Evidence map›Paper›PMID 39959389›Full record

ArticleNeurosurgery practice2023

Topical Vancomycin as a Tool for the Prevention of Surgical Site Infections in Cranial Neurosurgery: A Retrospective Cohort Study.

Juan Pablo Leal-Isaza, Luis Garcia Rairan, Andrés David Ramírez-Sanabria, Isabella Mejía-Michelsen, Julian Camargo, Yessid Araque, María Camila Pedraza, Juliana Mendoza, Pierre Fonseca, Ericka Ramírez-Arquez and 9 more

Abstract read
In one paragraph

Article in Neurosurgery practice, 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
–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.

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.

  1. 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

19 authors.

Juan Pablo Leal-IsazaNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Luis Garcia RairanFaculty of Medicine, Universidad El Bosque, Bogotá, Colombia.ORCID https://orcid.org/0000-0003-0909-777X
Andrés David Ramírez-SanabriaDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Isabella Mejía-MichelsenDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Julian CamargoNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Yessid AraqueNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
María Camila PedrazaNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Juliana MendozaNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Pierre FonsecaNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Ericka Ramírez-ArquezNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Teo Nicolas CampoNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
Gabriel Alexander Quiñones-OssaNeurosurgery Program, Universidad El Bosque, Bogotá, Colombia.
M Salvador MattarDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Juan Sebastian DavidsonDepartment of Neurosurgery, Serena Del Mar, Cartagena, Colombia.
Diego Fernado Gómez-AmarilloDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Juan Armando Mejía CordovezDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Fernando Hakim DaccachDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Juan Fernando Ramon CuellarDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.
Enrique Jimenez HakimDepartment of Neurosurgery, Fundación Santa Fe, Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSurgical site infections (SSI) in neurosurgery result in prolonged hospitalizations, readmissions, poor outcomes, and even death. Prevention of SSI remains paramount to mitigate the risk of this complication. In this study, we aimed to evaluate the effect of topical use of vancomycin powder during surgical closure in cranial surgery for the reduction of SSI.

methodsThis is a retrospective cohort study of cranial neurosurgical patients from 2016 to 2022 in Fundación Santa Fe de Bogotá. Baseline clinical and surgical characteristics were collected, as well as vancomycin powder use. The primary outcome of interest was SSI within 90 days after surgery. A

resultsWe found a total of 1395 patients, of which 1108 met the selection criteria. Surgical site infection was seen in 32 patients (2.9%). Topical use of vancomycin powder during surgical closure was associated with a lower frequency of SSI in cranial surgery n = 10 (2.3%) relative to those who did not use vancomycin n = 22 (3.3%), and it was found to be a protective factor in the multinomial regression, with a statistically significant result (relative risk = 0.397,

conclusionThe evidence supporting the use of vancomycin powder during surgical closure is currently weak, as the association did not reach statistical significance in the primary analysis. However, a

Indexed as

NeurosurgerySurgical site infectionTopical vancomycin and cranial surgery

Identifiers

PMID39959389
PMCPMC11810009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.