Evidence map›Paper›PMID 24004702›Full record

Observational studyJournal of the American Board of Family Medicine : JABFM

Treatment failure and costs in patients with methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections: a South Texas Ambulatory Research Network (STARNet) study.

Matthew J Labreche, Grace C Lee, Russell T Attridge, Eric M Mortensen, Jim Koeller, Liem C Du, Natalie R Nyren, Lucina B Treviño, Sylvia B Treviño, Joel Peña and 10 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02600871 (Skin and Soft Tissue Infection), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

NCT02600871 phase4completednot on this map

Skin and Soft Tissue Infection (SSTI) Study

TypeinterventionalSponsorThe University of Texas Health Science Center at San AntonioRan2015 to 2017Enrolled101ConditionsSkin Diseases, Infectious, Soft Tissue InfectionsArmsProvodine, Incision and Drainage
3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
  2. Efficacy, safety, tolerability and population pharmacokinetics of tedizolid, a novel antibiotic, in Latino patients with acute bacterial skin and skin structure infections.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Article
  10. Itaconate induces tolerance ofFrontiers in microbiology · 2024
    Article
  11. Article
  12. Article
  13. Clinical Impact ofAntibiotics (Basel, Switzerland) · 2023
    Review
  14. Article
  15. Article
  16. Reducing transmission of methicillin-resistantInfection prevention in practice · 2019
    Article
  17. Article
  18. Article
  19. Review
  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

20 authors.

Matthew J LabrecheDivision of Pharmacotherapy, College of Pharmacy, University of Texas at Austin, Austin, USA.
Grace C Lee
Russell T Attridge
Eric M Mortensen
Jim Koeller
Liem C Du
Natalie R Nyren
Lucina B Treviño
Sylvia B Treviño
Joel Peña
Michael W Mann
Abilio Muñoz
Yolanda Marcos
Guillermo Rocha
Stella Koretsky
Sandra Esparza
Mitchell Finnie
Steven D Dallas
Michael L Parchman
Christopher R Frei

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR001118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, DOUGHERTY, DONALD M · 2013 to 2017
$3.4M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2RR025766 · NCRR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2008 to 2011
$1.7M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR000118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2012 to 2013
$757k
NCATS NIH HHS KL2 TR000118NCATS NIH HHS KL2 TR001118NCATS NIH HHS UL1 TR001120NCRR NIH HHS 5KL2 RR025766NCRR NIH HHS KL2 RR025766
6 · The paper itself

Abstract

objectiveTo measure the incidence of treatment failure and associated costs in patients with methicillin-resistant Staphylococcus aureus skin and soft tissue infections (SSTIs).

methodsThis was a prospective, observational study in 13 primary care clinics. Primary care providers collected clinical data, wound swabs, and 90-day follow-up information. Patients were considered to have "moderate or complicated" SSTIs if they had a lesion ≥5 cm in diameter or diabetes mellitus. Treatment failure was evaluated within 90 days of the initial visit. Cost estimates were obtained from federal sources.

resultsOverall, treatment failure occurred in 21% of patients (21 of 98) at a mean additional cost of $1,933.71 per patient. In a subgroup analysis of patients who received incision and drainage, those with moderate or complicated SSTIs had higher rates of treatment failure than those with mild or uncomplicated SSTIs (36% vs. 10%; P=.04).

conclusionsOne in 5 patients presenting to a primary care clinic for a methicillin-resistant S. aureus SSTI will likely require additional interventions at an associated cost of almost $2,000 per patient. Baseline risk stratification and new treatment approaches are needed to reduce treatment failures and costs in the primary care setting.

Indexed as

Methicillin-Resistant Staphylococcus aureusTreatment FailureAdultAnti-Bacterial AgentsBody Mass IndexCommunity-Acquired InfectionsDiabetes MellitusDrainageEmergency Service, HospitalHispanic or LatinoHospitalizationHumansPrimary Health CareProspective StudiesRecurrenceSeverity of Illness IndexAnti-Bacterial AgentsAntibioticsCost of IllnessEpidemiologyInfectious DiseasesPractice-based ResearchPrimary Health Care

Identifiers

PMID24004702
PMCPMC3890434

What OpenQuestion holds

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Registered trials

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.