Evidence map›Paper›PMID 32904007›Full record

ArticleClinics in orthopedic surgery2020

The Impact of Antibiotic-Loaded Bone Cement on Antibiotic Resistance in Periprosthetic Knee Infections.

Daniel R Schmitt, Cameron Killen, Michael Murphy, Michael Perry, Joseph Romano, Nicholas Brown

Open access · diamondAbstract read
In one paragraph

Article in Clinics in orthopedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

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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 1 institution in 1 country.

Daniel R SchmittDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Cameron KillenDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Michael MurphyDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Michael PerryDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Joseph RomanoDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Nicholas BrownDepartment of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
Loyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroudAntibiotic-loaded bone cement (ALBC) is commonly used in total knee arthroplasty (TKA), especially among high-risk patients. While previous studies have reported on the efficacy of ALBC in reducing the rate of periprosthetic joint infection (PJI), its impact on antibiotic resistance has not been determined. The purpose of this study was to investigate antibiotic resistance among organisms causing PJIs after TKA in which ALBC was utilized.

methodsA retrospective review from December 1998 through December 2017 identified 36 PJIs that met inclusion criteria. Patients with culture-negative infection and unknown cement type were excluded. Patient characteristics, infecting organism, and antibiotic susceptibilities were recorded. ABLC included an aminoglycoside in all cases.

resultsThere was no difference in the type of PJI between the 2 groups.

conclusionsThese results suggest that the use of ALBC does not increase the risk of antibiotic resistance or affect the pattern of infection, even as the use of ALBC continues to increase, particularly among high-risk patients.

Indexed as

Arthroplasty, Replacement, KneeBone CementsDrug Resistance, MicrobialAnti-Bacterial AgentsAntibiotic ProphylaxisGentamicinsHumansKnee ProsthesisProsthesis-Related InfectionsRetrospective StudiesTobramycinAnti-Bacterial AgentsBone CementsGentamicinsTobramycinAntibiotic laden bone cementAntibiotic resistanceInfectionPeriprosthetic knee infectionsTotal knee arthroplasty

Identifiers

PMID32904007
PMCPMC7449854
OpenAlexW3028289311

What OpenQuestion holds

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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.