Evidence map›Paper›PMID 26864617›Full record

ArticleInfection control and hospital epidemiology2016

Epidemiology of Surgical Site Infection in a Community Hospital Network.

Arthur W Baker, Kristen V Dicks, Michael J Durkin, David J Weber, Sarah S Lewis, Rebekah W Moehring, Luke F Chen, Daniel J Sexton, Deverick J Anderson

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Infection control and hospital epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  5. Staphylococcus aureus surgical site infection rates in 5 European countries.Antimicrobial resistance and infection control · 2023
    Article
  6. Article
  7. Surgical site infection trends in community hospitals from 2013 to 2018.Infection control and hospital epidemiology · 2023
    Article
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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

9 authors at 3 institutions in 1 country.

Arthur W Baker1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Kristen V Dicks1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Michael J Durkin1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
David J Weber4Department of Epidemiology,University of North Carolina Gillings School of Global Public Health,Chapel Hill,North Carolina.
Sarah S Lewis1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Rebekah W Moehring1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Luke F Chen1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Daniel J Sexton1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Deverick J Anderson1Department of Medicine,Division of Infectious Diseases,Duke University Medical Center,Durham,North Carolina.
Duke Medical Center · USUniversity of North Carolina at Chapel Hill · USDurham VA Medical Center · US

Funding

Transplant Infectious Diseases Interdisciplinary Research Training Grant (TIDIRTGT32AI100851 · NIAID · DUKE UNIVERSITY · PI ALEXANDER, BARBARA D · 2013 to 2022
$1.8M
Defining Measures of Impact for Antimicrobial Stewardship Programs in Community HospitalsK08HS023866 · AHRQ · DUKE UNIVERSITY · PI MOEHRING, REBEKAH WHITE · 2015 to 2019
$739k
Clinical and Molecular Epidemiology of Multidrug-Resistant Organisms in a CommuniK23AI095357 · NIAID · DUKE UNIVERSITY · PI ANDERSON, DEVERICK JOHN · 2011 to 2015
$644k
AHRQ HHS K08 HS023866NIAID NIH HHS 5T32AI100851-02NIAID NIH HHS K23 AI095357NIAID NIH HHS K23AI095357NIAID NIH HHS T32 AI100851
6 · The paper itself

Abstract

objectiveTo describe the epidemiology of complex surgical site infection (SSI) following commonly performed surgical procedures in community hospitals and to characterize trends of SSI prevalence rates over time for MRSA and other common pathogens

methodsWe prospectively collected SSI data at 29 community hospitals in the southeastern United States from 2008 through 2012. We determined the overall prevalence rates of SSI for commonly performed procedures during this 5-year study period. For each year of the study, we then calculated prevalence rates of SSI stratified by causative organism. We created log-binomial regression models to analyze trends of SSI prevalence over time for all pathogens combined and specifically for MRSA.

resultsA total of 3,988 complex SSIs occurred following 532,694 procedures (prevalence rate, 0.7 infections per 100 procedures). SSIs occurred most frequently after small bowel surgery, peripheral vascular bypass surgery, and colon surgery. Staphylococcus aureus was the most common pathogen. The prevalence rate of SSI decreased from 0.76 infections per 100 procedures in 2008 to 0.69 infections per 100 procedures in 2012 (prevalence rate ratio [PRR], 0.90; 95% confidence interval [CI], 0.82-1.00). A more substantial decrease in MRSA SSI (PRR, 0.69; 95% CI, 0.54-0.89) was largely responsible for this overall trend.

conclusionsThe prevalence of MRSA SSI decreased from 2008 to 2012 in our network of community hospitals. This decrease in MRSA SSI prevalence led to an overall decrease in SSI prevalence over the study period.

Indexed as

Cross InfectionHospitals, CommunityHumansMethicillin-Resistant Staphylococcus aureusMultivariate AnalysisProspective StudiesRegression AnalysisRisk FactorsSoutheastern United StatesStaphylococcal InfectionsSurgical Wound Infection

Identifiers

PMID26864617
PMCPMC5049691
OpenAlexW2281955120

What OpenQuestion holds

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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.