Evidence map›Paper›PMID 31685516›Full record

ArticleBMJ open2019

Multicentre randomised double-blind placebo controlled trial of combination vancomycin and cefazolin surgical antibiotic prophylaxis: the Australian surgical antibiotic prophylaxis (ASAP) trial.

Trisha Peel, Sarah Astbury, Allen C Cheng, David Paterson, Kirsty Buising, Tim Spelman, An Tran-Duy, Richard S de Steiger, ASAP Trial Group

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Functionalization of Synthetic Bone Substitutes.International journal of molecular sciences · 2021
    Review
  6. 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

9 authors at 5 institutions in 3 countries.

Trisha PeelInfectious Diseases, Monash University, Melbourne, Victoria, Australia Trisha.Peel@monash.edu.
Sarah AstburyInfectious Diseases, Monash University, Melbourne, Victoria, Australia.
Allen C ChengInfectious Diseases Unit, Alfred Hospital, Melbourne, Victoria, Australia.
David PatersonCentre for Clinical Research, University of Queensland, Brisbane, Queensland, Australia.
Kirsty BuisingMedicine, University of Melbourne, Melbourne, Victoria, Australia.
Tim SpelmanDepartment of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia.
An Tran-DuyCentre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-0224-2858
Richard S de SteigerSurgery, The University of Melbourne, Melbourne, Victoria, Australia.
ASAP Trial Group
Australian Regenerative Medicine Institute · AUThe University of Melbourne · AUSt. Vincent's Birmingham · USThe Royal Melbourne Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionResistant Gram-positive organisms, such as methicillin-resistant staphylococci, account for a significant proportion of infections following joint replacement surgery. Current surgical antimicrobial prophylaxis guidelines recommend the use of first-generation or second-generation cephalosporin antibiotics, such as cefazolin. Cefazolin, however, does not prevent infections due to these resistant organisms; therefore, new prevention strategies need to be examined. One proposed strategy is to combine a glycopeptide antibiotic with cefazolin for prophylaxis. The clinical benefit and cost-effectiveness of this combination therapy compared with usual therapy, however, have not been established. METHODS AND ANALYSIS: This randomised, double-blind, parallel, superiority, placebo-controlled, phase 4 trial will compare the incidence of all surgical site infections (SSIs) including superficial, deep and organ/space (prosthetic joint) infections, safety and cost-effectiveness of surgical prophylaxis with cefazolin ETHICS AND DISSEMINATION: The study protocol was reviewed and approved by The Alfred Hospital Human Research Ethics Committee (HREC/18/Alfred/102) on 9 July 2018. Study findings will be disseminated in the printed media, and learnt forums. TRIAL REGISTRATION NUMBER: ACTRN12618000642280.

Indexed as

Methicillin-Resistant Staphylococcus aureusAnti-Bacterial AgentsAntibiotic ProphylaxisArthroplastyAustraliaCause of DeathCefazolinClinical Trials, Phase IV as TopicDouble-Blind MethodEquivalence Trials as TopicHumansMulticenter Studies as TopicPostoperative ComplicationsRandomized Controlled Trials as TopicStaphylococcal InfectionsSurgical Wound InfectionAnti-Bacterial AgentsCefazolinVancomycinclinical trialsinfection controlinfectious diseasesorthopaedic & trauma surgery

Identifiers

PMID31685516
PMCPMC6858103
OpenAlexW2987065692

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.