Evidence map›Paper›PMID 32255540›Full record

ReviewJournal of orthopaedic research : official publication of the Orthopaedic Research Society2021

Bacterial toxins in musculoskeletal infections.

Kordo Saeed, Parham Sendi, William V Arnold, Thomas W Bauer, Débora C Coraça-Huber, Antonia F Chen, Hyonmin Choe, John L Daiss, Michelle Ghert, Noreen J Hickok and 8 more

Open access · greenAbstract readConsensus StatementReview
In one paragraph

Review in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Immune Response to Persistent Staphyloccocus Aureus Periprosthetic Joint Infection in a Mouse Tibial Implant Model.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  6. Article
  7. 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

18 authors at 14 institutions in 6 countries.

Kordo SaeedMicrobiology Innovation and Research Unit (MIRU), Department of Microbiology, University Hospital Southampton NHS Foundation Trust, University of Southampton School of Medicine, Southampton, UK.ORCID 0000-0003-0123-0302
Parham SendiInstitute for Infectious Diseases, University of Bern, Bern, Switzerland.ORCID 0000-0002-7347-6312
William V ArnoldDepartment of Orthopaedic Surgery, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Thomas W BauerDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, Hospital for Special Surgery, New York, New York.ORCID 0000-0003-0976-2119
Débora C Coraça-HuberResearch Laboratory for Implant Associated Infections (Biofilm Lab), Experimental Orthopaedics, Department of Orthopaedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-7664-5989
Antonia F ChenDepartment of Orthopaedic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Hyonmin ChoeDepartment of Orthopaedic Surgery, Yokohama City University, Yokohama, Kanagawa, Japan.
John L DaissCenter for Musculoskeletal Research, School of Medicine and Dentistry University of Rochester, Rochester, New York.
Michelle GhertDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Noreen J HickokDepartment of Orthopaedic Surgery, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania.
Kohei NishitaniDepartment of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.ORCID 0000-0002-8327-3826
Bryan D SpringerOrthoCarolina Hip and Knee Center, Atrium Musculoskeletal Institute, Charlotte, North Carolina.
Paul StoodleyDepartments of Microbial Infection and Immunity and Orthopedics Infectious Diseases Institute, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-6069-273X
Thomas P SculcoDepartment of Orthopaedic Surgery, Weill Cornell Medicine, Hospital for Special Surgery, New York, New York.
Barry D BrauseDepartment of Infectious Diseases, Weill Cornell Medicine, Hospital for Special Surgery, New York, New York.
Javad ParviziDepartment of Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Alex C McLarenDepartment of Orthopaedic Surgery, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.
Edward M SchwarzDepartment of Orthopaedics, Center for Musculoskeletal Research, University of Rochester, Rochester, New York.ORCID 0000-0002-4854-9698
Hospital for Special Surgery · USThomas Jefferson University Hospital · USUniversity of Rochester · USBrigham and Women's Hospital · USInnsbruck Medical University · ATKyoto University Hospital · JPMcMaster University · CANIHR Southampton Biomedical Research Centre · GBOrthoCarolina · USThomas Jefferson University · USUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Arizona · USUniversity of Bern · CHYokohama City University Hospital · JP

Funding

Project 2: Defining the Protective vs. Susceptible Immune Proteome of S. aureus OsteomyelitisP50AR072000 · NIAMS · UNIVERSITY OF ROCHESTER · PI Edward M. Schwarz · 2017 to 2026
$13.6M
Preventing Spinal Infection: Ultrasound Triggered ProphylaxisR01AR069119 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg, Noreen J Hickok · 2016 to 2026
$3.2M
Synovial Fluid and Joint SepsisR01AR072513 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI HICKOK, NOREEN J · 2017 to 2021
$2.5M
The role of Staphylococcus aureus aggregate formation in establishing biofilms in chronic orthopaedic periprosthetic joint infection.R01GM124436 · NIGMS · OHIO STATE UNIVERSITY · PI STOODLEY, PAUL · 2018 to 2021
$2.1M
NIAMS NIH HHS P50 AR072000NIAMS NIH HHS R01 AR069119NIAMS NIH HHS R01 AR072513NIGMS NIH HHS R01 GM124436
6 · The paper itself

Abstract

Musculoskeletal infections (MSKIs) remain a major health burden in orthopaedics. Bacterial toxins are foundational to pathogenesis in MSKI, but poorly understood by the community of providers that care for patients with MSKI, inducing an international group of microbiologists, infectious diseases specialists, orthopaedic surgeons and biofilm scientists to review the literature in this field to identify key topics and compile the current knowledge on the role of toxins in MSKI, with the goal of illuminating potential impact on biofilm formation and dispersal as well as therapeutic strategies. The group concluded that further research is needed to maximize our understanding of the effect of toxins on MSKIs, including: (i) further research to identify the roles of bacterial toxins in MSKIs, (ii) establish the understanding of the importance of environmental and host factors and in vivo expression of toxins throughout the course of an infection, (iii) establish the principles of drug-ability of antitoxins as antimicrobial agents in MSKIs, (iv) have well-defined metrics of success for antitoxins as antiinfective drugs, (v) design a cocktail of antitoxins against specific pathogens to (a) inhibit biofilm formation and (b) inhibit toxin release. The applicability of antitoxins as potential antimicrobials in the era of rising antibiotic resistance could meet the needs of day-to-day clinicians.

Indexed as

Bacterial ToxinsHost-Pathogen InteractionsBiofilmsHumansInfectionsMusculoskeletal DiseasesStaphylococcus aureusBacterial Toxinsbacterial toxinsbiofilm meetingmusculoskeletal infection (MSKI)PJIStaphylococcusvirulence factors

Identifiers

PMID32255540
PMCPMC7541548
OpenAlexW3014229622

What OpenQuestion holds

Textmetadata
LicenceTDM
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.