Evidence map›Paper›PMID 25298028›Full record

Trial reportThe Journal of infectious diseases2015

Cytotoxic Virulence Predicts Mortality in Nosocomial Pneumonia Due to Methicillin-Resistant Staphylococcus aureus.

Hannah R Rose, Robert S Holzman, Deena R Altman, Davida S Smyth, Gregory A Wasserman, Jared M Kafer, Michelle Wible, Rodrigo E Mendes, Victor J Torres, Bo Shopsin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

37 citing papers in PubMed.

  1. Metabolic reprogramming promotesMicrobiology (Reading, England) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Microbiota and metabolic adaptation shapebioRxiv : the preprint server for biology · 2024
    Article
  6. A Study on the Epidemiological-Molecular Role ofAntibiotics (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Article
  9. Extensive re-modelling of the cell wall during the development ofbioRxiv : the preprint server for biology · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Antimicrobial agents and chemotherapy · 2022
    Observational
  16. Look Who's Talking: Host and Pathogen Drivers ofInternational journal of molecular sciences · 2022
    Review
  17. Article
  18. Article
  19. Observational
  20. Investigation of Virulence Genes ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hannah R RoseDivision of Infectious Diseases, Department of Medicine.
Robert S HolzmanDivision of Infectious Diseases, Department of Medicine.
Deena R AltmanDivision of Infectious Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, New York.
Davida S SmythDivision of Infectious Diseases, Department of Medicine.
Gregory A WassermanDivision of Infectious Diseases, Department of Medicine.
Jared M KaferDivision of Infectious Diseases, Department of Medicine.
Michelle WiblePfizer, Collegeville, Pennsylvania.
Rodrigo E MendesJMI Laboratories, North Liberty, Iowa.
Victor J TorresDepartment of Microbiology, NYU School of Medicine.
Bo ShopsinDivision of Infectious Diseases, Department of Medicine.

Funding

TRAINING PROGRAM: MECHANISMS OF VIRUS-HOST INTERACTIONST32AI007647 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI Domenico Tortorella · 2000 to 2026
$11.5M
Mechanistic Studies Of The Staphylococcus aureus LukAB CytotoxinR01AI099394 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Victor J. Torres · 2013 to 2026
$6.1M
Contribution of LukED to Staphylococcus aureus pathobiologyR01AI105129 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TORRES, VICTOR J. · 2014 to 2023
$4.9M
Role of precipitous virulence in invasiveness of community-acquired methicillin-rR01AI103268 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SHOPSIN, BO, TORRES, VICTOR J. · 2013 to 2017
$2.1M
NIAID NIH HHS R01 AI099394NIAID NIH HHS R01 AI103268NIAID NIH HHS R01-AI103268NIAID NIH HHS R01 AI105129NIAID NIH HHS T32 AI007647NIAID NIH HHS T32-AI7647
6 · The paper itself

Abstract

The current study identified bacterial factors that may improve management of methicillin-resistant Staphylococcus aureus (MRSA) nosocomial pneumonia. Isolates were obtained from 386 patients enrolled in a randomized, controlled study of antibiotic efficacy. Isolates were screened for production of virulence factors and for vancomycin susceptibility. After adjustment for host factors such as severity of illness and treatment modality, cytotoxic activity was strongly and inversely associated with mortality; however, it had no effect on clinical cure. Isolates having low cytotoxicity, which were derived largely from healthcare-associated clones, exhibited a greater prevalence of vancomycin heteroresistance, and they were recovered more often from patients who were older and frailer. Additionally, a clone with low cytotoxic activity was associated with death and poor clinical improvement. Clone specificity and attenuated virulence appear to be associated with outcome. To our knowledge, these are the first correlations between MRSA virulence and mortality in nosocomial pneumonia.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsBacterial ToxinsCell LineCell SurvivalCross InfectionCulture MediaFemaleHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedNeutrophilsAnti-Bacterial AgentsBacterial ToxinsCulture MediaVancomycinVirulence FactorsMRSAnosocomial pneumoniaoutcomeStaphylococcus aureusvirulence

Identifiers

PMID25298028
PMCPMC4836718

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.