Evidence map›Paper›PMID 25177563›Full record

ArticleJournal of clinical and diagnostic research : JCDR2014

Methicillin Resistant Staphylococcus aureus Carriage, Antibiotic Resistance and Molecular Pathogenicity among Healthy Individuals Exposed and Not Exposed to Hospital Environment.

Veena Krishnamurthy, Avinandan Saha, Bhadravati Virupaksha Renushri, Elkal Rajappa Nagaraj

Abstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Prevalence and antibiotic resistance ofFrontiers in cellular and infection microbiology · 2023
    Article
  4. Journal of family medicine and primary care · 2020
    Article
  5. Antibiotic resistance pattern ofFuture science OA · 2020
    Article
  6. Dose-response associations of methicillin-resistantInfection and drug resistance · 2018
    Article
  7. Article
  8. Review
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.

Veena KrishnamurthyAssistant Professor, Department of Medical Microbiology, Sri Siddhartha Medical College , Tumkur, India .
Avinandan SahaStudent, Sri Siddhartha Medical College , Tumkur, India .
Bhadravati Virupaksha RenushriAssociate Professor, Department of Medical Microbiology, Sri Siddhartha Medical College , Tumkur, India .
Elkal Rajappa NagarajHead of Department, Department of Medical Microbiology, Sri Siddhartha Medical College , Tumkur, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers as well as healthy community-dwelling individuals may be colonised by methicillin-resistant Staphylococcus aureus (MRSA). Healthcare workers who carry MRSA may transmit it to patients, causing various nosocomial infections. Literature shows that the differences between MRSA isolated from healthcare settings and from community settings, with regard to multi-drug resistance (traditionally exhibited by the former) and possession of pvl genes (traditionally exhibited by the latter), is diminishing due to a large community reservoir and increasing influx of community harboured strains into the hospital. However, there is no literature on the current scenario in India. AIMS AND

objectivesThis study examines the influence of exposure to hospital environment on MRSA carriage, antimicrobial resistance patterns of MRSA, and the presence of genes encoding five extracellular pathogenicity determinants (pvl, sea, seb, tsst-1 and hly a). MATERIALS AND

methodsNasal, throat and palmar swabs were collected from 119 nursing students of the age group 18-23 years (exposed group) and 100 age matched pharmacy students (non-exposed group). S. aureus was identified and antibiogram obtained as per Clinical and Laboratory Standards Institute (CLSI) guidelines. MRSA was detected by cefoxitin disc diffusion test and by growth on oxacillin screen agar as per CLSI guidelines. Conventional PCR was performed for mecA, pvl, sea, seb, tsst-1 and hly a.

resultsThe differences in carrier rates, antibiotic resistance patterns and expression of extracellular pathogenicity determinants between MRSA isolates from the two study groups were not significant, and pvl was found in all the MRSA isolates.

conclusionThe nursing students carried MRSA strains similar to those carried by the non-exposed group. Our results suggest that healthcare workers could act as a link and transmit MRSA acquired from the community to patients.

Indexed as

Antibiotic resistanceHospital infectionInfectious disease transmissionMRSAPanton-valentine leukocidinSouthern India

Identifiers

PMID25177563
PMCPMC4149069

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