Evidence map›Paper›PMID 33061468›Full record

ArticleInfection and drug resistance2020

The Association Between Incorrect Use of Antibiotic Prophylaxis and in-Hospital Surgical Site Infections - A Prospective Observational Study.

Gosaye Mekonen Tefera, Beshadu Bedada Feyisa, Getu Melesie Taye, Gurmu Tesfaye Umeta, Fekadu Negash Bereded, Hunduma Dinsa Ayeno, Diriba Alemayehu Gadisa, Tsegaye Melaku Kebede

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
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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

8 authors at 3 institutions in 1 country.

Gosaye Mekonen TeferaDepartment of Pharmacy, Clinical Pharmacy Course Unit, Ambo University, Ambo, Ethiopia.ORCID 0000-0002-7534-2828
Beshadu Bedada FeyisaDepartment of Public Health, Human Nutrition Course Unit, Ambo University, Ambo, Ethiopia.
Getu Melesie TayeDepartment of Pharmacy, Pharmacology Course Unit, Ambo University, Ambo, Ethiopia.
Gurmu Tesfaye UmetaDepartment of Pharmacy, Clinical Pharmacy Course Unit, Ambo University, Ambo, Ethiopia.ORCID 0000-0002-8845-7720
Fekadu Negash BerededSchool of Medicine, Department of Surgery, Wachemo University, Hossana, Ethiopia.ORCID 0000-0003-1888-1785
Hunduma Dinsa AyenoDepartment of Pharmacy, Clinical Pharmacy Course Unit, Ambo University, Ambo, Ethiopia.ORCID 0000-0003-2865-8624
Diriba Alemayehu GadisaDepartment of Pharmacy, Pharmacology Course Unit, Ambo University, Ambo, Ethiopia.
Tsegaye Melaku KebedeSchool of Pharmacy, Department of Clinical Pharmacy, Jimma University, Jimma, Ethiopia.ORCID 0000-0001-8373-5309
Ambo University · ETJimma University · ETWachemo University

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) is the most prevalent in developing countries where 61-90% of cases develop in-hospital. The study aimed to assess the correctness of antibiotic prophylaxis (AP) use, the incidence of in-hospital SSI, and its determinants. PATIENTS AND

methodsA 3-month hospital-based prospective observational study design was used on general surgery patients. The criteria for identification of SSI were performed based on the Center for Disease Control and Prevention's (CDC's) definition of SSI. The correctness of AP was performed based on the American Society of Health System Pharmacist 2013 guideline (ASHP). Multiple stepwise backward logistic regression analysis was used at p-value <0.05 to predict SSI.

resultsOf 269 adult patients, the type of admission was almost equal between emergency and elective surgery. The mean (± SD) age of the study participants was 41.95±17.764. Only 19.7% of the study participants used AP correctly. The incidence rate of in-hospital SSI was 16.7% (45/269), which corresponds to 45/4736 or 9.5/1000 person-days. Independent predictors for SSI were American Society of Anesthesiology (ASA) class III-IV (p-value <0.0001), patients with age-adjusted Charlson co-morbidity index (CCI) of ≥1 score (p value=0.008), and incorrect use of AP (p-value =0.025).

conclusionIncorrect antibiotic prophylaxis use contributed to an increased risk of SSI, which needs urgent attention in the present study area.

Indexed as

antibiotic prophylaxisJUMCpredictorssurgical site infection

Identifiers

PMID33061468
PMCPMC7520114
OpenAlexW3083081416

What OpenQuestion holds

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LicenceCC BY-NC
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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.