Evidence map›Paper›PMID 30386692›Full record

ArticlePeerJ2018

Surgical antibiotic prophylaxis use and infection prevalence in non-cosmetic breast surgery procedures at a tertiary hospital in Western Australia-a retrospective study.

Ainslie Lavers, Wai Siong Yip, Bruce Sunderland, Richard Parsons, Sarah Mackenzie, Jason Seet, Petra Czarniak

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. 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.

Ainslie LaversSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.
Wai Siong YipSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.
Bruce SunderlandSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.
Richard ParsonsSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.
Sarah MackenziePharmacy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Jason SeetPharmacy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Petra CzarniakSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.
Curtin University · AUSir Charles Gairdner Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) are a common complication following breast surgery procedures, despite being considered a clean surgery. The prevalence of SSIs can be minimised with the appropriate use of antibiotic prophylaxis as outlined in the Australian Therapeutic Guidelines (eTG). The aims of this study were to evaluate adherence to the eTG for antibiotic prophylaxis in breast surgery procedures at a Western Australian teaching hospital following an update of the guidelines in 2014 and examine the impact of prophylactic antibiotics on SSI incidence and length of hospital stay.

methodA retrospective cross-sectional study which reviewed medical records from a random sample of 250 patients selected from 973 patients who underwent breast surgical procedures between February 2015 and March 2017.

resultsOverall adherence to current eTG occurred in 49.2% (123/250) of operations. Pre-operative and post-operative antibiotics were prescribed in 98.4% (246/250) and 11.2% (28/250) operations respectively. Adherence rates to three specific elements of the eTG (drug prescribed, drug dosage and timing of administration) were 91.6% (229/250), 53.6% (134/250) and 86.4% (216/250) respectively. For the 14.4% (36/250) patients with relevant drug allergies, there was zero adherence to the eTG. Overall recorded SSI prevalence was low at 5.2% (13/250). The mean length of stay in patients (2.3 ± 1.7 days) was not influenced by level of eTG adherence (

conclusionThese data demonstrate a significant improvement in overall adherence to the eTG from 13.3% to 49.2% (

Indexed as

Adherence to guidelinesAntibiotic prophylaxisBreast surgerySurgical prophylaxisSurgical site infectionsTherapeutic guidelines

Identifiers

PMID30386692
PMCPMC6202972
OpenAlexW2896229153

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.