Evidence map›Paper›PMID 32435455›Full record

ArticleBone & joint research2020

Recalcitrant methicillin-resistant

Kristin Yu, Lee Song, Hyunwoo Paco Kang, Hyuk-Kwon Kwon, Jungho Back, Francis Y Lee

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  5. Review
  6. Article
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  9. Article
  10. Article
  11. Article
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  13. The intersection of fracture healing and infection: Orthopaedics research society workshop 2021.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Review
  14. Article
  15. Article
  16. The osteoblast secretome inFrontiers in immunology · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. An AntisenseAntibiotics (Basel, Switzerland) · 2021
    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

6 authors at 4 institutions in 1 country.

Kristin YuDepartment of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut, USA.
Lee SongDepartment of Orthopaedics, Columbia University, New York, New York, USA.
Hyunwoo Paco KangDepartment of Orthopedic Surgery, University of Southern California, Los Angeles, California, USA.
Hyuk-Kwon KwonDepartment of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut, USA.
Jungho BackDepartment of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut, USA.
Francis Y LeeDepartment of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut, USA.
Yale University · USColumbia University · USUnited States Bone and Joint Initiative · USUniversity of Southern California · US

Funding

ERK Signaling in Inflammatory Bone LossR01AR056246 · NIAMS · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2009 to 2018
$3.5M
Modification of Bone Grafts for Orthopaedic ProceduresR01AR068353 · NIAMS · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2015 to 2020
$2.7M
Non-hormonal function of locally delivered PTH for rescue of impaired fracture healingR01AR073607 · NIAMS · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2019 to 2023
$2.4M
NIAMS NIH HHS R01 AR056246NIAMS NIH HHS R01 AR068353NIAMS NIH HHS R01 AR073607
6 · The paper itself

Abstract

aimsTo characterize the intracellular penetration of osteoblasts and osteoclasts by methicillin-resistant

methodsTime-lapse confocal microscopy was used to analyze the interaction of MRSA strain USA300 with primary murine osteoblasts and osteoclasts. The effects of early and delayed antibiotic treatments on intracellular and extracellular bacterial colony formation and cell death were quantified. We tested the effects of cefazolin, gentamicin, vancomycin, tetracycline, rifampicin, and ampicillin, as well as agents used in surgical preparation and irrigation.

resultsMRSA infiltrated bone-resident cells within 15 to 30 minutes. Penetration was most effectively prevented with early (i.e. 30 minutes) antibiotic administration. The combined administration of rifampicin with other antibiotics potentiated their protective effects against MRSA-induced cytotoxicity and most significantly reduced extracellular bacterial bioburden. Gentamicin-containing compounds were most effective in reducing intracellular MRSA bioburden. Of the surgical preparation agents evaluated, betadine reduced in vitro MRSA growth to the greatest extent.

conclusionThe standard of care for open fractures involves debridement and antibiotics within the first six hours of injury but does not account for the window in which bacteria penetrate cells. Antibiotics must be administered as early as possible after injury or prior to incision to prevent intracellular infestation. Rifampicin can potentiate the capacity of antibiotic regimens to reduce MRSA-induced cytotoxicity.

Indexed as

IntracellularMRSAOpen fractureOsteomyelitisSurgical site infection

Identifiers

PMID32435455
PMCPMC7229311
OpenAlexW3004624240

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.