Evidence map›Paper›PMID 31578679›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020

Prolonged suppressive antibiotic therapy is successful in the management of prosthetic joint infection.

N A Sandiford, J R Hutt, D O Kendoff, P A Mitchell, M Citak, L Granger

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 41 citations in OpenAlex.

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  11. The Use of Long-term Antibiotics for Suppression of Bacterial Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Review
  12. Review
  13. Article
  14. Article
  15. Periprosthetic Joint Infection: Current Clinical Challenges.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  16. Review
  17. Frontiers in medicine · 2022
    Article
  18. Article
  19. Review
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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

6 authors at 2 institutions in 2 countries.

N A SandifordThe Complex Arthroplasty Unit, St George's Hospital, London, UK. nemsandiford@gmail.com.ORCID http://orcid.org/0000-0002-7285-5804
J R HuttThe Complex Arthroplasty Unit, St George's Hospital, London, UK.
D O KendoffChefarzt Zentrum für Orthopädie und Unfallchirurgie, Berlin, Germany.
P A MitchellThe Complex Arthroplasty Unit, St George's Hospital, London, UK.
M CitakHelios EndoKlinik, Hamburg, Germany.
L GrangerThe Complex Arthroplasty Unit, St George's Hospital, London, UK.
St George's Hospital · GBHelios Endo-Klinik Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProsthetic joint infection (PJI) remains one of the major challenges facing orthopaedic surgeons. There is a paucity of evidence on non-operative management of PJI. We present the results of prolonged antibiotic suppression therapy (PSAT) in PJI from a single centre.

methodsA retrospective study was performed. Twenty-six patients were included. Two patients were excluded due to the lack of follow-up data. Failure was defined as admission for sepsis from the joint or amputation.

resultsAverage age was 72 years (range 35-93). Mean Charlson co-morbidity index was 4.3. Mean follow-up was 3.2 years (range 1.3-5.7). Staphylococcal species were isolated in 11 cases (44%) (MRSA 1, MSSA 5, Staph. epidermidis 4 and Staph Pasteuri 1). Other bacteria included E. Coli (2), Streptococci spp. (3), Propionebacterium acnes (1) and Pseudomonas aeruginosa (1). Four cases were polymicrobial infection (16%), and no organisms were identified in two cases (8%). Candida albicans was identified in one case. All cases of bacterial infection were treated with prolonged oral doxycycline or amoxicillin. Twenty patients (80%) received 6 weeks of intravenous antibiotics prior to commencing prolonged oral antibiotics. Two patients experienced persistent symptoms and required amputation (both TKA). Two patients experienced sepsis but were treated successfully with IV antibiotics alone. The success rate of PSAT was 84% (21/25) successful at an average 3.2-year follow-up. DISCUSSION AND

conclusionProlonged suppressive antibiotic therapy is a viable option for the management of PJI with a low incidence of complications.

Indexed as

Administration, IntravenousAdministration, OralAdultAgedAged, 80 and overAnti-Bacterial AgentsHumansJoint ProsthesisMiddle AgedProsthesis-Related InfectionsRetrospective StudiesSepsisAnti-Bacterial AgentsInfectionPJIProsthetic joint infectionPSATRevisionSuppressive antibiotics

Identifiers

PMID31578679
OpenAlexW2978889934

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.