from January to December 2022. Neonates born at 35\u00a0weeks gestation or more, admitted to the NICU with respiratory distress, and requiring respiratory support were included based on specific criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1194 neonates admitted to the NICU, 1062 were 35\u00a0weeks or more gestational age. Among these, 485 neonates developed respiratory distress requiring respiratory support, with 442 included in the final analysis. Antibiotics were used in 56.1% (248\/442) of cases. Factors such as maternal age, parity, rupture of membranes, chorioamnionitis, group B streptococci, antenatal prophylactic antibiotics, mode of delivery, sex, fetal distress, meconium-stained amniotic fluid, need for resuscitation, Apgar score \u22647 at 5 minutes, age at NICU admission, duration of NICU admission, maximum respiratory support, and duration of respiratory support were significantly associated with antibiotic use. Regression analysis identified parity, gestational age, sex, meconium-stained amniotic fluid, and duration of respiratory support as significant predictors of antibiotic use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Respiratory distress leads to frequent NICU admissions among late preterm and term neonates, with 56.1% receiving antibiotics. To mitigate potential harm from antibiotic exposure, strategies to reduce use without increasing neonatal sepsis risk are essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19345798251339652","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T02:24:28Z","timestamp":1746584668000},"page":"377-385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["To retrospectively study the use of antibiotics among neonates with a gestational age of \u2265 35 weeks experiencing respiratory distress, and to identify the risk factors associated with antibiotic use"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6665-8735","authenticated-orcid":false,"given":"Sarfrazul","family":"Abedin","sequence":"first","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7442-3725","authenticated-orcid":false,"given":"Khalil Mohd Khalil","family":"Salameh","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lina Hussain M","family":"Habboub","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5096-3306","authenticated-orcid":false,"given":"Sajid Thyvilayil","family":"Salim","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer Mahmoud","family":"Alhoyed","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0836-3696","authenticated-orcid":false,"given":"Brijroy","family":"Viswanathan","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3760-2422","authenticated-orcid":false,"given":"Rajai Rofail Raja","family":"Al-Bedaywi","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoda Eljelani","family":"Rahoma","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esam Mohamed Elhadi","family":"Elhaji","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2776-2588","authenticated-orcid":false,"given":"Anvar Paraparambil","family":"Vellamgot","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"issue":"10","key":"e_1_3_6_2_2","first-page":"6","article-title":"Scenario of neonatal respiratory distress in tertiary hospital","volume":"14","author":"Rijal P","year":"2018","unstructured":"Rijal P, Shrestha M. 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