Evidence map›Paper›PMID 26375351›Full record

ReviewAmerican journal of infection control2016

Degowning the controversies of contact precautions for methicillin-resistant Staphylococcus aureus: A review.

Ravina Kullar, Angela Vassallo, Sarah Turkel, Teena Chopra, Keith S Kaye, Sorabh Dhar

Abstract readReview
PubMed Publisher
In one paragraph

Review in American journal of infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Colonization pressure as a risk factor of ICU-acquired multidrug resistant bacteria: a prospective observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Observational
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ravina KullarDepartment of Medical Affairs, Cubist Pharmaceuticals, Lexington, MA. Electronic address: ravina.kullar@gmail.com.
Angela VassalloDepartment of Infection Prevention/Epidemiology, Providence Saint John's Health Center, Santa Monica, CA.
Sarah TurkelDepartment of Infection Prevention/Epidemiology, Providence Saint John's Health Center, Santa Monica, CA.
Teena ChopraDepartment of Medicine, Wayne State University and Detroit Medical Center, Detroit, MI.
Keith S KayeDepartment of Medicine, Wayne State University and Detroit Medical Center, Detroit, MI.
Sorabh DharDivision of Infectious Diseases, Detroit Medical Center, John D Dingell Veterans Affairs Medical Center, Wayne State University, Detroit, MI. Electronic address: sdhar@med.wayne.edu.
Wayne State University · USSaint John's Health Center · USCubist Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContact precautions (CPs) are recommended to prevent methicillin-resistant Staphylococcus aureus (MRSA) transmission in institutions. Rising doubts about CP effectiveness and recognition of unintended consequences for patients have raised questions about the benefit. The objective of this study was to evaluate the effectiveness and adverse outcomes associated with CPs for prevention of MRSA transmission.

methodsWe searched PubMed, Embase, and the Cochrane Library for articles related to effectiveness and adverse outcomes of CPs in patients with MRSA. Criteria for inclusion included the following: articles conducted in the United States, articles performed in an acute care setting, articles that were not a case series or review, and those with standardized collection of data or inclusion of case and control groups. Results were summarized and examined for potential limitations. Recommendations were based on our findings.

resultsCPs reduced MRSA transmission in epidemic settings and in instances with high compliance, but a decrease in infection rates was not shown. Unintended consequences of CPs include decreased health care provider (HCP) time spent with patients, low HCP compliance, decreased perceptions of comfort from patients, and greater likelihood of patient complaints and negative psychologic implications.

conclusionIn endemic settings, there are few data to support routine use of CPs to control the spread of MRSA. Education should be performed in hospitals to improve patients' perception of care and understanding of CPs when implemented and HCPs' adherence to good hand hygiene and standard precautions practices.

Indexed as

Hand HygieneInfection ControlUniversal PrecautionsCross InfectionGuideline AdherenceHealth PersonnelHospitalsHumansMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsUnited StatesBarrier precautionsContact isolationContact precautionsGlovesGowningHand hygieneInfection preventionMethicillin-resistant Staphylococcus aureusStandard precautionsTransmission-based precautions

Identifiers

PMID26375351
OpenAlexW1708459177

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.