Evidence map›Paper›PMID 33600892›Full record

ArticleThe Journal of hospital infection2021

Surgical site infections: guidance for elective surgery during the SARS-CoV-2 pandemic - international recommendations and clinical experience.

O Assadian, M Golling, C M Krüger, D Leaper, N T Mutters, B Roth, A Kramer

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of hospital infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Acute care surgery model in the COVID-19 pandemic era.GMS hygiene and infection control · 2023
    Article
  6. Article
  7. Article
  8. Review
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

7 authors at 5 institutions in 4 countries.

O AssadianRegional Hospital Wiener Neustadt, Austria; Institute for Skin Integrity and Infection Prevention, University of Huddersfield, UK.
M GollingSurgical Clinic I, Diakonie-Klinikum Schwäbisch Hall gGmbH, Germany.
C M KrügerImmanuel Klinikum Rüdersdorf, Department of Surgery, Center for Robotics, Rüdersdorf b. Berlin, Germany.
D LeaperDepartment of Surgery, University of Newcastle upon Tyne, UK; Department of Clinical Sciences, ISIaIP, University of Huddersfield, Huddersfield, UK.
N T MuttersInstitute for Hygiene and Public Health, Bonn University Hospital, Bonn, Germany; CEOsys Network of the National University Medicine Research Network on Covid-19 (NUM).
B RothSurgical Clinic, District Hospital Belp/Switzerland, FMH for General and Trauma Surgery, Wattenwil, Switzerland.
A KramerInstitute of Hygiene and Environmental Medicine, University Medicine Greifswald, Germany; CEOsys Network of the National University Medicine Research Network on Covid-19 (NUM). Electronic address: kramer@uni-greifswald.de.
University of Huddersfield · GBEvangelisches Diakoniekrankenhaus · DEImmanuel Krankenhaus · DEResearch Network (United States) · USUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic not only had an impact on public life and healthcare facilities in general, but also affected established surgical workflows for elective procedures. The strategy to protect patients and healthcare workers from infection by SARS-CoV-2 in surgical departments has needed step-by-step development. Based on the evaluation of international recommendations and guidelines, as well as personal experiences in a clinical 'hot spot' and in a 450-bed surgical clinic, an adapted surgical site infection (SSI) prevention checklist was needed to develop concise instructions, which described roles and responsibilities of healthcare professionals that could be used for wider guidance in pandemic conditions.

methodPublications of COVID-19-related recommendations and guidelines, produced by health authorities and organizations, such as WHO, US-CDC, ECDC, the American College of Surgery and the Robert Koch Institute, were retrieved, assessed and referenced up to 31

resultsPart 1 of this guidance summarizes the experience of a tertiary care, surgical centre which utilized redundant hospital buildings for immediate spatial separation in a 'hot spot' COVID-19 area. Part 2 outlines the successful screening and isolation strategy in a surgical clinic in a region of Germany with outbreaks in surrounding medical centres. Part 3 provides the synopsis of personal experiences and international recommendations suggested for implementation during the COVID-19 pandemic.

conclusionUnderstanding of COVID-19, and SARS-CoV-2-related epidemiology, is constantly and rapidly changing, requiring continuous adaptation and re-evaluation of recommendations. Established national and local guidelines for continuation of surgical services and prevention of SSI require ongoing scrutiny and focused implementation. This manuscript presents a core facility checklist to support medical institutions to continue their clinical and surgical work during the COVID-19 pandemic.

Indexed as

Practice Guidelines as TopicCOVID-19Disease OutbreaksElective Surgical ProceduresGermanyHumansInfection ControlPandemicsSARS-CoV-2Surgical Wound InfectionCore checklistCOVID-19GuidanceOutbreak preventionSurgical site infectionsTriage

Identifiers

PMID33600892
PMCPMC7883712
OpenAlexW3130405932

What OpenQuestion holds

Textmetadata
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.