Evidence map›Paper›PMID 40698896›Full record

ReviewActa orthopaedica2025

Antimicrobial resistance in orthopedics: microbial insights, clinical impact, and the necessity of a multidisciplinary approach-a review.

Julia L Van Agtmaal, Mariëlle Verheul, Lieve Vonken, Kato Helsen, Marian G Vargas Guerrero, Sanne W G Van Hoogstraten, Bianca J Hurck, Giulia Pilla, Isabell Trinh, Gert-Jan De Bruijn and 4 more

Abstract readReview
In one paragraph

Review in Acta orthopaedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Antibiofilm-coated intramedullary nailing for tibial and femoral diaphyseal fractures at high-risk infection: outcomes of 103 consecutive patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Observational
  2. Article
  3. 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

14 authors.

Julia L Van AgtmaalDepartment of Orthopaedic Surgery, Research Institute CAPHRI, Maastricht University Medical Center, Maastricht, the Netherlands.
Mariëlle VerheulDepartment of Infectious Diseases, Leiden University Medical Center, Leiden; Department of Orthopedics, Leiden University Medical Center, Leiden, the Netherlands.
Lieve VonkenDepartment of Health Promotion, Faculty of Health, Medicine & Life Sciences, Research Institute CAPHRI, Maastricht University, Maastricht, the Netherlands.
Kato HelsenDepartment of Communication Studies, University of Antwerp, Antwerp, Belgium.
Marian G Vargas GuerreroDepartment of Orthopaedic Surgery, Research Institute CAPHRI, Maastricht University Medical Center, Maastricht, the Netherlands.
Sanne W G Van HoogstratenDepartment of Orthopaedic Surgery, Research Institute CAPHRI, Maastricht University Medical Center, Maastricht, the Netherlands.
Bianca J HurckDepartment of Orthopaedic Surgery, Research Institute CAPHRI, Maastricht University Medical Center, Maastricht, the Netherlands.
Giulia PillaNostics B. V., Amsterdam, the Netherlands.
Isabell TrinhNostics B. V., Amsterdam, the Netherlands.
Gert-Jan De BruijnDepartment of Communication Studies, University of Antwerp, Antwerp, Belgium.
Henrik P CalumDepartment of Clinical Microbiology, Amager and Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Mark G J De BoerDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Bart G PijlsDepartment of Orthopedics, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0001-5351-5057
Jacobus J C ArtsDepartment of Orthopaedic Surgery, Research Institute CAPHRI, Maastricht University Medical Center, Maastricht; Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands. j.arts@mumc.nl.ORCID 0000-0002-2947-8564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is rising globally and is a threat and challenge for orthopedic surgery, particularly in managing prosthetic joint infections (PJIs). This review first explores several AMR mechanisms from a microbiological point of view, including selective pressure, horizontal gene transfer, and further dissemination. Second, the variation in the rise of AMR across countries is highlighted, including its impact on PJI. While countries with the highest AMR rates are expected to experience the most significant burden, no country will be immune to the increasing prevalence of PJI. Third, this review stresses that multidimensional strategies are needed to combat AMR's challenges in orthopedic surgery. These include raising awareness across all sectors, including healthcare professionals, the public, healthcare policymakers, and even politicians; advancing diagnostic technologies for early infection detection and classification of resistant or susceptible strains; promoting antibiotic stewardship; and developing new material technologies to prevent or cure PJI. This review highlights the urgent need for a coordinated response from clinicians, researchers, and policymakers to avoid AMR-related complications in PJI cases.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialOrthopedic ProceduresProsthesis-Related InfectionsAntimicrobial StewardshipHumansOrthopedicsAnti-Bacterial Agents

Identifiers

PMID40698896
PMCPMC12285513

What OpenQuestion holds

Textmetadata
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.