Evidence map›Paper›PMID 25000521›Full record

ArticlePloS one2014

Livestock-associated MRSA carriage in patients without direct contact with livestock.

Miranda M L van Rijen, Thijs Bosch, Erwin J M Verkade, Leo Schouls, Jan A J W Kluytmans, CAM Study Group

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Genomic comparison of methicillin-resistantFrontiers in microbiology · 2026
    Article
  2. Multi-Drug ResistantAntibiotics (Basel, Switzerland) · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Survival of LA-MRSA in Dust from Swine Farms.Annals of work exposures and health · 2018
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Impact of livestock-associated MRSA in a hospital setting.Antimicrobial resistance and infection control · 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

6 authors.

Miranda M L van RijenLaboratory for Microbiology and Infection Control, Amphia Hospital, Breda, the Netherlands.
Thijs BoschCenter for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Erwin J M VerkadeLaboratory for Microbiology and Infection Control, Amphia Hospital, Breda, the Netherlands; Laboratory for Medical Microbiology and Immunology, St. Elisabeth Hospital, Tilburg, the Netherlands.
Leo SchoulsCenter for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Jan A J W KluytmansLaboratory for Microbiology and Infection Control, Amphia Hospital, Breda, the Netherlands; Department of Medical Microbiology and Infection ControlJK, VUmc Medical University, Amsterdam, the Netherlands.
CAM Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLivestock-associated MRSA (MC398) has emerged and is related to an extensive reservoir in pigs and veal calves. Individuals with direct contact with these animals and their family members are known to have high MC398 carriage rates. Until now it was assumed that MC398 does not spread to individuals in the community without pig or veal calf exposure. To test this, we identified the proportion of MC398 in MRSA positive individuals without contact with pigs/veal calves or other known risk factors (MRSA of unknown origin; MUO).

methodsIn 17 participating hospitals, we determined during two years the occurrence of MC398 in individuals without direct contact with livestock and no other known risk factor (n = 271) and tested in a post analysis the hypothesis whether hospitals in pig-dense areas have higher proportions of MC398 of all MUO.

resultsFifty-six individuals (20.7%) without animal contact carried MC398. In hospitals with high pig-densities in the adherence area, the proportion of MC398 of all MUO was higher than this proportion in hospitals without pigs in the surroundings.

conclusionsOne fifth of the individuals carrying MUO carried MC398. So, MC398 is found in individuals without contact to pigs or veal calves. The way of transmission from the animal reservoir to these individuals is unclear, probably by human-to-human transmission or by exposure to the surroundings of the stables. Further research is needed to investigate the way of transmission.

Indexed as

AnimalsCarrier StateGeographyHospitalsHumansLivestockMethicillin-Resistant Staphylococcus aureusNetherlandsRisk FactorsStaphylococcal InfectionsSus scrofa

Identifiers

PMID25000521
PMCPMC4074048

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Registered trials

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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.