Evidence map›Paper›PMID 34569458›Full record

ArticleInfection control and hospital epidemiology2022

Postdischarge prophylactic antibiotics following mastectomy with and without breast reconstruction.

David K Warren, Kate M Peacock, Katelin B Nickel, Victoria J Fraser, Margaret A Olsen, CDC Prevention Epicenter Program

Open access · greenAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Frontiers in microbiology · 2025
    Article
  4. [Clinical application of endoscopic radical mastectomy for breast cancer combined with total pectoral muscle reconstruction with breast implants].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    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

6 authors at 1 institution in 1 country.

David K WarrenDivision of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.ORCID 0000-0001-8679-8241
Kate M PeacockDivision of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.
Katelin B NickelDivision of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.ORCID 0000-0003-4116-512X
Victoria J FraserDivision of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.ORCID 0000-0001-6251-0733
Margaret A OlsenDivision of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri.ORCID 0000-0001-7070-9320
CDC Prevention Epicenter Program
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
WASHINGTON UNIVERSITY COMPARATIVE EFFECTIVENESS ADMINISTRATIVE DATA REPOSITORYR24HS019455 · AHRQ · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$969k
ACL HHS U54CK000482AHRQ HHS R24 HS019455NCATS NIH HHS UL1 TR002345NCEZID CDC HHS U54 CK000482NCEZID CDC HHS U54 CK000609
6 · The paper itself

Abstract

backgroundProphylactic antibiotics are commonly prescribed at discharge for mastectomy, despite guidelines recommending against this practice. We investigated factors associated with postdischarge prophylactic antibiotic use after mastectomy with and without immediate reconstruction and the impact on surgical-site infection (SSI). STUDY

designWe studied a cohort of women aged 18-64 years undergoing mastectomy between January 1, 2010, and June 30, 2015, using the MarketScan commercial database. Patients with nonsurgical perioperative infections were excluded. Postdischarge oral antibiotics were identified from outpatient drug claims. SSI was defined using

resultsThe cohort included 38,793 procedures; 24,818 (64%) with immediate reconstruction. Prophylactic antibiotics were prescribed after discharge after 2,688 mastectomy-only procedures (19.2%) and 17,807 mastectomies with immediate reconstruction (71.8%). The 90-day incidence of SSI was 3.5% after mastectomy only and 8.8% after mastectomy with immediate reconstruction. Antibiotics with anti-methicillin-sensitive

conclusionsPostdischarge prophylactic antibiotics were common after mastectomy. Anti-MSSA antibiotics were associated with decreased risk of SSI for patients who had mastectomy only and those who had mastectomy with immediate reconstruction. The high numbers needed to treat suggest that potential benefits of postdischarge antibiotics should be weighed against potential harms associated with antibiotic overuse.

Indexed as

Breast NeoplasmsMammaplastyStaphylococcal InfectionsAftercareAnti-Bacterial AgentsFemaleHumansMastectomyPatient DischargeSurgical Wound InfectionAnti-Bacterial Agents

Identifiers

PMID34569458
PMCPMC8957624
OpenAlexW3202213664

What OpenQuestion holds

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LicenceTDM
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.