Evidence map›Paper›PMID 35203743›Full record

ReviewAntibiotics (Basel, Switzerland)2022

Antibiotic Prophylaxis in Torso, Maxillofacial, and Skin Traumatic Lesions: A Systematic Review of Recent Evidence.

Enrico Cicuttin, Massimo Sartelli, Emanuele Scozzafava, Dario Tartaglia, Camilla Cremonini, Bruno Brevi, Niccolò Ramacciotti, Serena Musetti, Silvia Strambi, Mauro Podda and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Review
  5. Article
  6. Observational
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 4 institutions in 1 country.

Enrico CicuttinGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.ORCID 0000-0003-4584-9940
Massimo SartelliMacerata Hospital, 62100 Macerata, Italy.
Emanuele ScozzafavaUnit of Maxillo-Facial Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Dario TartagliaGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Camilla CremoniniGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Bruno BreviUnit of Maxillo-Facial Surgery, Pisa University Hospital, 56100 Pisa, Italy.ORCID 0000-0002-2845-750X
Niccolò RamacciottiGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Serena MusettiGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Silvia StrambiGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Mauro PoddaDepartment of General and Emergency Surgery, Cagliari University Hospital, 09123 Cagliari, Italy.ORCID 0000-0001-9941-0883
Fausto CatenaGeneral and Emergency Surgery Department, Bufalini Hospital, 47521 Cesena, Italy.
Massimo ChiarugiGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.ORCID 0000-0001-6905-2499
Federico CoccoliniGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Azienda Ospedaliera Universitaria Pisana · ITOspedale di MacerataOspedale “M. Bufalini” di Cesena · ITUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of antibiotic prophylaxis (AP) in trauma patients is a common practice. However, considering the increasing rates of antibiotic resistance, AP use should be questioned and limited only to specific cases. We performed a systematic review of recent literature (from year 2000), aiming to summarize the state of the art on efficacy and appropriateness of AP in patients with traumatic injuries of torso, maxillofacial complex and skin (including burns). Twenty-six articles were selected. In thoracic trauma, AP could be useful in reducing infective complications in tube thoracostomy for penetrating trauma. In maxillo-facial trauma, AP could find a role in the peri-operative trauma setting in the case of a graft or prosthetic implant. In abdominal trauma, there is a lack of consensus on the definition of contamination, infection, antibiotic therapy, and prophylaxis. In burned patients, routine AP is not suggested. In the case of human bites to the extremities, AP could find an indication. Future studies should focus on the subcategories of patients at higher risk of infection, identifying those who would benefit from AP. Attention to antimicrobial stewardship and guidelines focused on AP in trauma are required, to reduce antibiotic abuse, and increase quality research.

Indexed as

abdominal traumaantibiotic prophylaxisbitesburnsmaxillofacial traumaskin injurythoracic traumatrauma

Identifiers

PMID35203743
PMCPMC8868174
OpenAlexW4205117728

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.