Evidence map›Paper›PMID 24412125›Full record

ArticleAmerican journal of ophthalmology2014

Screening and characterization of Staphylococcus aureus from ophthalmology clinic surfaces: a proposed surveillance tool.

Rachel E Reem, Joany Van Balen, Armando E Hoet, Colleen M Cebulla

Abstract read
In one paragraph

Article in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Methicillin-resistant Staphylococcus aureus biofilm formation on dacryocystorhinostomy silicone tubes depends on the genetic lineage.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2015
    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

4 authors at 2 institutions in 1 country.

Rachel E ReemDepartment of Ophthalmology, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Joany Van BalenDepartment of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio.
Armando E HoetDepartment of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio.
Colleen M CebullaDepartment of Ophthalmology, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: colleen.cebulla@osumc.edu.
The Ohio State University · USThe Ohio State University Wexner Medical Center · US

Funding

Genetic polymorphisms in retinal detachment with proliferative vitreoretinopathyK08EY022672 · NEI · OHIO STATE UNIVERSITY · PI CEBULLA, COLLEEN MARIE · 2012 to 2016
$1.1M
NEI NIH HHS K08 EY022672NEI NIH HHS K08EY022672NIAID NIH HHS HHSN272200700055C
6 · The paper itself

Abstract

purposeTo screen environmental surfaces of an outpatient ophthalmic clinic for methicillin-susceptible and methicillin-resistant Staphylococcus aureus (MSSA and MRSA); to identify the most commonly contaminated surfaces and to phenotype and genotype all collected isolates.

designA single institution, 1-year prospective environmental study.

methodsCommonly touched surfaces in examination rooms and common areas were targeted and sampled on a quarterly basis for 1 year. Samples were collected using electrostatic cloths and swabs. S. aureus was isolated using nonselective and selective media. Morphologic characteristics and standard biologic testing were used to confirm staphylococcal species. S. aureus isolates were phenotypically (Kirby-Bauer method) and genotypically characterized (mecA confirmation, SCCmec typing and pulsed-field gel electrophoresis). Dendrogram analysis was used to establish genetic relatedness between the isolates.

resultsOf 112 total samples, 27 (24%) and 5 (4%) were MSSA- and MRSA-positive, respectively. Both community-associated (SCCmec IV, USA300) and hospital-associated (SCCmec II, USA100) MRSA isolates were found. No single surface remained consistently positive with the same isolate over time, and molecular analysis demonstrated high levels of diversity among isolates. Doorknobs, slit-lamp headrests and chinrests, and computer keyboards were commonly found to be contaminated.

conclusionsThe proposed surveillance protocol successfully allowed the detection of both MSSA and MRSA contaminating important high-touch surfaces in a representative ophthalmology clinic. Frequently contaminated surfaces must be targeted for routine cleaning and disinfection because there is a constant introduction of clones over time. Hence, other clinics may consider implementing and adapting surveillance tools, like the one described here, to help them control these important nosocomial pathogens.

Indexed as

Environmental MicrobiologyEpidemiological MonitoringAcademic Medical CentersAnti-Bacterial AgentsBacterial Typing TechniquesDNA, BacterialElectrophoresis, Gel, Pulsed-FieldEquipment ContaminationEye Infections, BacterialHumansMethicillinMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsOphthalmologyOutpatient Clinics, HospitalPrevalenceAnti-Bacterial AgentsDNA, BacterialMethicillin

Identifiers

PMID24412125
PMCPMC3979306
OpenAlexW2145566037

What OpenQuestion holds

Textmetadata
LicenceTDM
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.