Evidence map›Paper›PMID 24393651›Full record

ArticleThe Journal of infection2014

Dynamics of acquisition and loss of carriage of Staphylococcus aureus strains in the community: the effect of clonal complex.

Ruth R Miller, A Sarah Walker, Heather Godwin, Rowena Fung, Antonina Votintseva, Rory Bowden, David Mant, Timothy E A Peto, Derrick W Crook, Kyle Knox

Abstract read
In one paragraph

Article in The Journal of infection, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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.

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

27 citing papers in PubMed.

  1. Nasal microbiome inhabitants with anti-Microbiology spectrum · 2025
    Article
  2. Different evolution ofHeliyon · 2024
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  4. Colonization and transmission ofMicrobial genomics · 2023
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  5. Article
  6. Article
  7. Article
  8. Nasal Methicillin-ResistantOpen forum infectious diseases · 2021
    Article
  9. Article
  10. Article
  11. Novel Methicillin-ResistantFrontiers in microbiology · 2019
    Article
  12. Longitudinal Population Dynamics ofFrontiers in genetics · 2019
    Article
  13. Article
  14. Article
  15. Decolonization ofJournal of healthcare engineering · 2018
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  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

10 authors.

Ruth R MillerNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; UBC School of Population and Public Health, British Columbia Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC V5Z 4R4, Canada. Electronic address: Ruth.Miller@bccdc.ca.
A Sarah WalkerNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Heather GodwinNational Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; Oxford University Hospitals National Health Service Trust, Oxford OX3 9DU, United Kingdom.
Rowena FungNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Antonina VotintsevaNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Rory BowdenNational Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; Department of Statistics, University of Oxford, Oxford OX1 3TG, United Kingdom; Wellcome Trust Centre for Human Genetics, Oxford OX3 7BN, United Kingdom.
David MantDepartment of Primary Care Health Sciences, University of Oxford, Oxford OX1 2ET, United Kingdom.
Timothy E A PetoNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Derrick W CrookNuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Kyle KnoxNational Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom; Department of Primary Care Health Sciences, University of Oxford, Oxford OX1 2ET, United Kingdom.

Funding

Biotechnology and Biological Sciences Research CouncilDepartment of Health G0800778Department of Health RP-PG-0407-10347Medical Research Council G0800778Wellcome Trust 087646/Z/08/Z
6 · The paper itself

Abstract

backgroundStaphylococcus aureus nasal carriage increases infection risk. However, few studies have investigated S. aureus acquisition/loss over >1 year, and fewer still used molecular typing.

methods1123 adults attending five Oxfordshire general practices had nasal swabs taken. 571 were re-swabbed after one month then every two months for median two years. All S. aureus isolates were spa-typed. Risk factors were collected from interviews and medical records.

results32% carried S. aureus at recruitment (<1% MRSA). Rates of spa-type acquisition were similar in participants S. aureus positive (1.4%/month) and negative (1.8%/month, P = 0.13) at recruitment. Rates were faster in those carrying clonal complex (CC)15 (adjusted (a)P = 0.03) or CC8 (including USA300) (aP = 0.001) at recruitment versus other CCs. 157/274 (57%) participants S. aureus positive at recruitment returning ≥ 12 swabs carried S. aureus consistently, of whom 135 carried the same spa-type. CC22 (including EMRSA-15) was more prevalent in long-term than intermittent spa-type carriers (aP = 0.03). Antibiotics transiently reduced carriage, but no other modifiable risk factors were found.

conclusionsBoth transient and longer-term carriage exist; however, the approximately constant rates of S. aureus gain and loss suggest that 'never' or truly 'persistent' carriage are rare. Long-term carriage varies by strain, offering new explanations for the success of certain S. aureus clones.

Indexed as

AdolescentAdultAgedAged, 80 and overCarrier StateGenotypeHumansMaleMiddle AgedMolecular EpidemiologyMolecular TypingNasal MucosaStaphylococcal InfectionsStaphylococcal Protein AStaphylococcus aureusUnited KingdomStaphylococcal Protein ACarriage durationColonisationMolecular epidemiologyspa-typingStaphylococcus aureus

Identifiers

PMID24393651
PMCPMC4003537

What OpenQuestion holds

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LicenceCC BY
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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.