Evidence map›Paper›PMID 41782976›Full record

ArticleJNMA; journal of the Nepal Medical Association2025

Bridging the Diagnostic Gap: Enhancing Orthopedic Infection Management through Laboratory Diagnostics in Nepal.

Ram Bahadur Khadka, Samrat Parajuli, Nabin Pahari

Abstract read
In one paragraph

Article in JNMA; journal of the Nepal Medical Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  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

3 authors.

Ram Bahadur KhadkaDepartment of Medical Laboratory Science, Crimson College of Technology, Pokhara University, Butwal, Rupandehi, Nepal.
Samrat ParajuliDepartment of Orthopedic Surgery, Lumbini Hospital and Technical College, Butwal, Rupandehi, Nepal.
Nabin PahariDepartment of Emergency Medicine, Lumbini Provincial Hospital, Butwal, Rupandehi, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthopedic infections, including implant-associated infections, periprosthetic joint infections, and osteoarticular tuberculosis, pose significant diagnostic and therapeutic challenges globally. In Nepal, limited laboratory facilities outside major cities often lead to empirical treatment, resulting in delayed diagnosis, inappropriate use of antibiotics and rising antimicrobial resistance. This viewpoint indicates the importance of integrating microbiological diagnostics into orthopedic practice in resource limited settings. It highlights key laboratory tools, outlines the barriers to their effective use, and proposes locally adaptable strategies to improve diagnostic accuracy, treatment outcomes, and antibiotic stewardship in orthopedic infection care.

Indexed as

Clinical Laboratory TechniquesProsthesis-Related InfectionsTuberculosis, OsteoarticularAnti-Bacterial AgentsAntimicrobial StewardshipHumansNepalResource-Limited SettingsAnti-Bacterial Agentsbone diseasesclinical laboratory techniqueNepalorthopedics

Identifiers

PMID41782976
PMCPMC12906746

What OpenQuestion holds

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LicenceCC BY
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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.