Evidence map›Paper›PMID 41946580›Full record

ArticleInternational wound journal2026

Body Mass Index: A Key Factor in Surgical Site Infections After Kidney Transplantation?

Mohamed El-Mahrouk, Raphaela Sorgnitt, Gerold Schwantzer, Robert Karitinig, Derar Jaradat, Zoltan Mathe, Robert Sucher, Daniela Kniepeiss

Abstract read
In one paragraph

Article in International wound journal, 2026. 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. Review
  2. The obese transplant organ recipient: experimental and clinical evidence for tailored immunosuppression.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    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

8 authors.

Mohamed El-MahroukDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0009-0000-7228-5197
Raphaela SorgnittDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Gerold SchwantzerMedical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Robert KaritinigDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Derar JaradatDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Zoltan MatheDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Robert SucherDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Daniela KniepeissDivision of General, Visceral and Transplantation Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Funding

Medical University of Graz
6 · The paper itself

Abstract

Kidney transplant recipients are at increased risk of surgical site infections (SSIs) due to procedural complexity and immunosuppression. This retrospective single-centre study examines the influence of BMI on SSI risk and identifies common pathogens. A total of 230 renal transplant patients were included in this analysis 2017 and 2019. All patients received a cephalosporin for prophylaxis, and wound swabs were taken from those who developed SSIs. SSIs occurred in 45 patients (19.6%) and were not significantly associated with age, sex or donor type. The most common organisms were coagulase-negative staphylococci (26.7%), Staphylococcus epidermidis (24.4%), Enterococcus faecalis (22.2%) and Candida albicans (22.2%). SSIs were significantly linked to surgical revision (p < 0.001) and higher BMI (p = 0.027). A BMI ≥ 28.1 was associated with threefold higher odds of SSIs (OR = 3.0; p = 0.001). Each one-unit increase in BMI was associated with a 7.2% increase in the odds of SSI occurrence (OR = 1.072; p = 0.020). Staphylococcus (p = 0.019) and Enterococcus (p = 0.048) infections were more common in patients with BMI > 28.1. Therefore, SSIs are a frequent complication posttransplant and are strongly associated with high BMI. Standard antibiotic regimens may not cover all relevant pathogens in obese patients, underscoring the need for tailored prophylactic strategies.

Indexed as

Body Mass IndexKidney TransplantationSurgical Wound InfectionAdultAgedAntibiotic ProphylaxisFemaleHumansMaleMiddle AgedObesityRetrospective StudiesRisk Factorsantimicrobial prophylaxisBMIkidney transplantationobesitysurgical site infections

Identifiers

PMID41946580
PMCPMC13056484

What Socratic holds

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LicenceCC BY-NC
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.