Evidence map›Paper›PMID 25214518›Full record

ArticleThe Journal of infectious diseases2015

Effect of biofilms on recalcitrance of staphylococcal joint infection to antibiotic treatment.

Sana Dastgheyb, Javad Parvizi, Irving M Shapiro, Noreen J Hickok, Michael Otto

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed
11.7field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 170 citations in OpenAlex.

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  9. Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Review
  11. Editorial: Reviews in microbial pathogenesis.Frontiers in microbiology · 2025
    Article
  12. Review
  13. Insights into the Virulence and Antimicrobial Resistance ofAntibiotics (Basel, Switzerland) · 2024
    Article
  14. Review
  15. Article
  16. Adjuvant intra-articular vancomycin for recalcitrant Staphylococcal prosthetic joint infections of the knee.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Observational
  17. Review
  18. Article
  19. Article
  20. Article

47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Sana DastgheybNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland Department of Orthopedic Surgery, Thomas Jefferson University.
Javad ParviziThe Rothman Institute, Philadelphia, Pennsylvania.
Irving M ShapiroDepartment of Orthopedic Surgery, Thomas Jefferson University.
Noreen J HickokDepartment of Orthopedic Surgery, Thomas Jefferson University.
Michael OttoNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
National Institute of Allergy and Infectious Diseases · USThomas Jefferson University · USRothman Institute · US

Funding

Staphylococcal pathogenesisZIAAI000904 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI OTTO, MICHAEL · 2009 to 2025
$22.6M
Role of the human microbiota and probioticsZIAAI001080 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI OTTO, MICHAEL · 2009 to 2025
$9.7M
Training in Tissue Engineering and Regenerative MedicineT32AR052273 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI SHAPIRO, IRVING M · 2006 to 2020
$3.3M
Staphylococcus Epidermidis Biofilm FormationZ01AI000904 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI OTTO, MICHAEL J · 2002 to 2008
$2.5M
A new allograft that promotes long-term, infection-free skeletal repairR01DE019901 · NIDCR · THOMAS JEFFERSON UNIVERSITY · PI ADAMS, CHRISTOPHER S, HICKOK, NOREEN J · 2009 to 2010
$875k
Intramural NIH HHS Z01 AI000904NIAID NIH HHS ZIA AI000904-13NIAMS NIH HHS T32 AR 052273NIAMS NIH HHS T32 AR052273NICHD NIH HHS HD06153NIDCR NIH HHS DE019901NIDCR NIH HHS R01 DE019901
6 · The paper itself

Abstract

The pathogenesis of joint infections is not well understood. In particular, we do not know why these infections respond poorly to antibiotic treatment. Here we show that methicillin-resistant Staphylococcus aureus, a major cause of joint infections, forms exceptionally strong biofilmlike aggregates in human synovial fluid (SF), to an extent significantly exceeding biofilm formation observed in growth medium or serum. Screening a transposon bank identified bacterial fibronectin- and fibrinogen-binding proteins as important for the formation of macroscopic clumps in SF, suggesting an important role of fibrin-containing clots in the formation of bacterial aggregates during joint infection. Pretreatment of SF with plasmin led to a strongly reduced formation of aggregates and increased susceptibility to antibiotics. These results give important insight into the pathogenesis of staphylococcal joint infection and the mechanisms underlying resistance to treatment. Furthermore, they point toward a potential novel approach for treating joint infections.

Indexed as

Anti-Bacterial AgentsArthritis, InfectiousBiofilmsColony Count, MicrobialFibrinolysinHumansMethicillin-Resistant Staphylococcus aureusModels, BiologicalStaphylococcal InfectionsSynovial FluidAnti-Bacterial AgentsFibrinolysinantibiotic resistancebiofilmjoint infectionMRSAseptic arthritisStaphylococcus aureus

Identifiers

PMID25214518
PMCPMC4318921
OpenAlexW2137010791

What OpenQuestion holds

Textmetadata
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.