Evidence map›Paper›PMID 24765246›Full record

ArticleDiabetic foot & ankle2014

Risk factors for methicillin-resistant Staphylococcus aureus in diabetic foot infections.

Lawrence A Lavery, Javier La Fontaine, Kavita Bhavan, Paul J Kim, Jayme R Williams, Nathan A Hunt

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetic foot & ankle, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Important aspects during management of diabetic foot infection.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
  9. Review
  10. Exploring the Role ofToxins · 2022
    Review
  11. Article
  12. Pathophysiology and Molecular Imaging of Diabetic Foot Infections.International journal of molecular sciences · 2021
    Review
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Emergence of community-acquired methicillin-resistant Staphylococcus aureus EMRSA-15 clone as the predominant cause of diabetic foot ulcer infections in Portugal.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  18. Article
  19. Risk Factors for Invasive Methicillin-Resistant Staphylococcus aureus Infection After Recent Discharge From an Acute-Care Hospitalization, 2011-2013.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  20. Impact of Nares Swabs in the Operative Management of Distal Lower Extremity Infections.The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
    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

6 authors at 2 institutions in 1 country.

Lawrence A LaveryDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Javier La FontaineDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Kavita BhavanDivision of Infectious Disease, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Paul J KimDepartment of Plastic Surgery, Georgetown University, Washington, DC, USA.
Jayme R WilliamsSolo Private Practice, Granbury, TX, USA.
Nathan A HuntPrivate Practice, Orthopaedic & Spine Center of the Rockies, Fort Collins, CO, USA.
The University of Texas Southwestern Medical Center · USGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate risk factors for methicillin-resistant Staphylococcus aureus (MRSA) in patients hospitalized for diabetic foot infections.

methodsWe reviewed hospital admissions for foot infections in patients with diabetes which had nasal swabs, and anaerobic and aerobic tissue cultures at the time of admission. Data collected included patient characteristics and medical history to determine risk factors for developing an MRSA infection in the foot.

resultsThe prevalence of MRSA in these infections was 29.8%. Risk factors for MRSA diabetic foot infections were history of MRSA foot infection, MRSA nasal colonization, and multidrug-resistant organisms (p<0.05). Positive predictive value (PPV) and negative predictive value (NPV) of nasal colonization with MRSA to identify MRSA diabetic foot infections were 66.7% and 80.0% (sensitivity 41%, specificity 90%). Admission from a nursing home was not a significant risk factor.

conclusionPositive nasal swabs are not predictive of the infecting agent; however, a negative nasal swab rules out MRSA as the infecting agent in foot wounds with 90% accuracy.

Indexed as

diabetic footinfectionMRSAulcer

Identifiers

PMID24765246
PMCPMC3984406
OpenAlexW2152157304

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.