Evidence map›Paper›PMID 36836006›Full record

ArticleJournal of clinical medicine2023

The Level of Surface Coverage of Surgical Site Disinfection Depends on the Visibility of the Antiseptic Agent-A Virtual Reality Randomized Controlled Trial.

Rene Burchard, Lukas Sayn, Ricardo Schmidt, Jan A Graw, Thomas Scheicher, Christian Soost, Armin Gruenewald

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. 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
0.6field-weighted citation impact, top 33% 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

7 authors at 4 institutions in 1 country.

Rene BurchardDepartment of Orthopedics and Trauma Surgery, University Hospital of Giessen and Marburg, 35043 Marburg, Germany.ORCID 0000-0001-6113-3577
Lukas SaynMedical Informatics and Microsystems Engineering, University of Siegen, 57076 Siegen, Germany.
Ricardo SchmidtMedical Informatics and Microsystems Engineering, University of Siegen, 57076 Siegen, Germany.
Jan A GrawDepartment of Anesthesiology and Intensive Care Medicine, Ulm University Hospital, 89081 Ulm, Germany.ORCID 0000-0002-6920-8868
Thomas ScheicherFOM University of Applied Sciences, 45127 Essen, Germany.ORCID 0000-0003-4447-6433
Christian SoostFOM University of Applied Sciences, 45127 Essen, Germany.
Armin GruenewaldMedical Informatics and Microsystems Engineering, University of Siegen, 57076 Siegen, Germany.
University of Siegen · DEFOM University of Applied Sciences for Economics and Management · DEUniversitätsklinikum Gießen und Marburg · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) have a significant impact on outcome associated with surgical treatment. Therefore, skin antisepsis has evolved as a standard preoperative procedure in the operating room to reduce the perioperative risk of an SSI. In their "Global Guidelines for the prevention of surgical site infections", the World Health Organization (WHO) recommend the use of an agent with remanent additives and considers colored agents as helpful. However, colored and remanent disinfectants are not available in Germany. The aim of the present study was to investigate whether using a colored antiseptic solution increases the quality of preoperative skin antisepsis.

methodsThis study was designed as a randomized, double-blinded controlled trial. To examine the level of coverage of skin antisepsis, an appropriate virtual reality (VR) environment was generated. Participants could see a movable surgical clamp with a swab in their hand. When touching the skin, the participants recognized an optical change in the appearance of the skin: Using a colored antiseptic solution resulted in orange-colored skin. Using an uncolored agent, a shiny wet look was visible without a change in natural skin color.

resultsData of 141 participants (female: 61.0% (

conclusionsThe use of an uncolored disinfectant leads to a lower surface coverage of the perioperative skin disinfection. Thus far, it is unclear whether using uncolored disinfectants is associated with higher risks for perioperative infections compared with the use of non-remanent disinfectants. Therefore, further research is necessary and current German guidelines should be re-evaluated accordingly.

Indexed as

kneeremanent disinfectantsskin antisepsissurgical site infectionvirtual reality

Identifiers

PMID36836006
PMCPMC9961233
OpenAlexW4320493861

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.