Evidence map›Paper›PMID 24751699›Full record

SynthesisPloS one2014

Gram negative wound infection in hospitalised adult burn patients--systematic review and metanalysis-.

Ernest A Azzopardi, Elayne Azzopardi, Liberato Camilleri, Jorge Villapalos, Dean E Boyce, Peter Dziewulski, William A Dickson, Iain S Whitaker

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Managing skin infections in burn patients: principles and pitfalls.Current opinion in infectious diseases · 2026
    Review
  7. Antibiotics (Basel, Switzerland) · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Multidrug ResistantPathogens (Basel, Switzerland) · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

25 more citing papers are in PubMed but not listed here.

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

8 authors at 5 institutions in 2 countries.

Ernest A AzzopardiInstitute of Life Science, Swansea University College of Medicine, Singleton Park, Swansea, United Kingodm; The Welsh Centre for Burns and Plastic Surgery, Moriston Hospital, Swansea, United Kingdom.
Elayne AzzopardiResearch Institute for Health and Social Change, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Elizabeth Gaskell Campus, Manchester, United Kingdom.
Liberato CamilleriDepartment of Statistics and Operations, Tal-Qroqq Campus, University of Malta, Msida, Malta.
Jorge VillapalosDepartment of Burns and Plastic Surgery, Chelsea and Westminster Hospital NHS Trust, London, United Kingdom.
Dean E BoyceThe Welsh Centre for Burns and Plastic Surgery, Moriston Hospital, Swansea, United Kingdom.
Peter DziewulskiSt. Andrews Centre for Burns and Plastic Surgery, Chelmsford, United Kingdom.
William A DicksonThe Welsh Centre for Burns and Plastic Surgery, Moriston Hospital, Swansea, United Kingdom.
Iain S WhitakerInstitute of Life Science, Swansea University College of Medicine, Singleton Park, Swansea, United Kingodm; The Welsh Centre for Burns and Plastic Surgery, Moriston Hospital, Swansea, United Kingdom.
Manchester Metropolitan University · GBMorriston Hospital · GBChelsea and Westminster Hospital NHS Foundation Trust · GBSingleton Hospital · GBUniversity of Malta · MT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGram negative infection is a major determinant of morbidity and survival. Traditional teaching suggests that burn wound infections in different centres are caused by differing sets of causative organisms. This study established whether Gram-negative burn wound isolates associated to clinical wound infection differ between burn centres.

methodsStudies investigating adult hospitalised patients (2000-2010) were critically appraised and qualified to a levels of evidence hierarchy. The contribution of bacterial pathogen type, and burn centre to the variance in standardised incidence of Gram-negative burn wound infection was analysed using two-way analysis of variance. PRIMARY

findingsPseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumanni, Enterobacter spp., Proteus spp. and Escherichia coli emerged as the commonest Gram-negative burn wound pathogens. Individual pathogens' incidence did not differ significantly between burn centres (F (4, 20) = 1.1, p = 0.3797; r2 = 9.84).

interpretationGram-negative infections predominate in burn surgery. This study is the first to establish that burn wound infections do not differ significantly between burn centres. It is the first study to report the pathogens responsible for the majority of Gram-negative infections in these patients. Whilst burn wound infection is not exclusive to these bacteria, it is hoped that reporting the presence of this group of common Gram-negative "target organisms" facilitate clinical practice and target research towards a defined clinical demand.

Indexed as

HospitalizationAdultBurnsGeographyGram-Negative Bacterial InfectionsHumansStatistics as TopicWound Infection

Identifiers

PMID24751699
PMCPMC3994014
OpenAlexW1970223397

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.