Evidence map›Paper›PMID 25923329›Full record

ArticlePloS one2015

Preventing introduction of livestock associated MRSA in a pig population--benefits, costs, and knowledge gaps from the Swedish perspective.

Sören Höjgård, Olov Aspevall, Björn Bengtsson, Sara Hæggman, Maria Lindberg, Kristina Mieziewska, Svante Nilsson, Helle Ericsson Unnerstad, Diana Viske, Helene Wahlström

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. 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

10 authors.

Sören HöjgårdSwedish University for Agricultural Sciences, and AgriFood Economics Centre, Uppsala, Sweden.
Olov AspevallPublic Health Agency of Sweden, Solna, Sweden.
Björn BengtssonNational Veterinary Institute, Uppsala, Sweden.
Sara HæggmanPublic Health Agency of Sweden, Solna, Sweden.
Maria LindbergFederation of Swedish Farmers, Stockholm, Sweden; Swedish Animal Health Service, Uppsala, Sweden.
Kristina MieziewskaSwedish Board of Agriculture, Jönköping, Sweden.
Svante NilssonSwedish Board of Agriculture, Jönköping, Sweden.
Helle Ericsson UnnerstadNational Veterinary Institute, Uppsala, Sweden.
Diana ViskeSwedish Board of Agriculture, Jönköping, Sweden.
Helene WahlströmNational Veterinary Institute, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance is a growing concern in human, as well as in veterinary medicine. Part of the problem concerns how to respond to the risk presented by animal reservoirs of resistant bacteria with the potential of spreading to humans. One example is livestock associated methicillin-resistant Staphylococcus aureus (LA-MRSA). In countries where LA-MRSA is endemic in the pig population, people in contact with pigs have a higher risk of being colonised with LA-MRSA, and persons from this group are subjected to precautionary measures when visiting health care facilities. In the present study, it is assumed that, if LA-MRSA was introduced to the Swedish pig population, the prevalence in the risk groups would be the same as in Denmark or the Netherlands (two countries with low human prevalence that have implemented measures to detect, trace and isolate human LA-MRSA cases and, therefore, have comprehensive data with good coverage regarding prevalence of LA-MRSA), and that similar interventions would be taken in Swedish health care facilities. It is also assumed that the Swedish pig population is free of MRSA or that the prevalence is very low. We analyse if it would be efficient for Sweden to prevent its introduction by testing imported live breeding pigs. Given that quarantining and testing at import will prevent introduction to the pig population, the study shows that the preventive measures may indeed generate a societal net benefit. Benefits are estimated to be between € 870 720 and € 1 233 511, and costs to € 211 129. Still, due to gaps in knowledge, the results should be confirmed when more information become available.

Indexed as

AnimalsHumansLivestockMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsSus scrofaSwedenSwineSwine Diseases

Identifiers

PMID25923329
PMCPMC4414519

What OpenQuestion holds

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LicenceCC BY
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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.