Evidence map›Paper›PMID 32715019›Full record

ArticleOpen forum infectious diseases2020

A Retrospective Chart Review on the Role of Suppressive Therapy in the Management of Spinal Infections Involving Hardware.

Nour Beydoun, Sonia Tandon, Sonia Krengel, Eric Johnson, Federico Palacio Bedoya, Michael Moore, Daniel Refai, Nadine Rouphael

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 1 institution in 1 country.

Nour BeydounDepartment of Internal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-9685-7310
Sonia TandonThe Hope Clinic, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.
Sonia KrengelThe Hope Clinic, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.
Eric JohnsonThe Hope Clinic, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.
Federico Palacio BedoyaDivision of Infectious Diseases, Department of Internal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Michael MooreDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Daniel RefaiDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Nadine RouphaelThe Hope Clinic, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-2512-7919
Emory University · US

Funding

Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
NIAID NIH HHS R38 AI140299
6 · The paper itself

Abstract

backgroundOne percent to 8% of patients undergoing spinal instrumentation surgeries develop infections. There is no consensus on the medical and surgical management of these infections.

methodsWe conducted a retrospective chart review based on

resultsOf 869 records, 124 met inclusion criteria. Fifty patients (40.3%) had an infection that occurred after hardware placement, mostly within 3 months postsurgery, while the remainder had vertebral osteomyelitis that required hardware placement. After initial intravenous antibiotic treatment for ≥4 weeks, 72 patients (64.5%) were given suppressive antibiotics. The overall treatment success rate was 78.2%. In spinal infections involving hardware with gram-negative rods, patients were less likely to receive suppressive antibiotics, less likely to have hardware removed, and less likely to have treatment success compared with patients with infections with

conclusionsManagement of spinal infections involving hardware should be tailored to the timing of onset of infection and causative organism. Further studies are needed to determine best management practices, particularly for gram-negative rod infections where the role of further suppressive antibiotics and hardware removal may be warranted.

Indexed as

hardwarespinal infectionssuppressive antibiotics

Identifiers

PMID32715019
PMCPMC7372706
OpenAlexW3037063452

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.