Evidence map›Paper›PMID 38598612›Full record

ArticleScience translational medicine2024

Contribution of the patient microbiome to surgical site infection and antibiotic prophylaxis failure in spine surgery.

Dustin R Long, Chloe Bryson-Cahn, Adam Waalkes, Elizabeth A Holmes, Kelsi Penewit, Celeste Tavolaro, Carlo Bellabarba, Fangyi Zhang, Jeannie D Chan, Ferric C Fang and 2 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
22.9field-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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Management of anastomotic leak after elective anterior resection for rectal cancer: A systematic review and pooled analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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  20. Transcript-Capture sequencing enriches mRNA ofbioRxiv : the preprint server for biology · 2025
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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

12 authors at 1 institution in 1 country.

Dustin R LongDivision of Critical Care Medicine, Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0001-6365-953X
Chloe Bryson-CahnDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
Adam WaalkesDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0002-5202-1108
Elizabeth A HolmesDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0009-0009-0730-2179
Kelsi PenewitDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0003-1454-6381
Celeste TavolaroDepartment of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0002-0511-4192
Carlo BellabarbaDepartment of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0002-0706-7588
Fangyi ZhangDepartment of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
Jeannie D ChanDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
Ferric C FangDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0002-3243-110X
John B LynchDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0001-9018-8542
Stephen J SalipanteDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0001-8355-6992
University of Washington · US

Funding

Anesthesiology & Perioperative Medicine Training GrantT32GM086270 · NIGMS · UNIVERSITY OF WASHINGTON · PI Tonya M Palermo · 2009 to 2026
$4.3M
Targeting the Patient Microbiome for the Prevention of Surgical Site Infection in Spine SurgeryK23AR080209 · NIAMS · UNIVERSITY OF WASHINGTON · PI Dustin R Long · 2022 to 2026
$833k
NIAMS NIH HHS K23 AR080209NIAMS NIH HHS L30 AR079800NIGMS NIH HHS T32 GM086270
6 · The paper itself

Abstract

Despite modern antiseptic techniques, surgical site infection (SSI) remains a leading complication of surgery. However, the origins of SSI and the high rates of antimicrobial resistance observed in these infections are poorly understood. Using instrumented spine surgery as a model of clean (class I) skin incision, we prospectively sampled preoperative microbiomes and postoperative SSI isolates in a cohort of 204 patients. Combining multiple forms of genomic analysis, we correlated the identity, anatomic distribution, and antimicrobial resistance profiles of SSI pathogens with those of preoperative strains obtained from the patient skin microbiome. We found that 86% of SSIs, comprising a broad range of bacterial species, originated endogenously from preoperative strains, with no evidence of common source infection among a superset of 1610 patients. Most SSI isolates (59%) were resistant to the prophylactic antibiotic administered during surgery, and their resistance phenotypes correlated with the patient's preoperative resistome (

Indexed as

Anti-Infective AgentsSurgical Wound InfectionAnti-Bacterial AgentsAntibiotic ProphylaxisHumansSkinAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID38598612
PMCPMC11634388
OpenAlexW4394674698

What OpenQuestion holds

Textmetadata
LicenceTDM
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.