Evidence map›Paper›PMID 34112231›Full record

SynthesisWorld journal of emergency surgery : WJES2021

Surgical site infection prevention and management in immunocompromised patients: a systematic review of the literature.

Federico Coccolini, Mario Improta, Enrico Cicuttin, Fausto Catena, Massimo Sartelli, Raffaele Bova, Nicola De' Angelis, Stefano Gitto, Dario Tartaglia, Camilla Cremonini and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  7. Two Multidrug-ResistantPathogens (Basel, Switzerland) · 2026
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  8. Hernia mesh repair in immunocompromised patients: a comprehensive review.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
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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

13 authors at 8 institutions in 3 countries.

Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy. Federico.coccolini@gmail.com.ORCID 0000-0001-6364-4186
Mario ImprotaGeneral Surgery Department, Bologna University Hospital, Bologna, Italy.
Enrico CicuttinGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy.
Fausto CatenaEmergency Surgery Department, Parma University Hospital, Parma, Italy.
Massimo SartelliGeneral Surgery Department, Macerata Hospital, Macerata, Italy.
Raffaele BovaGeneral Surgery Department, Bologna University Hospital, Bologna, Italy.
Nicola De' AngelisUnit of Digestive and Hepato-biliary-pancreatic Surgery, Henri Mondor Hospital, Créteil, France.
Stefano GittoDepartment of Experimental and Clinical Medicine, Firenze University, Firenze, Italy.
Dario TartagliaGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy.
Camilla CremoniniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy.
Carlos OrdonezDepartment of Surgery, Fundación Valle del Lili, Cali, Colombia.
Gian Luca BaiocchiDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Massimo ChiarugiGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy.
University of Bologna · ITFundación Valle del Lili · COOspedale di MacerataUniversité Paris-Est Créteil · FRUniversity of Brescia · ITUniversity of Florence · ITUniversity of Parma · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunocompromised patients are at higher risk of surgical site infection and wound complications. However, optimal management in the perioperative period is not well established. Present systematic review aims to analyse existing strategies and interventions to prevent and manage surgical site infections and other wound complications in immunocompromised patients.

methodsA systematic review of the literature was conducted.

resultsLiterature review shows that partial skin closure is effective to reduce SSI in this population. There is not sufficient evidence to definitively suggest in favour of prophylactic negative pressure wound therapy. The use of mammalian target of rapamycin (mTOR) and calcineurin inhibitors (CNI) in transplanted patient needing ad emergent or undeferrable abdominal surgical procedure must be carefully and multidisciplinary evaluated. The role of antibiotic prophylaxis in transplanted patients needs to be assessed.

conclusionStrict adherence to SSI infection preventing bundles must be implemented worldwide especially in immunocompromised patients. Lastly, it is necessary to elaborate a more widely approved definition of immunocompromised state. Without such shared definition, it will be hard to elaborate the needed methodologically correct studies for this fragile population.

Indexed as

Immunocompromised HostAntibiotic ProphylaxisCalcineurin InhibitorsHumansSurgical Wound InfectionTOR Serine-Threonine KinasesWound Closure TechniquesCalcineurin InhibitorsMTOR protein, humanTOR Serine-Threonine KinasesCareCostsDrugsImmunityInfectionInflammatoryWound

Identifiers

PMID34112231
PMCPMC8194010
OpenAlexW3170116600

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.