Evidence map›Paper›PMID 40489818›Full record

SynthesisMedicine2025

A meta-analysis of the efficacy of topical antibiotics in spinal surgery for the prevention of surgical site infection.

Yanfei Wang, Ke Song, Songlin Cai, Weifei Wu

Abstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 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. Article
  2. Review
  3. 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

4 authors.

Yanfei WangThe First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, China.ORCID 0009-0002-8286-0735
Ke SongThe First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, China.
Songlin CaiThe First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, China.
Weifei WuThe First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, China.ORCID 0000-0002-7912-6233

Funding

National Natural Science Foundation of Hubei province 2023AFB1006
6 · The paper itself

Abstract

backgroundDespite significant advancements in clinical aseptic techniques and wound infection control, surgical site infections (SSIs) continue to pose a significant risk and complication following spinal surgery. The use of intrawound antibiotics for the prevention of SSIs after spine surgery is a controversial method. The aim of this study was to conduct a review of the current literature on the use of antibiotics in wound care and evaluate their effectiveness in preventing postoperative SSIs.

methodsKeywords such as "spinal surgery" or "spine," "antibiotics," "local" or "topical," "prevention of infection," and "infection" were used based on PubMed, Web of Science, Cochrane, and Embase database. The literature was screened based on the title, abstract, full text reading, and extraction of relevant research data. Comparisons of the data were performed using RevMan 5.3 software.

resultsA total of 18,922 patients from 24 studies were included in the final analysis, 8878 patients received antibiotics (experimental group) to prevent SSIs, and 10,044 patients did not receive any additional antibiotics (control group). In the experimental group, 178 patients developed SSIs, compared to 356 patients in the control group. The results of the meta-analysis indicated that the incidence of SSIs in the experimental group was significant lower than that in the control group (95% confidence interval, 0.36-0.75, P = .0004).

conclusionThe topical application of antibiotics within the wound site is a crucial and efficient method to prevent SSIs after spinal surgery.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisSpineSurgical Wound InfectionAdministration, TopicalHumansAnti-Bacterial Agentsantibiotics in the wound sitemeta-analysisprevention infectionspinal surgerySSIs

Identifiers

PMID40489818
PMCPMC12150954

What Socratic 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 Socratic graph.