Evidence map›Paper›PMID 30069593›Full record

ArticleInternational orthopaedics2019

Microbiological profile and susceptibility pattern of surgical site infections related to orthopaedic trauma.

Felipe Francisco Tuon, Juliette Cieslinski, Ana Flávia Miyazaki Ono, Fernanda Lie Goto, Julia Maria Machinski, Letícia Kist Mantovani, Liliana Ramirez Kosop, Maisa Sayuri Namba, Jaime Luis Rocha

Registry-linked trialAbstract read
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In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07031999 (Use of Biocompatible Thermoplastic Impregnated With Vancomycin as a Temporary Orthopedic Spacer), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT07031999 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Use of Biocompatible Thermoplastic Impregnated With Vancomycin as a Temporary Orthopedic Spacer

TypeinterventionalSponsorHospital Universitario Evangelico de CuritibaRan2026 to 2028Enrolled30ConditionsImplant Failure, InfectionArmsPLA spacer
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 39 citations in OpenAlex.

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  13. The In Vivo and In Vitro Assessment of Pyocins in TreatingAntibiotics (Basel, Switzerland) · 2022
    Review
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  15. Evaluation of Staphylococcus aureus and Candida albicans biofilms adherence to PEEK and titanium-alloy prosthetic spine devices.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    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 1 institution in 1 country.

Felipe Francisco TuonSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil. felipe.tuon@pucpr.br.ORCID 0000-0003-3471-1786
Juliette CieslinskiSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Ana Flávia Miyazaki OnoSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Fernanda Lie GotoSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Julia Maria MachinskiSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Letícia Kist MantovaniSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Liliana Ramirez KosopSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Maisa Sayuri NambaSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Jaime Luis RochaSchool of Medicine, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, PR, 80215-901, Brazil.
Pontifícia Universidade Católica do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the epidemiology of microorganisms associated with surgical site infections related to orthopaedic trauma (SSI-ROT) is important in establishing treatment protocols. The aim of this study was to evaluate the etiology and susceptibility pattern of SSIs related to orthopaedic trauma in a Brazilian reference hospital for trauma.

methodsPatients with SSI-ROT in a Brazilian reference hospital for trauma were retrospectively analyzed. All patients with orthopaedic trauma who underwent a surgical procedure and developed SSI within one year were included. All patients had culture samples from the surgical site obtained from biopsy of bone or soft tissue. Clinical and epidemiological data of the patients were collected.

resultsA total of 147 patients with trauma-related infection were included in the analysis. The mean time to infection was 55.5 days, and the mean duration of hospitalization was 20.0 days. The in-hospital mortality rate after infection was 5.4%. Cultures were obtained from all patients, with 104 samples obtained from soft tissues and 43 samples from bone. The positivity rate was 93.2%. Among the isolates, 56.5% (77 patients) were gram-negative bacteria and 43.8% (60 patients) were gram-positive bacteria. Staphylococcus aureus was identified in 34%, Enterobacter spp. in 14.9%, and Pseudomonas aeruginosa in 11.6%. Staphylococcus aureus presented a higher positivity in bone samples (odds ratio, 1.29; 95% CI, 1.01-1.70; p = 0.04). Few microorganisms were multi-resistant.

conclusionSSI in orthopaedic trauma can be associated with gram-negative bacilli, the susceptibility profile of which suggested that most infections occur after discharge. Staphylococcus aureus infections were commonly caused by methicillin-susceptible isolates, and this susceptibility to oral antibiotic options helps in the dehospitalization of patients.

Indexed as

AdultAnti-Bacterial AgentsBrazilHumansMiddle AgedOrthopedicsRetrospective StudiesStaphylococcal InfectionsStaphylococcus aureusSurgical Wound InfectionAnti-Bacterial AgentsCultureInfectionOrthopaedicStaphylococcus aureusTrauma

Identifiers

PMID30069593
OpenAlexW2886245283

What OpenQuestion holds

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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.