ArticleJournal of clinical microbiology2013
Diversity of methicillin-resistant Staphylococcus aureus strains isolated from residents of 26 nursing homes in Orange County, California.
Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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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.
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.
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Who cites it
28 citing papers in PubMed, 47 citations in OpenAlex.
- Genomics reveal Staphylococcus aureus persists during long-term urinary catheterization despite antimicrobial therapy and catheter exchanges.Nature communications · 2026Article
- Characterization of the resistome and predominant genetic lineages of Gram-positive bacteria causing keratitis.Antimicrobial agents and chemotherapy · 2024Article
- Prevalence and Risk Factors for Multidrug-Resistant Organisms Colonization in Long-Term Care Facilities Around the World: A Review.Antibiotics (Basel, Switzerland) · 2021Review
- Association between length of residence and prevalence of MRSA colonization among residents in geriatric long-term care facilities.BMC geriatrics · 2020Article
- Hospital-Associated Multidrug-Resistant MRSA Lineages Are Trophic to the Ocular Surface and Cause Severe Microbial Keratitis.Frontiers in public health · 2020Article
- Proportion of asylum seekers carrying multi-drug resistant microorganisms is persistently increased after arrival in the Netherlands.Antimicrobial resistance and infection control · 2019Article
- Article
- Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes.Current infectious disease reports · 2017Review
- Infrequent Use of Isolation Precautions in Nursing Homes: Implications for an Evolving Population.Journal of the American Geriatrics Society · 2017Article
- Perceptions of Gown and Glove Use to Prevent Methicillin-resistant Staphylococcus aureus Transmission in Nursing Homes.Journal of the American Medical Directors Association · 2017Article
- Transmission of methicillin-resistant Staphylococcus aureus in long-term care facilities and their related healthcare networks.Genome medicine · 2016Observational
- Transmission of MDR MRSA between primates, their environment and personnel at a United States primate centre.The Journal of antimicrobial chemotherapy · 2016Article
- Strategies to Prevent MRSA Transmission in Community-Based Nursing Homes: A Cost Analysis.Infection control and hospital epidemiology · 2016Observational
- Transmission Clusters of Methicillin-Resistant Staphylococcus Aureus in Long-Term Care Facilities Based on Whole-Genome Sequencing.Infection control and hospital epidemiology · 2016Article
- Not just a matter of size: a hospital-level risk factor analysis of MRSA bacteraemia in Scotland.BMC infectious diseases · 2016Article
- Shifts in the Clonal Distribution of Methicillin-Resistant Staphylococcus aureus in Kuwait Hospitals: 1992-2010.PloS one · 2016Article
- Characterization of methicillin-resistant Staphylococcus aureus from residents and the environment in a long-term care facility.Epidemiology and infection · 2015Article
- Transmission of Methicillin-Resistant Staphylococcus aureus (MRSA) to Healthcare Worker Gowns and Gloves During Care of Nursing Home Residents.Infection control and hospital epidemiology · 2015Observational
- Multidrug-Resistant Gram-Negative Bacteria: Inter- and Intradissemination Among Nursing Homes of Residents With Advanced Dementia.Infection control and hospital epidemiology · 2015Article
- Colonization with Multi-Drug Resistant Organisms in Nursing Homes: Scope, Importance, and Management.Current geriatrics reports · 2015Article
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 2 countries.
Funding
Abstract
Nursing homes represent a unique and important methicillin-resistant Staphylococcus aureus (MRSA) reservoir. Not only are strains imported from hospitals and the community, strains can be transported back into these settings from nursing homes. Since MRSA bacteria are prevalent in nursing homes and yet relatively poorly studied in this setting, a multicenter, regional assessment of the frequency and diversity of MRSA in the nursing home reservoir was carried out and compared to that of the MRSA from hospitals in the same region. The prospective study collected MRSA from nasal swabbing of residents of 26 nursing homes in Orange County, California, and characterized each isolate by spa typing. A total of 837 MRSA isolates were collected from the nursing homes. Estimates of admission prevalence and point prevalence of MRSA were 16% and 26%, respectively. The spa type genetic diversity was heterogeneous between nursing homes and significantly higher overall (77%) than the diversity in Orange County hospitals (72%). MRSA burden in nursing homes appears largely due to importation from hospitals. As seen in Orange County hospitals, USA300 (sequence type 8 [ST8]/t008), USA100 (ST5/t002), and a USA100 variant (ST5/t242) were the dominant MRSA clones in Orange County nursing homes, representing 83% of all isolates, although the USA100 variant was predominant in nursing homes, whereas USA300 was predominant in hospitals. Control strategies tailored to the complex problem of MRSA transmission and infection in nursing homes are needed in order to minimize the impact of this unique reservoir on the overall regional MRSA burden.
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