Evidence map›Paper›PMID 21955438›Full record

ArticleBMC microbiology2011

Evolution and diversity of community-associated methicillin-resistant Staphylococcus aureus in a geographical region.

Geoffrey W Coombs, Stefan Monecke, Julie C Pearson, Hui-leen Tan, Yi-Kong Chew, Lynne Wilson, Ralf Ehricht, Frances G O'Brien, Keryn J Christiansen

Abstract read
In one paragraph

Article in BMC microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Article
  2. Article
  3. Genomic Epidemiology of Clonal Complex 1International journal of microbiology · 2025
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  6. Clonal Complexes Distribution ofAntibiotics (Basel, Switzerland) · 2023
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  8. Surveillance of osteoarticular infections caused byFrontiers in cellular and infection microbiology · 2022
    Article
  9. Article
  10. Article
  11. Article
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  13. Article
  14. Article
  15. Distribution of staphylococcal cassette chromosomeIranian journal of microbiology · 2018
    Article
  16. Article
  17. Emerging multidrug-resistant Bengal Bay clone ST772-MRSA-V in Norway: molecular epidemiology 2004-2014.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  18. Article
  19. Article
  20. 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

9 authors.

Geoffrey W CoombsAustralian Collaborating Centre for Enterococcus and Staphylococcus Species Typing and Research, PathWest Laboratory Medicine-WA, Royal Perth Hospital, Wellington Street, Perth, Western Australia, 6000 Australia. geoffrey.coombs@health.wa.gov.au
Stefan Monecke
Julie C Pearson
Hui-leen Tan
Yi-Kong Chew
Lynne Wilson
Ralf Ehricht
Frances G O'Brien
Keryn J Christiansen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) was first reported in remote regions of Western Australia and is now the predominant MRSA isolated in the state. The objective of this study is to determine the genetic relatedness of Western Australian CA-MRSA clones within different multilocus sequence type (MLST) clonal clusters providing an insight into the frequency of S. aureus SCCmec acquisition within a region.

resultsThe CA-MRSA population in Western Australia is genetically diverse consisting of 83 unique pulsed-field gel electrophoresis strains from which 46 MLSTs have been characterised. Forty five of these sequence types are from 18 MLST clonal clusters and two singletons. While SCCmec IV and V are the predominant SCCmec elements, SCCmec VIII and several novel and composite SCCmec elements are present. The emergence of MRSA in diverse S. aureus clonal clusters suggests horizontal transmission of the SCCmec element has occurred on multiple occasions. Furthermore DNA microarray and spa typing suggests horizontal transfer of SCCmec elements has also occurred within the same CC. For many single and double locus variant CA-MRSA clones only a few isolates have been detected.

conclusionsAlthough multiple CA-MRSA clones have evolved in the Western Australian community only three clones have successfully adapted to the Western Australian community environment. These data suggest the successful evolution of a CA-MRSA clone may not only depend on the mobility of the SCCmec element but also on other genetic determinants.

Indexed as

Evolution, MolecularGenetic VariationCommunity-Acquired InfectionsHumansMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusPhylogenyStaphylococcal InfectionsWestern Australia

Identifiers

PMID21955438
PMCPMC3197503

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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.