Evidence map›Paper›PMID 24284779›Full record

ArticleThe Journal of antimicrobial chemotherapy2014

Prevalence and characterization of human mecC methicillin-resistant Staphylococcus aureus isolates in England.

G K Paterson, F J E Morgan, E M Harrison, E J P Cartwright, M E Török, R N Zadoks, J Parkhill, S J Peacock, M A Holmes

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
  2. Genetic Diversity of Methicillin-ResistantInternational journal of microbiology · 2026
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  3. A comparative study of methicillin resistance and mupirocin resistance inJournal of family medicine and primary care · 2025
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  4. Characterizing Methicillin-ResistantAnimals : an open access journal from MDPI · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Methicillin-ResistantIranian journal of public health · 2023
    Review
  9. Prevalence ofBiomedicines · 2023
    Article
  10. Prevalence ofMicroorganisms · 2022
    Article
  11. Article
  12. Article
  13. Prevalence and characterization ofJAC-antimicrobial resistance · 2021
    Article
  14. Article
  15. Genomic Analysis ofFrontiers in microbiology · 2021
    Article
  16. First report of methicillin-resistantNew microbes and new infections · 2021
    Article
  17. HumanMicroorganisms · 2020
    Review
  18. Phenotype and Genotype Characteristics ofMicrobial drug resistance (Larchmont, N.Y.) · 2020
    Article
  19. Marked Presence of Methicillin-ResistantAnimals : an open access journal from MDPI · 2020
    Article
  20. Pathogens (Basel, Switzerland) · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

G K PatersonDepartment of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.
F J E Morgan
E M Harrison
E J P Cartwright
M E Török
R N Zadoks
J Parkhill
S J Peacock
M A Holmes
University of Cambridge · GBMoredun Research Institute · GBWellcome Sanger Institute · GB

Funding

Medical Research Council G1001787Medical Research Council G1001787/1Wellcome Trust
6 · The paper itself

Abstract

objectivesThere are limited data available on the epidemiology and prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in the human population that encode the recently described mecA homologue, mecC. To address this knowledge gap we undertook a prospective prevalence study in England to determine the prevalence of mecC among MRSA isolates. PATIENTS AND

methodsThree hundred and thirty-five sequential MRSA isolates from individual patients were collected from each of six clinical microbiology laboratories in England during 2011-12. These were tested by PCR or genome sequencing to differentiate those encoding mecA and mecC. mecC-positive isolates were further characterized by multilocus sequence typing, spa typing, antimicrobial susceptibility profile and detection of PBP2a using commercially available kits.

resultsNine out of the 2010 MRSA isolates tested were mecC positive, indicating a prevalence among MRSA in England of 0.45% (95% CI 0.24%-0.85%). The remainder were mecA positive. Eight out of these nine mecC MRSA isolates belonged to clonal complex 130, the other being sequence type 425. Resistance to non-β-lactam antibiotics was rare among these mecC MRSA isolates and all were phenotypically identified as MRSA using oxacillin and cefoxitin according to BSAC disc diffusion methodology. However, all nine mecC isolates gave a negative result using three different commercial PBP2a detection assays.

conclusionsmecC MRSA are currently rare among MRSA isolated from humans in England and this study provides an important baseline prevalence rate to monitor future changes, which may be important given the increasing prevalence of mecC MRSA reported in Denmark.

Indexed as

DNA, BacterialEnglandGenes, BacterialGenotypeHumansMethicillin-Resistant Staphylococcus aureusMolecular EpidemiologyMolecular TypingPolymerase Chain ReactionPrevalenceProspective StudiesSequence Analysis, DNAStaphylococcal InfectionsDNA, Bacterialmec genesMRSAS. aureussurveillance

Identifiers

PMID24284779
PMCPMC3956372
OpenAlexW2171694129

What OpenQuestion holds

Textmetadata
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.