Evidence map›Paper›PMID 21494333›Full record

ArticlePloS one2011

A field guide to pandemic, epidemic and sporadic clones of methicillin-resistant Staphylococcus aureus.

Stefan Monecke, Geoffrey Coombs, Anna C Shore, David C Coleman, Patrick Akpaka, Michael Borg, Henry Chow, Margaret Ip, Lutz Jatzwauk, Daniel Jonas and 12 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 448 papers.

0numbers the graph read from it
0cells of the map it votes in
448citing papers in PubMed
33.4field-weighted citation impact, top 1% of its field
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

448 citing papers in PubMed, 944 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Whole-genome sequencing ofMicrobiology spectrum · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Population genomic variation inMicrobial genomics · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Antimicrobial resistance and zinc resistance geneFrontiers in microbiology · 2026
    Article
  16. Article
  17. Review
  18. Journal of bacteriology · 2025
    Article
  19. Characterization ofAntibiotics (Basel, Switzerland) · 2025
    Article
  20. Article

388 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

22 authors at 16 institutions in 10 countries.

Stefan MoneckeInstitute for Medical Microbiology and Hygiene, Technical University of Dresden, Dresden, Germany. monecke@rocketmail.com
Geoffrey Coombs
Anna C Shore
David C Coleman
Patrick Akpaka
Michael Borg
Henry Chow
Margaret Ip
Lutz Jatzwauk
Daniel Jonas
Kristina Kadlec
Angela Kearns
Frederic Laurent
Frances G O'Brien
Julie Pearson
Antje Ruppelt
Stefan Schwarz
Elizabeth Scicluna
Peter Slickers
Hui-Leen Tan
Stefan Weber
Ralf Ehricht
Alere (Germany) · DERoyal Perth Hospital · AUFriedrich-Loeffler-Institut · DETU Dresden · DEChinese University of Hong Kong · CNCzech Academy of Sciences, Institute of Microbiology · CZDublin Dental University Hospital · IEMater Dei Hospital · MTPublic Health England · GBShaikh Khalifa Medical City · AETrinity College Dublin · IEUniversité Claude Bernard Lyon 1 · FRUniversity Medical Center Freiburg · DEUniversity of Malta · MTUniversity of the West Indies · TTUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, methicillin-resistant Staphylococcus aureus (MRSA) have become a truly global challenge. In addition to the long-known healthcare-associated clones, novel strains have also emerged outside of the hospital settings, in the community as well as in livestock. The emergence and spread of virulent clones expressing Panton-Valentine leukocidin (PVL) is an additional cause for concern. In order to provide an overview of pandemic, epidemic and sporadic strains, more than 3,000 clinical and veterinary isolates of MRSA mainly from Germany, the United Kingdom, Ireland, France, Malta, Abu Dhabi, Hong Kong, Australia, Trinidad & Tobago as well as some reference strains from the United States have been genotyped by DNA microarray analysis. This technique allowed the assignment of the MRSA isolates to 34 distinct lineages which can be clearly defined based on non-mobile genes. The results were in accordance with data from multilocus sequence typing. More than 100 different strains were distinguished based on affiliation to these lineages, SCCmec type and the presence or absence of PVL. These strains are described here mainly with regard to clinically relevant antimicrobial resistance- and virulence-associated markers, but also in relation to epidemiology and geographic distribution. The findings of the study show a high level of biodiversity among MRSA, especially among strains harbouring SCCmec IV and V elements. The data also indicate a high rate of genetic recombination in MRSA involving SCC elements, bacteriophages or other mobile genetic elements and large-scale chromosomal replacements.

Indexed as

PandemicsAnimalsClone CellsGenes, BacterialHumansInterspersed Repetitive SequencesMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusOligonucleotide Array Sequence AnalysisSequence Analysis, DNAStaphylococcal InfectionsVirulence

Identifiers

PMID21494333
PMCPMC3071808
OpenAlexW2054504313

What OpenQuestion 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 OpenQuestion graph.