Appropriateness of surgical antibiotic prophylaxis for breast surgery procedures.

Smeem Jaber, Crystal Rogers, Bruce Sunderland, Richard Parsons, Sarah MacKenzie, Jason Seet, Petra Czarniak

Abstract read

In one paragraph

Article in International journal of clinical pharmacy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it

0cells of the map it votes in

3citing papers in PubMed

3.0field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

Antibiotic prophylaxis compliance differences in surgery and gynecology/obstetrics services in Huánuco, Peru.Le infezioni in medicina · 2023
Article
Effects of implementing a clinical pathway on antibiotic prophylaxis for patients who underwent an elective surgery.Scientific reports · 2022
Article
Surgical antibiotic prophylaxis use and infection prevalence in non-cosmetic breast surgery procedures at a tertiary hospital in Western Australia-a retrospective study.PeerJ · 2018
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

7 authors at 2 institutions in 1 country.

Smeem JaberCurtin University, Bentley, WA, Australia.

Crystal RogersCurtin University, Bentley, WA, Australia.

Bruce SunderlandCurtin University, Bentley, WA, Australia.

Richard ParsonsCurtin University, Bentley, WA, Australia.

Sarah MacKenzieSir Charles Gairdner Hospital, Nedlands, WA, Australia.

Jason SeetSir Charles Gairdner Hospital, Nedlands, WA, Australia.

Petra CzarniakCurtin University, Bentley, WA, Australia. P.Czarniak@curtin.edu.au.ORCID http://orcid.org/0000-0001-7212-0667

Curtin University · AUSir Charles Gairdner Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Guidelines for the appropriate use of antibiotic prophylaxis are provided in the Therapeutic Guidelines: Antibiotics (eTG) in Australia. Inappropriate use of antibiotics is problematic. Objective To examine adherence with therapeutic guidelines (eTG) in breast surgery and trends in non-adherence dependent on the type of breast surgery performed. Setting Major Western Australian teaching hospital. Method A retrospective cross-sectional study reviewed a random sample of 150 from 1049 eligible medical records of patients who underwent a breast surgical procedure in 2013 or 2014. Main outcome measure Adherence to the eTG. Results Antibiotic prophylaxis was prescribed for 139 (92.7%) operations. Adherence to the eTG occurred in 20 (13.3%) operations, whilst 11 (7.3%) did not adhere to any element of the eTG. Appropriate timing was the main factor not adhered to. Postoperative antibiotics were prescribed following 35 (23.3%) operations, with 32 (91.4%) administered beyond 24 h. Length of stay was significantly different (p = 0.0036) between surgical groups. There was a tendency for risk of an infection to be decreased with adherence (odds ratio: 0.23; 95% CI: 0.05, 1.07; p = 0.06). Conclusion Adherence to the eTG was low (13.3%), despite a decreased risk of SSI when guidelines were followed.

Indexed as

Antibiotic ProphylaxisGuideline AdherenceAdultAgedAged, 80 and overAustraliaBreastCross-Sectional StudiesFemaleHumansMiddle AgedRetrospective StudiesSurgical Wound InfectionYoung AdultAdherenceAntibiotic prophylaxisAustraliaBreast surgeryClinical guidelines

Identifiers

PMID28205064

DOI10.1007/s11096-017-0434-6

OpenAlexW2589047425

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

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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.