Evidence map›Paper›PMID 34133893›Full record

ArticleJournal of clinical microbiology2022

Diagnosing Fracture-Related Infections: Where Are We Now?

Madeleine C Stevenson, Julia C Slater, H Claude Sagi, Federico Palacio Bedoya, Margaret V Powers-Fletcher

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Identifying risk factors for systemic complications following fracture-related infection.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  9. Article
  10. Antibacterial activities of titanium dioxide (TiOJournal of orthopaedic surgery and research · 2024
    Article
  11. [Diagnostic and therapeutic work-up of infected tibial nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024
    Review
  12. Article
  13. Review
  14. Article
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

5 authors.

Madeleine C StevensonDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Julia C SlaterDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
H Claude SagiDepartment of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Federico Palacio BedoyaDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Margaret V Powers-FletcherDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID 0000-0002-3825-1150

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate diagnosis of fracture-related infection (FRI) is critical for preventing poor outcomes such as loss of function or amputation. Due to the multiple variables associated with FRI, however, accurate diagnosis is challenging and complicated by a lack of standardized diagnostic criteria. Limitations with the current gold standard for diagnosis, which is routine microbiology culture, further complicate the diagnostic and management process. Efforts to optimize the process rely on a foundation of data derived from prosthetic joint infections (PJI), but differences in PJI and FRI make it clear that unique approaches for these distinct infections are required. A more concerted effort focusing on FRI has dominated more recent investigations and publications leading to a consensus definition by the American Orthopedics (AO) Foundation and the European Bone and Joint Infection Society (EBJIS). This has the potential to better standardize the diagnostic process, which will not only improve patient care but also facilitate more robust and reproducible research related to the diagnosis and management of FRI. The purpose of this minireview is to explore the consensus definition, describe the foundation of data supporting current FRI diagnostic techniques, and identify pathways for optimization of clinical microbiology-based strategies and data.

Indexed as

Arthritis, InfectiousFractures, BoneOrthopedicsProsthesis-Related InfectionsConsensusHumansSurgical Wound InfectionUnited Statesculture-negative infectionfracture-related infectionosteitisosteomyelitis

Identifiers

PMID34133893
PMCPMC8849353

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.