Evidence map›Paper›PMID 22473373›Full record

ArticlePediatrics2012

Relationship between maternal and neonatal Staphylococcus aureus colonization.

Natalia Jimenez-Truque, Sara Tedeschi, Elizabeth J Saye, Brian D McKenna, Weston Langdon, Jesse P Wright, Andrew Alsentzer, Sandra Arnold, Benjamin R Saville, Wenli Wang and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. The global epidemiology of MRSA.JAC-antimicrobial resistance · 2026
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  11. Impact of methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
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  14. Infection and immunity · 2023
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  15. Article
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  18. Vancomycin Pharmacokinetics in a Pregnancy Rat Model.Antimicrobial agents and chemotherapy · 2022
    Article
  19. Article
  20. Epidemiological typing of methicillin resistantInfection prevention in practice · 2021
    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

12 authors at 4 institutions in 1 country.

Natalia Jimenez-TruqueDivision of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA. natalia.jimenez@vanderbilt.edu
Sara Tedeschi
Elizabeth J Saye
Brian D McKenna
Weston Langdon
Jesse P Wright
Andrew Alsentzer
Sandra Arnold
Benjamin R Saville
Wenli Wang
Isaac Thomsen
C Buddy Creech
Vanderbilt University Medical Center · USVanderbilt University · USHarvard University Press · USUniversity of Tennessee Health Science Center · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) TL1TL1RR024978 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$1.3M
Creating Collaborative Research Ethics Education with Costa RicaR25TW007697 · FIC · VANDERBILT UNIVERSITY · PI HEITMAN, ELIZABETH · 2006 to 2010
$905k
FIC NIH HHS 1 R25 TW007697FIC NIH HHS R25 TW007697NCRR NIH HHS 1 UL1 RR024975NCRR NIH HHS KL2 RR024977NCRR NIH HHS TL1 RR024978NCRR NIH HHS UL1 RR024975
6 · The paper itself

Abstract

objectiveThe study aimed to assess whether maternal colonization with Staphylococcus aureus during pregnancy or at delivery was associated with infant staphylococcal colonization.

methodsFor this prospective cohort study, women were enrolled at 34 to 37 weeks of gestation between 2007 and 2009. Nasal and vaginal swabs for culture were obtained at enrollment; nasal swabs were obtained from women and their infants at delivery and 2- and 4-month postbirth visits. Logistic regression was used to determine whether maternal colonization affected infant colonization.

resultsOverall, 476 and 471 mother-infant dyads had complete data for analysis at enrollment and delivery, respectively. Maternal methicillin-resistant S aureus (MRSA) colonization occurred in 10% to 17% of mothers, with the highest prevalence at enrollment. Infant MRSA colonization peaked at 2 months of age, with 20.9% of infants colonized. Maternal staphylococcal colonization at enrollment increased the odds of infant staphylococcal colonization at birth (odds ratio; 95% confidence interval: 4.8; 2.4-9.5), hospital discharge (2.6; 1.3-5.0), at 2 months of life (2.7; 1.6-4.3), and at 4 months of life (2.0; 1.1-3.5). Similar results were observed for maternal staphylococcal colonization at delivery. Fifty maternal-infant dyads had concurrent MRSA colonization: 76% shared isolates of the same pulsed-field type, and 30% shared USA300 isolates. Only 2 infants developed staphylococcal disease.

conclusionsS aureus colonization (including MRSA) was extremely common in this cohort of maternal-infant pairs. Infants born to mothers with staphylococcal colonization were more likely to be colonized, and early postnatal acquisition appeared to be the primary mechanism.

Indexed as

Infectious Disease Transmission, VerticalMethicillin-Resistant Staphylococcus aureusAge FactorsBacteriological TechniquesCohort StudiesCross-Sectional StudiesFemaleHumansInfant, NewbornMaleNasal MucosaOdds RatioProspective StudiesStaphylococcal InfectionsTennesseeVagina

Identifiers

PMID22473373
PMCPMC3340589
OpenAlexW2073164353

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.