Evidence map›Paper›PMID 17021102›Full record

ArticleJournal of clinical microbiology2006

Use of a single-nucleotide polymorphism genotyping system to demonstrate the unique epidemiology of methicillin-resistant Staphylococcus aureus in remote aboriginal communities.

Malcolm McDonald, Annette Dougall, Deborah Holt, Flavia Huygens, Frances Oppedisano, Philip M Giffard, John Inman-Bamber, Alex J Stephens, Rebecca Towers, Jonathan R Carapetis and 1 more

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing 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

62 citing papers in PubMed.

  1. Trial
  2. Accurately IdentifyingDiagnostics (Basel, Switzerland) · 2026
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  4. Article
  5. Prosthetic Joint Infection Caused byInfection and drug resistance · 2026
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  6. TheJournal of clinical microbiology · 2025
    Review
  7. Unmasking Methicillin-resistantFrontiers in microbiology · 2025
    Article
  8. Article
  9. Article
  10. Characterisation of PVL-PositiveAntibiotics (Basel, Switzerland) · 2024
    Article
  11. Microbiology spectrum · 2024
    Article
  12. Article
  13. Article
  14. Clonal Complexes Distribution ofAntibiotics (Basel, Switzerland) · 2023
    Article
  15. Article
  16. Article
  17. Microorganisms · 2022
    Review
  18. First Report of a Methicillin-Resistant, High-Level Mupirocin-ResistantFrontiers in cellular and infection microbiology · 2022
    Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

11 authors.

Malcolm McDonaldMenzies School of Health Research, P.O. Box 41096, Casuarina, 0811 Northern Territory, Australia. malcolm@menzies.edu.au.
Annette Dougall
Deborah Holt
Flavia Huygens
Frances Oppedisano
Philip M Giffard
John Inman-Bamber
Alex J Stephens
Rebecca Towers
Jonathan R Carapetis
Bart J Currie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has emerged as a major public health problem in Australia, as in many other parts of the world. High rates of CA-MRSA skin and soft tissue infection have been reported from Aboriginal communities. We used a single-nucleotide polymorphism (SNP) genotyping typing system based on the multilocus sequence type (MLST) database to investigate the epidemiology of CA-MRSA and methicillin-sensitive S. aureus (MSSA) over a 12-month period in three remote Aboriginal communities of Northern Australia. This was supplemented by real-time PCR for Panton-Valentine leukocidin (PVL) genes, staphylococcal cassette chromosome mec (SCCmec) typing, and antimicrobial susceptibility testing. S. aureus was recovered from pyoderma lesions on 221 occasions and throat swabs on 44 occasions. The median monthly recovery rate of S. aureus from skin sores was 58% (interquartile range, 62 to 78%), and there was no seasonal variation. Twenty-three percent of isolates were CA-MRSA; the proportion was similar across the communities and did not vary over the study period. Erythromycin resistance was found in 47% of CA-MRSA and 21% of MSSA. SNP-based typing identified 14 different clonal complexes (cc); however, cc75 was predominant, accounting for 71% of CA-MRSA isolates. These were confirmed as ST75-like by using an additional SNP and MLST of selected isolates. All but one of the cc75 isolates had SSCmec type IV (one had type V), and all were PVL negative. Monthly tracking of SNP-based cc types showed a highly dynamic process. ST75-MRSA-IV appears to be unique to the region and probably evolved de novo in remote Aboriginal communities.

Indexed as

Methicillin ResistanceAustraliaBacterial Typing TechniquesBiological EvolutionGenotypeHumansPolymorphism, Single NucleotidePyodermaStaphylococcal InfectionsStaphylococcus aureus

Identifiers

PMID17021102
PMCPMC1594797

What OpenQuestion holds

Textmetadata
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.