Evidence map›Paper›PMID 28573554›Full record

SynthesisDer Unfallchirurg2017

[Prevention of postoperative infections : Risk factors and the current WHO guidelines in musculoskeletal surgery].

Christian Willy, Hayo Rieger, Marcus Stichling

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Der Unfallchirurg, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Implementation methods of infection prevention measures in orthopedics and traumatology - a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Pooled it
  2. Article
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  6. Article
  7. Warm Weather and Surgical Site Infections: A Meta-analysis.Plastic and reconstructive surgery. Global open · 2021
    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.

Christian WillyKlinik für Unfallchirurgie, Orthopädie, Septisch-Rekonstruktive Chirurgie, Forschungs- und Behandlungszentrum Septische Defektwunden, Bundeswehrkrankenhaus Berlin, Scharnhorststr. 13,, 10115, Berlin, Deutschland. christianwilly@bundeswehr.org.
Hayo RiegerKlinik für Unfallchirurgie, Orthopädie, Septisch-Rekonstruktive Chirurgie, Forschungs- und Behandlungszentrum Septische Defektwunden, Bundeswehrkrankenhaus Berlin, Scharnhorststr. 13,, 10115, Berlin, Deutschland.
Marcus StichlingKlinik für Unfallchirurgie, Orthopädie, Septisch-Rekonstruktive Chirurgie, Forschungs- und Behandlungszentrum Septische Defektwunden, Bundeswehrkrankenhaus Berlin, Scharnhorststr. 13,, 10115, Berlin, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the many scientific and technological advances postoperative infection continues to be a large problem for trauma and orthopedic surgeons. Based on a review of the current literature, this study provides a comprehensive overview of the risk factors (RF) and possible preventive measures to control surgical site infections.

methodsMedline search and analysis from 1968-2017 (as of 01 March 2017). Selection of trauma and orthopedic relevant RFs and comparison with WHO recommendations (global guidelines for the prevention of surgical site infection, Nov. 2016).

resultsIdentification of 858 relevant articles from the last 50 years (1968-2017). Pooled postoperative rate of infection is 0.3% (hand surgery) and 19% (3rd degree open fractures). For open fractures, there is no clear tendency towards lower infection rates during the past five decades. Identification of 115 RF from three areas (patient-dependent RF, organizational and procedural RF, trauma- and surgery-dependent RF). The five most important RFs are body mass index over 35 kg/m DISCUSSION: Inconsistent definition of "infection", interaction of the RF and the different follow-up duration limit the meaningfulness of the study.

conclusionIn the future, considerable efforts must be made in order to achieve a noticeable reduction in the rate of infection, especially in the case of high-risk patients.

Indexed as

Practice Guidelines as TopicAntibiotic ProphylaxisCausalityCombined Modality TherapyEvidence-Based MedicineHumansHygieneIncidenceOrthopedic ProceduresPrevalenceRisk FactorsSurgical Wound InfectionTreatment OutcomeWorld Health OrganizationAntibiotic prophylaxisInfection avoidanceInfection pathogensInfection rates, postoperativeOpen fractures

Identifiers

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.