Evidence map›Paper›PMID 25203178›Full record

Observational studyInfection control and hospital epidemiology2014

Prevalence of nasal colonization and strain concordance in patients with community-associated Staphylococcus aureus skin and soft-tissue infections.

Michael W Ellis, Carey D Schlett, Eugene V Millar, Katrina B Crawford, Tianyuan Cui, Jeffrey B Lanier, David R Tribble

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Infection control and hospital epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01105767 (Evaluating Strategies to Prevent Methicillin-resistant Staphylococcus Aureus Skin and Soft Tissue Infections in Military Trainees), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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.

NCT01105767 nacompletednot on this map

Evaluating Strategies to Prevent Methicillin-resistant Staphylococcus Aureus Skin and Soft Tissue Infections in Military Trainees

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2010 to 2012Enrolled30,209ConditionsStaphylococcus Aureus, MRSA Skin Infections, Staphylococcal Skin InfectionsArmsChlorhexidine gluconate, Supplemental training, education and hygiene
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Biogenic silver nanoparticles (AgNPs) fromFrontiers in chemistry · 2023
    Article
  8. Article
  9. Article
  10. Overview of methicillin resistantOrthopedic reviews · 2019
    Article
  11. Protective immunity in recurrentProceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Staphylococcus aureus biofilms: recent developments in biofilm dispersal.Frontiers in cellular and infection microbiology · 2014
    Review
  17. 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

7 authors at 2 institutions in 1 country.

Michael W EllisDepartment of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Carey D Schlett
Eugene V Millar
Katrina B Crawford
Tianyuan Cui
Jeffrey B Lanier
David R Tribble
Uniformed Services University of the Health Sciences · USCommunity Hospital · US

Funding

DATA CENTER FOR EPIDEMIOLOGIC INVESTIGATIONS OF HIVN01AI005072 · NIAID · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 1990 to 1994
–
NIAID NIH HHS Y01 AI005072NIAID NIH HHS Y1-AI-5072PHS HHS 09FED914272
6 · The paper itself

Abstract

objectiveDetermine the prevalence and relatedness of Staphylococcus aureus anterior nares colonization in individuals with community-associated staphylococcal skin and soft-tissue infection (SSTI).

designObservational cohort.

settingUS Army soldiers undergoing infantry training.

participantsTrainees who developed SSTI from May 2010 to January 2012.

methodsParticipants underwent anterior nares culture at the time of presentation for purulent SSTI. We determined the prevalence of S. aureus nasal colonization and strain relatedness between colonizing and clinical isolates with pulsed-field gel electrophoresis (PFGE).

resultsWe enrolled 1,203 SSTI participants, of whom 508 had culture-confirmed S. aureus SSTI. Overall, 70% (357/508) were colonized with S. aureus. Phenotypically, concordant colonization was more common with methicillin-susceptible S. aureus (MSSA; 56%; 122/218) than methicillin-resistant S. aureus (MRSA) SSTI (41%; 118/290; P < .01). With PFGE, 48% (121 of 254) of clinical-colonizing pairs were indistinguishable, and concordant colonization was more common with MRSA (53%; 92/173) than MSSA SSTI (36%; 29/81; P < .01). Restricting analysis to concomitant MRSA-MRSA or MSSA-MSSA pairs, 92% (92/100) of MRSA SSTI were indistinguishable, and 40% (29/72) MSSA SSTI were indistinguishable (P < .01). All 92 MRSA pairs were USA300.

conclusionsOn the phenotypic level, concordant anterior nares colonization with incident staphylococcal SSTI is more common in MSSA than MRSA; however, the opposite is observed when accounting for molecular typing, and MRSA SSTI displays greater concordance. USA300 was responsible for strain concordance with MRSA SSTI. Studies are needed to examine the roles of nasal and extra-nasal carriage, colonization preceding infection, and increased virulence in the pathogenesis of MRSA SSTI.

trial registrationClinicalTrials.gov identifier: NCT01105767.

Indexed as

AdolescentAdultCohort StudiesCommunity-Acquired InfectionsElectrophoresis, Gel, Pulsed-FieldHumansMaleMethicillin-Resistant Staphylococcus aureusNasal CavityPrevalenceSoft Tissue InfectionsStaphylococcal Skin InfectionsStaphylococcus aureusYoung Adult

Identifiers

PMID25203178
PMCPMC5824647
OpenAlexW2106467313

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.