Evidence map›Paper›PMID 23663295›Full record

ArticleBMC infectious diseases2013

ST9 MRSA strains carrying a variant of type IX SCCmec identified in the Thai community.

Aroonlug Lulitanond, Teruyo Ito, Shanshuang Li, Xiao Han, Xiao Xue Ma, Chulapan Engchanil, Aroonwadee Chanawong, Chotechana Wilailuckana, Netchanok Jiwakanon, Keiichi Hiramatsu

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 33 citations in OpenAlex.

  1. Methicillin-resistantiScience · 2026
    Review
  2. Novel Variants of SCCAntibiotics (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Diversity and Dissemination of Methicillin-ResistantTropical medicine and infectious disease · 2022
    Review
  5. Article
  6. Article
  7. Review
  8. Acquisition Risk Factors of the SCCAntibiotics (Basel, Switzerland) · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. Typing of staphylococcal cassette chromosomeNew microbes and new infections · 2018
    Article
  13. Article
  14. Article
  15. 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

10 authors at 3 institutions in 2 countries.

Aroonlug LulitanondCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Teruyo Ito
Shanshuang Li
Xiao Han
Xiao Xue Ma
Chulapan Engchanil
Aroonwadee Chanawong
Chotechana Wilailuckana
Netchanok Jiwakanon
Keiichi Hiramatsu
Juntendo University · JPKhon Kaen University · THNorth Eastern University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfections caused by methicillin-resistant Staphylococcus aureus (MRSA) in Thailand occur most frequently in healthcare facilities. However, reports of community-associated MRSA are limited.

methodsWe characterized 14 MRSA isolates from outpatients (O-1 to O-14) by phenotypic and genotypic methods and compared them with 5 isolates from inpatients (I-1 to I-5). Thai MRSA isolates from a healthcare worker (N-1) and a pig (P-1) were also included as ST9 MRSA strains from other sources.

resultsAll MRSA isolates from the outpatients and inpatients were multidrug-resistant (resistant to ≥3 classes of antimicrobials). All of them except strains O-2 and I-3 carried type III SCCmec and belonged to agrI, coagulase IV, spa type t037 or t233, which related to ST239. The strain O-2 (JCSC6690) carried type IX SCCmec and belonged to agrII, coagulaseXIc, spa type t337 and ST9, whereas the strain I-3 carried a type III SCCmec and belonged to ST1429. Nucleotide sequence determination revealed that the type IX SCCmec element in strain O-2 was distinct from that in a Thai ST398 strain (JCSC6943) previously identified in 2011; nucleotide identities of ccrA and ccrB were 93 and 91%, respectively and several open reading frames (ORFs) at the joining regions were different. PCR experiments suggested that strain O-2 and N-1 carried similar SCCmec element, whereas that of strain P-1 was different, suggesting that distinct ST9-MRSA-IX clones might be spreading in this province.

conclusionsThe SCCmecIX-ST9 MRSA clones of distinct SCCmec subtypes might have emerged in the Thai community and might also have disseminated into the hospital.

Indexed as

Anti-Bacterial AgentsElectrophoresis, Gel, Pulsed-FieldGenes, BacterialHumansMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsMolecular TypingStaphylococcal InfectionsThailandAnti-Bacterial Agents

Identifiers

PMID23663295
PMCPMC3658997
OpenAlexW2103695050

What OpenQuestion holds

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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.