Evidence map›Paper›PMID 37324338›Full record

ArticleJTCVS techniques2023

Eliminating sternal wound infections: Why every cardiac surgery program needs an I hate infections team.

Maren Downing, Michael Modrow, Kelly A Thompson-Brazill, J Erin Ledford, Charles D Harr, Judson B Williams

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JTCVS techniques, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07275307 (Evaluating the Effects of Prontosan Wound Gel X on the Occurrence of Superficial Surgical Site Infections in Adult Cardiac Surgery Patients), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

NCT07275307 recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Effects of Prontosan Wound Gel X on the Occurrence of Superficial Surgical Site Infections in Adult Cardiac Surgery Patients: A Single-Arm, Phase IV, Adaptive Feasibility Study

TypeobservationalSponsorIRCCS Policlinico S. DonatoRan2026 to 2027Enrolled456ConditionsSurgical Site Infection After Major SurgeryArmsApplication of Prontosan Wound Gel X
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Evolution of postsurgical mediastinitis after Major Heart Surgery (MHS) in the last 12 years: Are we improving?Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Article
  4. Article
  5. 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 2 institutions in 1 country.

Maren DowningWakeMed Health and Hospitals, Raleigh, NC.
Michael ModrowWakeMed Health and Hospitals, Raleigh, NC.
Kelly A Thompson-BrazillWakeMed Health and Hospitals, Raleigh, NC.
J Erin LedfordWakeMed Health and Hospitals, Raleigh, NC.
Charles D HarrWakeMed Health and Hospitals, Raleigh, NC.
Judson B WilliamsWakeMed Health and Hospitals, Raleigh, NC.
WakeMed · USCampbell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The majority of studies examining deep sternal wound infection (DSWI) prevention focus on ameliorating 1 variable at a time. There is a paucity of data regarding the synergistic effects of combining clinical and environmental interventions. This article describes an interdisciplinary, multimodal approach to eliminate DSWIs at a large community hospital. Methods: We developed a robust, multidisciplinary infection prevention team to evaluate and act in all phases of perioperative care to achieve a cardiac surgery DSWI rate of 0, named: the I hate infections team. The team identified opportunities for improved care and best practices and implemented changes on an ongoing basis. Results: Patient-related interventions consisted of preoperative methicillin-resistant Conclusions: A multidisciplinary team focused on eliminating DSWI identified known risk factors and implemented evidence-based interventions in each phase of care to ameliorate risk. Although the influence of each individual intervention on DSWI remains unknown, use of the bundled infection prevention approach reduced the incidence to 0 for the first 12 months after implementation.

Indexed as

cardiac surgeryenhanced recovery after surgerymediastinitisoperating room airborne contaminantsoperating room trafficpreventionsternal wound infections

Identifiers

PMID37324338
PMCPMC10268509
OpenAlexW4365517705

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.