Evidence map›Paper›PMID 35873162›Full record

ArticleFrontiers in cellular and infection microbiology2022

The Microbiological Etiology of Fracture-Related Infection.

Melissa Depypere, Jonathan Sliepen, Jolien Onsea, Yves Debaveye, Geertje A M Govaert, Frank F A IJpma, Werner Zimmerli, Willem-Jan Metsemakers

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
14.2field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 56 citations in OpenAlex.

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  8. Frontiers in cellular and infection microbiology · 2026
    Article
  9. Article
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  12. Article
  13. Case Report: FatalFrontiers in medicine · 2026
    Article
  14. Article
  15. Identification of miRNA Biomarkers Associated With Staphylococcal Musculoskeletal Infections.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  16. Review
  17. Article
  18. Combination Antibiotic Therapy for Orthopedic Infections.Antibiotics (Basel, Switzerland) · 2025
    Review
  19. Article
  20. 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

8 authors at 4 institutions in 3 countries.

Melissa DepypereDepartment of laboratory medicine, University Hospitals Leuven, Leuven, Belgium.
Jonathan SliepenDepartment of Trauma Surgery, University Medical Center Groningen, Groningen, Netherlands.
Jolien OnseaDepartment of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.
Yves DebaveyeDepartment of Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium.
Geertje A M GovaertDepartment of Trauma Surgery, University of Utrecht, University Medical Center Utrecht, Utrecht, Netherlands.
Frank F A IJpmaDepartment of Trauma Surgery, University Medical Center Groningen, Groningen, Netherlands.
Werner ZimmerliBasel University Medical Clinic, Kantonsspital Baselland, Liestal, Switzerland.
Willem-Jan MetsemakersDepartment of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.
KU Leuven · BEUniversity Medical Center Groningen · NLKantonsspital Baselland · CHUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Fracture-related infection (FRI) is an important complication related to orthopaedic trauma. Although the scientific interest with respect to the diagnosis and treatment of FRI is increasing, data on the microbiological epidemiology remains limited. Therefore, the primary aim of this study was to evaluate the microbiological epidemiology related to FRI, including the association with clinical symptoms and antimicrobial susceptibility data. The secondary aim was to analyze whether there was a relationship between the time to onset of infection and the microbiological etiology of FRI. Methods: FRI patients treated at the University Hospitals of Leuven, Belgium, between January 1st 2015 and November 24th 2019 were evaluated retrospectively. The microbiological etiology and antimicrobial susceptibility data were analyzed. Patients were classified as having an early (<2 weeks after implantation), delayed (2-10 weeks) or late-onset (> 10 weeks) FRI. Results: One hundred ninety-one patients with 194 FRIs, most frequently involving the tibia (23.7%) and femur (18.6%), were included. Conclusion: This study revealed that in early FRIs, polymicrobial infections and infections including Enterobacterales and enterococcal species were more frequent. A time-based FRI classification is not meaningful to estimate the microbiological epidemiology and cannot be used to guide empiric antibiotic therapy. Large multicenter prospective studies are necessary to gain more insight into the added value of (broad) empirical antibiotic therapy.

Indexed as

CoinfectionAnti-Bacterial AgentsGram-Negative BacteriaHumansMicrobial Sensitivity TestsProspective StudiesRetrospective StudiesStaphylococcus epidermidisAnti-Bacterial Agentsantibiotic resistancefracturefracture-related infectioninfectionmicrobiology

Identifiers

PMID35873162
PMCPMC9300981
OpenAlexW4284898186

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.