Evidence map›Paper›PMID 34880951›Full record

ArticleJournal of infection prevention2021

Screening of MRSA colonization in patients undergoing total joint arthroplasty.

A M Valverde Villar, J Gutiérrez Del Álamo Oms, I Neira Borrajo, S de Miguel Fernández, P Flox Benítez, R Llopis Miró

Open access · greenAbstract read
In one paragraph

Article in Journal of infection prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 59% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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.

A M Valverde VillarDepartment of Orthopaedic Surgery, Hospital Universitario Santa Cristina, Madrid, Spain.ORCID https://orcid.org/0000-0002-5106-8334
J Gutiérrez Del Álamo OmsDepartment of Orthopaedic Surgery, Hospital Universitario Santa Cristina, Madrid, Spain.
I Neira BorrajoDepartment of Orthopaedic Surgery, Hospital Universitario Santa Cristina, Madrid, Spain.
S de Miguel FernándezDepartment of Clinical Analysis, Hospital Universitario Santa Cristina, Madrid, Spain.
P Flox BenítezDepartment of Pharmacy, Hospital Universitario Santa Cristina, Madrid, Spain.
R Llopis MiróDepartment of Orthopaedic Surgery, Hospital Universitario Santa Cristina, Madrid, Spain.
Hospital Universitario Santa Cristina · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic infection is commonly caused by

methodsAll patients undergoing a total joint arthroplasty at our hospital were preoperatively screened for MRSA colonization with swab samples of five different locations. Exposure to risk factors were investigated in colonised patients and they were treated for 5 days prior surgery with nasal mupirocin, chlorhexidine sponges and oral tablets.

resultsDuring the 48 months of the study, MRSA colonisation was identified in 22 (1.01%) of 2188 patients operated. The culture was positive only in the nasal swab in 55 patients. In five patients the nasal culture was negative, but they had another positive swab culture (three in the groin and two perianal). None of the patients reported a history of recent antibiotic treatment or hospitalization.

conclusionAt our institution, the prevalence of MRSA colonisation is 1.01% in patients undergoing hip and knee arthroplasty. Interestingly, our screening protocol included samples from five different anatomic locations, and it is important to highlight that we found patients with negative nares culture and positive cultures in other locations. Therefore, the number of carriers may be underdiagnosed if only nasal samples are obtained. LEVEL OF EVIDENCE: IV.

Indexed as

MRSA screeningperiprosthetic infectiontotal joint arthroplasty

Identifiers

PMID34880951
PMCPMC8647643
OpenAlexW3176745819

What OpenQuestion holds

Textmetadata
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Registered trials

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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.