Evidence map›Paper›PMID 37710282›Full record

ArticleAntimicrobial resistance and infection control2023

No difference in bacterial contamination of hip capsule sutures and control sutures in hip arthroplasty surgery.

Thomas J A van Schaik, Maurits P A van Meer, Lex D de Jong, Jon H M Goosen, Matthijs P Somford, Job L C van Susante

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 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
1.0field-weighted citation impact, top 24% 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, 3 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 3 institutions in 1 country.

Thomas J A van SchaikDepartment of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Maurits P A van MeerDepartment of Medical Microbiology and Immunology, Rijnstate Hospital, Arnhem, The Netherlands.
Lex D de JongDepartment of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Jon H M GoosenDepartment of Orthopedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands.
Matthijs P SomfordDepartment of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Job L C van SusanteDepartment of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands. jvansusante@rijnstate.nl.
Rijnstate Hospital · NLRadboud University Medical Center · NLSint Maartenskliniek · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative preventive measures are important to further reduce the rate of periprosthetic joint infections (PJI) in patients undergoing total hip arthroplasty (THA). During THA surgery, joint capsule sutures are commonly placed to optimize exposure and reinsertion of the capsule. Bacterial contamination of these sutures during the procedure poses a potential risk for postoperative infection. In this exploratory study, we assessed the contamination rate of capsule sutures compared to the contamination of the remains of exchanged control sutures at the time of closure.

methodsIn 100 consecutive patients undergoing primary THA capsule sutures were exchanged by sterile sutures at the time of capsule closure. Both the original sutures and the remainder of the newly placed (control) sutures were retrieved, collected and cultured for ten days. Types of bacterial growth and contamination rates of both sutures were assessed.

resultsSutures from 98 patients were successfully collected and analyzed. Bacterial growth was observed in 7/98 (7.1%) of the capsule sutures versus 6/98 (6.1%) of the control sutures, with a difference of 1% [CI -6-8]. There was no clear pattern in differences in subtypes of bacteria between groups.

conclusionsThis study showed that around 7% of capsule sutures used in primary THA were contaminated with bacteria and as such exchange by new sutures at the time of capsule closure could be an appealing PJI preventive measure. However, since similar contamination rates were encountered with mainly non-virulent bacteria for both suture groups, the PJI preventive effect of this measure appears to be minimal.

Indexed as

Arthroplasty, Replacement, HipBacteriaDrug ContaminationHumansPostoperative ComplicationsSuturesBacterial contaminationCapsule SuturesTotal hip arthroplasty

Identifiers

PMID37710282
PMCPMC10503031
OpenAlexW4386745236

What OpenQuestion holds

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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.