Evidence map›Paper›PMID 39945862›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Effectiveness of antibiotic prophylaxis in polytrauma patients: a systematic review and meta-analysis.

Karolina Dahms, Kelly Ansems, Julia Dormann, Eva Steinfeld, Heidrun Janka, Maria-Inti Metzendorf, Thomas Breuer, Carina Benstoem

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07059039 (Impact of Antibio Prophylaxis on Occurence of Ventilator Associated Pneumonia in Trauma Patients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07059039 completednot on this map

Impact of Antibio Prophylaxis on Occurence of Ventilator Associated Pneumonia in Trauma Patients

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2024 to 2025Enrolled2,143ConditionsVentilator Associated Pneumonia ( VAP)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Karolina DahmsDepartment of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Kelly AnsemsDepartment of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Julia DormannDepartment of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Eva SteinfeldDepartment of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Heidrun JankaInstitute of General Practice, Medical Faculty of the Heinrich-Heine- University Dusseldorf, Dusseldorf, Germany.
Maria-Inti MetzendorfInstitute of General Practice, Medical Faculty of the Heinrich-Heine- University Dusseldorf, Dusseldorf, Germany.
Thomas Breuer *Department of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Carina Benstoem *Department of Intensive Care Medicine and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany. cbenstoem@ukaachen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of antibiotic prophylaxis in trauma patients, particularly to prevent ventilator-associated pneumonia (VAP), is debated due to rising antibiotic resistance. Therefore, this systematic review evaluated the safety and effectiveness of antibiotic prophylaxis compared to placebo or standard care on clinical outcomes in adult polytrauma patients.

methodsWe searched PubMed and the Cochrane Central Register of Controlled Trials to identify completed and ongoing studies from database inception to April 20, 2023. Eligible studies included systematic reviews and randomized controlled trials (RCTs) comparing antibiotic prophylaxis to placebo or standard care in adult polytrauma patients admitted to the intensive care unit (ICU).

resultsOf 1237 identified records, three RCTs involving 256 patients (n

conclusionThe results indicate that antibiotic prophylaxis has no significant effect on mortality and clinical status compared with placebo or standard care in adult polytrauma patients but may reduce the risk of VAP. However, the evidence is outdated and of very low certainty, with insufficient data to draw definitive conclusions regarding efficacy. Therefore, high-quality, up-to-date research is urgently needed to support clinical decision-making, and current interpretations should be treated with caution.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisMultiple TraumaPneumonia, Ventilator-AssociatedAdultHumansIntensive Care UnitsRandomized Controlled Trials as TopicAnti-Bacterial AgentsAntibiotic prophylaxisICUIntensive care unitMultiple traumaPolytrauma

Identifiers

PMID39945862
PMCPMC11825575

What OpenQuestion holds

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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.