Evidence map›Paper›PMID 31567902›Full record

ArticleJournal of orthopaedic trauma2020

Recommendations for Systemic Antimicrobial Therapy in Fracture-Related Infection: A Consensus From an International Expert Group.

Melissa Depypere, Richard Kuehl, Willem-Jan Metsemakers, Eric Senneville, Martin A McNally, William T Obremskey, Werner Zimmerli, Bridget L Atkins, Andrej Trampuz, Fracture-Related Infection (FRI) Consensus Group

Abstract readConsensus Statement
In one paragraph

Article in Journal of orthopaedic trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 2 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

100 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Seymour Fractures Revisited: Recognition and Management of an Open Physeal Distal Phalanx Injury.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Osteomyelitis.Nature reviews. Disease primers · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. ["Chongqing experiences" in treatment of bone infections].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  17. Article
  18. Review
  19. Frontiers in cellular and infection microbiology · 2026
    Article
  20. Wound infection caused byFrontiers in cellular and infection microbiology · 2026
    Article

40 more citing papers are in PubMed but not listed here.

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

10 authors.

Melissa DepypereDepartment of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium.
Richard KuehlDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Basel, Switzerland.
Willem-Jan MetsemakersDepartment of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.
Eric SennevilleDepartment of Infectious Diseases, Gustave Dron Hospital, University of Lille, Lille, France.
Martin A McNallyThe Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, United Kingdom.
William T ObremskeyDepartment of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN.
Werner ZimmerliKantonsspital Baselland, Interdisciplinary Unit for Orthopedic Infections, Liestal, Switzerland; and.
Bridget L AtkinsThe Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, United Kingdom.
Andrej TrampuzCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Fracture-Related Infection (FRI) Consensus Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fracture-related infection (FRI) is a major complication in musculoskeletal trauma and one of the leading causes of morbidity. Standardization of general treatment strategies for FRI has been poor. One of the reasons is the heterogeneity in this patient population, including various anatomical locations, multiple fracture patterns, different degrees of soft-tissue injury, and different patient conditions. This variability makes treatment complex and hard to standardize. As these infections are biofilm-related, surgery remains the cornerstone of treatment, and this entails multiple key aspects (eg, fracture fixation, tissue sampling, debridement, and soft-tissue management). Another important aspect, which is sometimes less familiar to the orthopaedic trauma surgeon, is systemic antimicrobial therapy. The aim of this article is to summarize the available evidence and provide recommendations for systemic antimicrobial therapy with respect to FRI, based on the most recent literature combined with expert opinion. LEVEL OF EVIDENCE:: Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.

Indexed as

Anti-Infective AgentsFractures, BoneAnti-Bacterial AgentsHumansSurgical Wound InfectionAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID31567902
PMCPMC6903362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.