Evidence map›Paper›PMID 21800218›Full record

Trial reportEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2012

Initial microbial spectrum in severe secondary peritonitis and relevance for treatment.

O van Ruler, J J S Kiewiet, R J van Ketel, M A Boermeester, Dutch Peritonitis Study Group

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Observational
  5. Observational
  6. Review
  7. Article
  8. The preventative effects ofFrontiers in microbiology · 2024
    Article
  9. Observational
  10. Article
  11. Review
  12. Surgical treatment of secondary peritonitis : A continuing problem.Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Article
  13. [Surgical treatment of secondary peritonitis: A continuing problem. German version].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  14. Review
  15. Article
  16. 2013 WSES guidelines for management of intra-abdominal infections.World journal of emergency surgery : WJES · 2013
    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

5 authors at 1 institution in 1 country.

O van RulerDepartment of Surgery (G4-129), Academic Medical Center, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
J J S Kiewiet
R J van Ketel
M A Boermeester
Dutch Peritonitis Study Group
Amsterdam UMC Location University of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to determine whether abdominal microbial profiles in early severe secondary peritonitis are associated with ongoing infection or death. The study is performed within a randomized study comparing two surgical treatment strategies in patients with severe secondary peritonitis (n = 229). The microbial profiles of cultures retrieved from initial emergency laparotomy were tested with logistic regression analysis for association with 'ongoing infection needing relaparotomy' and in-hospital death. No microbial profile or the presence of yeast or Pseudomonas spp. was related to the risk of ongoing infection needing relaparotomy. Resistance to empiric therapy for gram positive cocci and coliforms was moderately associated with ongoing abdominal infection (OR 3.43 95%CI 0.95-12.38 and OR 7.61, 95%CI 0.75-76.94). Presence of only gram positive cocci, predominantly Enterococcus spp, was borderline independently associated with in-hospital death (OR 3.69, 95%CI 0.99-13.80). In secondary peritonitis microbial profiles do not predict ongoing abdominal infection after initial emergency laparotomy. However, the moderate association of ongoing infection with resistance to the empiric therapy compels to more attention for resistance when selecting empiric antibiotic coverage.

Indexed as

BiodiversityAgedAnti-Bacterial AgentsBacteriaFemaleFungiHumansLaparotomyMaleMiddle AgedPeritonitisSurvival AnalysisAnti-Bacterial Agents

Identifiers

PMID21800218
PMCPMC3319890
OpenAlexW2089517918

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.