Evidence map›Paper›PMID 27778060›Full record

SynthesisInternational journal of colorectal disease2017

The role of oral antibiotics prophylaxis in prevention of surgical site infection in colorectal surgery.

Michalis Koullouros, Nadir Khan, Emad H Aly

Registry-linked trialAbstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03593252 (Pre-Operative Mechanical Bowel Preparation And Prophylactic Oral Antibiotics For Pediatric Patients Undergoing Elective Colorectal Surgery), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
7.5field-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.

NCT03593252 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Pre-Operative Mechanical Bowel Preparation And Prophylactic Oral Antibiotics For Pediatric Patients Undergoing Elective Colorectal Surgery: A Feasibility Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2022 to 2024Enrolled81ConditionsColostomy, Hirschsprung Disease - Pull Through, Necrotizing Enterocolitis, Inflammatory Bowel DiseasesArmsSenna, Sodium Picosulfate, Magnesium Oxide and Citric Acid, Metronidazole Oral, Neomycin, Cefazolin
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Has network meta-analysis resolved the controversies related to bowel preparation in elective colorectal surgery?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Surgical complications in colorectal cancer patients.Annals of medicine and surgery (2012) · 2020
    Review
  17. Review
  18. Observational
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

Michalis KoullourosSchool of Medicine, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZN, UK.
Nadir KhanSchool of Medicine, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZN, UK.
Emad H AlySchool of Medicine, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZN, UK. emad.aly@nhs.net.
University of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) continues to be a challenge in colorectal surgery. Over the years, various modalities have been used in an attempt to reduce SSI risk in elective colorectal surgery, which include mechanical bowel preparation before surgery, oral antibiotics and intravenous antibiotic prophylaxis at induction of surgery. Even though IV antibiotics have become standard practice, there has been a debate on the exact role of oral antibiotics.

aimThe primary aim was to identify the role of oral antibiotics in reduction of SSI in elective colorectal surgery. The secondary aim was to explore any potential benefit in the use of mechanical bowel preparation (MBP) in relation to SSI in elective colorectal surgery.

methodsMedline, Embase and the Cochrane Library were searched. Any randomised controlled trials (RCTs) or cohort studies after 1980, which investigated the effectiveness of oral antibiotic prophylaxis and/or MBP in preventing SSIs in elective colorectal surgery were included.

resultsTwenty-three RCTs and eight cohorts were included. The results indicate a statistically significant advantage in preventing SSIs with the combined usage of oral and systemic antibiotic prophylaxis. Furthermore, our analysis of the cohort studies shows no benefits in the use of MBP in prevention of SSIs.

conclusionsThe addition of oral antibiotics to systemic antibiotics could potentially reduce the risk of SSIs in elective colorectal surgery. Additionally, MBP does not seem to provide a clear benefit with regard to SSI prevention.

Indexed as

Administration, IntravenousAdministration, OralAnti-Bacterial AgentsColorectal SurgeryFemaleHumansMaleMiddle AgedPublication BiasQuality Assurance, Health CareRandomized Controlled Trials as TopicSurgical Wound InfectionAnti-Bacterial AgentsAntibioticsColorectal surgeryProphylaxisWound site infection

Identifiers

PMID27778060
OpenAlexW2535684236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.