Evidence map›Paper›PMID 22561717›Full record

SynthesisInfection control and hospital epidemiology2012

Preoperative skin antiseptic preparations for preventing surgical site infections: a systematic review.

Chris Kamel, Lynda McGahan, Julie Polisena, Monika Mierzwinski-Urban, John M Embil

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Infection control and hospital epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Is there a role for antibiotics in the treatment of chronic rhinosinusitis?The Journal of allergy and clinical immunology · 2022
    Review
  8. Review
  9. Preventing complications in dermatologic surgery: Presurgical concerns.Journal of the American Academy of Dermatology · 2021
    Review
  10. Article
  11. Article
  12. Evaluation of 4 Presurgical Skin Preparation Methods in Mice.Journal of the American Association for Laboratory Animal Science : JAALAS · 2019
    Article
  13. Article
  14. Article
  15. Observational
  16. The challenge of infection prevention in spine surgery: an update.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013
    Review
  17. Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Chris KamelCanadian Agency for Drugs and Technologies in Health, Ottawa, Ontario, Canada. chrisk@cadth.ca
Lynda McGahan
Julie Polisena
Monika Mierzwinski-Urban
John M Embil
Canadian Agency for Drugs and Technologies in Health · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical effectiveness of preoperative skin antiseptic preparations and application techniques for the prevention of surgical site infections (SSIs).

designSystematic review of the literature using Medline, EMBASE, and other databases, for the period January 2001 to June 2011.

methodsComparative studies (including randomized and nonrandomized trials) of preoperative skin antisepsis preparations and application techniques were included. Two researchers reviewed each study and extracted data using standardized tables developed before the study. Studies were reviewed for their methodological quality and clinical findings.

resultsTwenty studies (n = 9,520 patients) were included in the review. The results indicated that presurgical antiseptic showering is effective for reducing skin flora and may reduce SSI rates. Given the heterogeneity of the studies and the results, conclusions about which antiseptic is more effective at reducing SSIs cannot be drawn.

conclusionsThe evidence suggests that preoperative antiseptic showers reduce bacterial colonization and may be effective at preventing SSIs. The antiseptic application method is inconsequential, and data are lacking to suggest which antiseptic solution is the most effective. Disinfectant products are often mixed with alcohol or water, which makes it difficult to form overall conclusions regarding an active ingredient. Large, well-conducted randomized controlled trials with consistent protocols comparing agents in the same bases are needed to provide unequivocal evidence on the effectiveness of one antiseptic preparation over another for the prevention of SSIs.

Indexed as

Administration, CutaneousAnti-Infective Agents, LocalBathsHumansPreoperative CareSkinSurgical Wound InfectionAnti-Infective Agents, Local

Identifiers

PMID22561717
OpenAlexW2149360071

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.