Evidence map›Paper›PMID 42058664›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2026

Impact of topical vancomycin paste on prevention of deep sternal wound infection in patients undergoing bilateral internal thoracic artery coronary bypass grafting.

Sleiman Sebastian Aboul-Hassan, Tomasz Stankowski, Tomasz Urbanowicz, Maciej Luczak, Maria Luszczyn, Lukasz Moskal, Marcin Nawotka, Maciej Peksa, Ryszard Stanislawski, Siarhei Amelchanka and 7 more

Abstract read
In one paragraph

Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2026. 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. 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

17 authors.

Sleiman Sebastian Aboul-HassanDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Tomasz StankowskiDepartment of Cardiac Surgery, Sana Heart Center Cottbus, Cottbus, Germany.
Tomasz UrbanowiczDepartment of Cardiac Surgery and Transplantology, Chair of Cardio-Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Maciej LuczakDepartment of Cardiac Surgery, J. Strus Hospital, Poznan, Poland.
Maria LuszczynDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Lukasz MoskalDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Marcin NawotkaDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Maciej PeksaDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Ryszard StanislawskiDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Siarhei AmelchankaDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Bartlomiej PerekDepartment of Cardiac Surgery and Transplantology, Chair of Cardio-Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Marek JemielityDepartment of Cardiac Surgery and Transplantology, Chair of Cardio-Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Diana Nikola MatkowskaDepartment of Cardiac Surgery, Sana Heart Center Cottbus, Cottbus, Germany.
Miroslaw BrykczynskiDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.
Pawel BugajskiDepartment of Cardiac Surgery, J. Strus Hospital, Poznan, Poland.
Dirk FritzscheDepartment of Cardiac Surgery, Sana Heart Center Cottbus, Cottbus, Germany.
Romuald CichonDepartment of Cardiac Surgery, Zbigniew Religa Heart Center "Medinet", Nowa Sol, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Deep sternal wound infection (DSWI) remains a serious complication of coronary artery bypass grafting (CABG), particularly when bilateral internal thoracic arteries (BITA) are used. Concerns regarding DSWI often limit the adoption of multiple arterial grafting. Aim: To evaluate the effect of topical vancomycin paste on the incidence of DSWI in patients undergoing primary isolated CABG with BITA. Material and methods: This multicenter, retrospective study analyzed 1,694 patients who underwent BITA grafting between 2006 and 2024. Patients were stratified based on whether topical vancomycin paste was applied to the sternal edges ( Results: Multivariable logistic regression demonstrated that the use of topical vancomycin paste was independently associated with a 63% reduction in DSWI (OR = 0.37; 95% CI: 0.14-0.97; Conclusions: Topical application of vancomycin paste significantly reduces the risk of DSWI in patients undergoing CABG with BITA. This simple and effective prophylactic measure may help enable safer and broader adoption of multiple arterial grafting strategies.

Indexed as

bilateral internal thoracic arteriescoronary artery bypassdeep sternal wound infectionvancomycin

Identifiers

PMID42058664
PMCPMC13122455

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.