Evidence map›Paper›PMID 40765589›Full record

ArticleCureus2025

Antibiotic Prophylaxis in Orthopaedic Surgery: A Review and Institutional Experience.

Hamza Ahmed, Farah Mazhar, Aima Gilani, Numan Shah, Aarish Azeem, Marium Rizwan, Abdur Rehman

Abstract read
In one paragraph

Article in Cureus, 2025. 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

7 authors.

Hamza AhmedTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Farah MazharTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Aima GilaniTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Numan ShahTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Aarish AzeemTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Marium RizwanSpinal Surgery, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.
Abdur RehmanTrauma and Orthopaedics, Salford Royal National Health Service (NHS) Foundation Trust, Salford, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) are a significant complication in orthopaedic surgery. Effective use of antimicrobial prophylaxis is critical in reducing their incidence without promoting resistance.

objectivesTo review current evidence on antibiotic prophylaxis in orthopaedic surgery and to analyse data from our institution on the effectiveness of current prophylaxis protocols.

methodsWe carried out a literature review and a retrospective analysis of 1,000 orthopaedic surgeries done over a two-year period. The timing and duration of antibiotic prophylaxis and its association with postoperative SSI rates were evaluated. The standard was compared with the current antibiotic prophylaxis guidelines from our trust policy.

resultsOur institutional data demonstrated no statistically significant difference in SSI rates between patients who received 24-hour versus those who received extended antibiotic prophylaxis. Recent literature consistently supports the timely administration of preoperative antibiotics and discourages prolonged use beyond 24 hours. This is in line with our trust policy.

conclusionPreoperative administration of a single dose of antibiotic or a maximum of two doses remains effective in preventing SSIs. Extending prophylaxis beyond 24 hours offers no additional benefit and may promote antimicrobial resistance.

Indexed as

bone and joint infectionsorthopaedics infectionorthopaedics surgeryprophylactic antibioticssurgical site infections (ssi)

Identifiers

PMID40765589
PMCPMC12324828

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.