Evidence map›Paper›PMID 41051375›Full record

Trial reportThe Journal of infectious diseases2026

The Burden of Surgical Site Infections With Pathogens Presumably Resistant to Perioperative Prophylaxis in Orthopedic Tumor Surgery: Secondary Analysis of the Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY) Trial.

Sabine Kuster, Caleb Gottlich, Timothy O'Shea, Michelle Ghert, Dominik Mertz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Sabine KusterDivision of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Caleb GottlichDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.ORCID 0000-0001-7402-891X
Timothy O'SheaDivision of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Michelle GhertDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-4778-4522
Dominik MertzDivision of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-4337-1613

Funding

Canadian Orthopaedic FoundationMusculoskeletal Tumor SocietyOrthopaedic Research and Education FoundationSilverhearts Association
6 · The paper itself

Abstract

backgroundSurgical procedures for malignant bone tumors of the lower extremity are associated with a significant risk of surgical site infection (SSI). Little is known about the microbiology and risk factors for resistant SSIs in this population.

methodsWe describe the microbiological and other characteristics and of SSIs, as well as risk factors for antimicrobial resistance against antibiotics used for perioperative prophylaxis in a secondary analysis of the Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY) trial population. The PARITY trial assessed the effects of short-term (24 hour) versus long-term (5-day) postoperative antibiotic prophylaxis on the SSI incidence in orthopedic oncology.

resultsSSIs were identified in 96 of 604 patients (15.9%), with ≥1 pathogen isolated in 73 (76.0%). The most common pathogens were coagulase-negative staphylococci (34.4%), Staphylococcus aureus (24.0%), and Enterobacterales (22.9%). The proportions of pathogens with presumed resistance against cephalosporins were similar in the 2 groups (65.9% in the short-term vs 71.9% in the long-term arm; odds ratio [OR], 0.76 [95% confidence interval, .28-2.06]; P = .58). Neutropenia (22.9% vs 4.8%; OR, 5.95 [95% confidence interval, .72-49.45]; P = .06) and initiation of antibiotics >7 days before SSI diagnosis (50.0% vs 34.8%; OR, 1.88 [.68-5.21; P = .22) were numerically but not statistically significantly more common in those with presumed resistance.

conclusionsSSIs due to pathogens presumably resistant to the systemic or local prophylactic agents used are common in patients undergoing reconstruction for bone tumors. The selection of presumably resistant pathogens is not driven by the duration of antibiotic prophylaxis; however, antibiotic-loaded cement was associated with resistance.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisBone NeoplasmsDrug Resistance, BacterialOrthopedic ProceduresSurgical Wound InfectionAdultAgedFemaleHumansIncidenceMaleMiddle AgedRisk FactorsSecondary Data AnalysisAnti-Bacterial Agentsinfectionorthopedicprophylaxisresistancesurgery

Identifiers

PMID41051375
PMCPMC12811854

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.