Evidence map›Paper›PMID 33795007›Full record

ArticleAntimicrobial resistance and infection control2021

Expert commentary on the challenges and opportunities for surgical site infection prevention through implementation of evidence-based guidelines in the Asia-Pacific Region.

K Morikane, P L Russo, K Y Lee, M Chakravarthy, M L Ling, E Saguil, M Spencer, W Danker, A Seno, E Edmiston Charles

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Surgical site infection due toJournal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
  4. Review
  5. Review
  6. Article
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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

10 authors at 9 institutions in 7 countries.

K MorikaneDivision of Clinical Laboratory and Infection Control, Yamagata University Hospital, Yamagata, Japan.
P L RussoSchool of Nursing and Midwifery, Monash University, Frankston, VC, Australia.
K Y LeeDepartment of Surgery, KyungHee University Medical Center, Seoul, South Korea.
M ChakravarthyFortis Healthcare Limited, Gurgaon, Haryana, India.
M L LingInfection Prevention and Epidemiology, Singapore General Hospital, Singapore, Singapore.
E SaguilPhilippine General Hospital, Manila, Philippines.
M SpencerInfection Prevention Consultant, Boston, MA, USA.
W DankerEthicon, Johnson and Johnson Medical Device Companies, Somerville, NJ, USA.
A SenoJohnson and Johnson Medical Asia Pacific, Singapore, Singapore.
E Edmiston CharlesDepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. edmiston@mcw.edu.
Fortis Healthcare · INJohnson & Johnson (Singapore) · SGJohnson & Johnson (United States) · USKyung Hee University Medical Center · KRMedical College of Wisconsin · USMonash University · AUPhilippine General Hospital · PHSingapore General Hospital · SGYamagata University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical site infections (SSIs) are a significant source of morbidity and mortality in the Asia-Pacific region (APAC), adversely impacting patient quality of life, fiscal productivity and placing a major economic burden on the country's healthcare system. This commentary reports the findings of a two-day meeting that was held in Singapore on July 30-31, 2019, where a series of consensus recommendations were developed by an expert panel composed of infection control, surgical and quality experts from APAC nations in an effort to develop an evidence-based pathway to improving surgical patient outcomes in APAC.

methodsThe expert panel conducted a literature review targeting four sentinel areas within the APAC region: national and societal guidelines, implementation strategies, postoperative surveillance and clinical outcomes. The panel formulated a series of key questions regarding APAC-specific challenges and opportunities for SSI prevention.

resultsThe expert panel identified several challenges for mitigating SSIs in APAC; (a) constraints on human resources, (b) lack of adequate policies and procedures, (c) lack of a strong safety culture, (d) limitation in funding resources, (e) environmental and geographic challenges, (f) cultural diversity, (g) poor patient awareness and (h) limitation in self-responsibility. Corrective strategies for guideline implementation in APAC were proposed that included: (a) institutional ownership of infection prevention strategies, (b) perform baseline assessments, (c) review evidence-based practices within the local context, (d) develop a plan for guideline implementation, (e) assess outcome and stakeholder feedback, and (f) ensure long-term sustainability.

conclusionsReducing the risk of SSIs in APAC region will require: (a) ongoing consultation and collaboration among stakeholders with a high level of clinical staff engagement and (b) a strong institutional and national commitment to alleviate the burden of SSIs by embracing a safety culture and accountability.

Indexed as

Infection ControlAsiaAustraliaConsensusEvidence-Based MedicineHumansNew ZealandPractice Guidelines as TopicQuality of LifeSurgical Wound InfectionAsia–PacificGuidelinesHealthcare-associated infectionImplementationSurgical site infection

Identifiers

PMID33795007
PMCPMC8017777
OpenAlexW3150417169

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.