Evidence map›Paper›PMID 21078131›Full record

Trial reportInternational wound journal2011

Assessing bacterial burden in wounds: comparing clinical observation and wound swabs.

Charne Nicole Miller, Keryln Carville, Nelly Newall, Suzanne Kapp, Gill Lewin, Leila Karimi, Nick Santamaria

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Dressings and topical agents for treating venous leg ulcers.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Antibiotics and antiseptics for venous leg ulcers.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Trial
  5. Article
  6. Unravelling the Microbiome's Role in Healing Diabetic Wounds.Current pharmaceutical biotechnology · 2025
    Review
  7. Article
  8. Virulence and Drug-Resistance ofInternational journal of environmental research and public health · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Charne Nicole MillerRoyal District Nursing Service, Helen Macpherson Smith Institute of Community Health, Melbourne, Victoria, Australia. cmiller@rdns.com.au
Keryln Carville
Nelly Newall
Suzanne Kapp
Gill Lewin
Leila Karimi
Nick Santamaria
Curtin University · AULa Trobe University · AUThe Royal Melbourne Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A randomised controlled trial (RCT) was conducted to compare the efficacy of nanocrystalline silver and cadexomer iodine dressings in healing chronic lower leg ulcers. The relationships between wound swab culture results and nurses' clinical assessments of critical colonisation, and between bacterial burden and healing rate, were also examined. There were 281 individuals with leg ulcers recruited. The bacterial burden of wounds was assessed using semi-quantitative wound swabs collected at baseline and intervals during the study. The study found no relationship between the nurses' clinical assessments and bacterial burden as identified from wound swabs in the wounds. A significant difference in wound healing was found with the use of nanocrystalline silver as compared to cadexomer iodine in the first 2 weeks of treatment when nil or low levels of leukocytes, gram positive bacilli, gram positive cocci or gram negative cocci were reported. This study has raised a number of questions regarding the need for further investigation into methods of assessing wound bacterial burden as well as the impact of wound biofilms on wound assessment and treatment.

Indexed as

Aged, 80 and overAnti-Infective Agents, LocalBacteriaBacterial InfectionsBandagesFemaleFollow-Up StudiesHumansMaleSilver CompoundsVaricose UlcerWound HealingAnti-Infective Agents, LocalSilver Compounds

Identifiers

PMID21078131
PMCPMC7950706
OpenAlexW2069084109

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.