Evidence map›Paper›PMID 26380335›Full record

ArticleOpen forum infectious diseases2015

Specific Behaviors Predict Staphylococcus aureus Colonization and Skin and Soft Tissue Infections Among Human Immunodeficiency Virus-Infected Persons.

Nancy F Crum-Cianflone, Xun Wang, Amy Weintrob, Tahaniyat Lalani, Mary Bavaro, Jason F Okulicz, Katrin Mende, Michael Ellis, Brian K Agan

Registry-linked trialAbstract read
In one paragraph

Article in Open forum infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00631566 (Prospective Study on the Incidence, Predictors, and Characteristics of Methicillin-Resistant Staphylococcus Aureus Infections and a Randomized, Double-Blind Study on Decolonization Procedures for Prevention of MRSA Infections Among HIV-Infected Persons), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT00631566 nacompletednot on this map

Prospective Study on the Incidence, Predictors, and Characteristics of Methicillin-Resistant Staphylococcus Aureus Infections and a Randomized, Double-Blind Study on Decolonization Procedures for Prevention of MRSA Infections Among HIV-Infected Persons

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2007 to 2017Enrolled550ConditionsHIV Infections, Staphylococcal InfectionsArmsMupirocin (Bactroban) 2%, hexachlorophene (pHisoHex) 3%, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Skin and Soft Tissue Infection in People Living With Human Immunodeficiency Virus in a Large, Urban, Public Healthcare System in Houston, Texas, 2009-2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  4. Article
  5. Open forum infectious diseases · 2016
    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

9 authors.

Nancy F Crum-CianfloneInfectious Disease Clinical Research Program ; Infectious Disease Clinic , Naval Medical Center San Diego , California.
Xun WangInfectious Disease Clinical Research Program ; Henry M. Jackson Foundation for Advancement of Military Medicine , Bethesda, Maryland.
Amy WeintrobInfectious Disease Clinical Research Program ; Infectious Disease Clinic , Walter Reed Army Medical Center , Washington, District of Columbia.
Tahaniyat LalaniInfectious Disease Clinical Research Program ; Infectious Disease Clinic , Naval Medical Center Portsmouth , Virginia.
Mary BavaroInfectious Disease Clinical Research Program ; Infectious Disease Clinic , Naval Medical Center San Diego , California.
Jason F OkuliczInfectious Disease Clinical Research Program.
Katrin MendeInfectious Disease Clinical Research Program ; Henry M. Jackson Foundation for Advancement of Military Medicine , Bethesda, Maryland.
Michael EllisDepartment of Medicine , Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Brian K AganInfectious Disease Clinical Research Program ; Henry M. Jackson Foundation for Advancement of Military Medicine , Bethesda, Maryland.

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 AI005072
6 · The paper itself

Abstract

Background.  Few data exist on the incidence and risk factors of Staphylococcus aureus colonization and skin and soft tissue infections (SSTIs) among patients infected with human immunodeficiency virus (HIV). Methods.  Over a 2-year period, we prospectively evaluated adults infected with HIV for incident S aureus colonization at 5 body sites and SSTIs. Cox proportional hazard models using time-updated covariates were performed. Results.  Three hundred twenty-two participants had a median age of 42 years (interquartile range, 32-49), an HIV duration of 9.4 years (2.7-17.4), and 58% were on highly active antiretroviral therapy (HAART). Overall, 102 patients (32%) became colonized with S aureus with an incidence rate of 20.6 (95% confidence interval [CI], 16.8-25.0) per 100 person-years [PYs]. Predictors of colonization in the final multivariable model included illicit drug use (hazard ratios [HR], 4.26; 95% CI, 1.33-13.69) and public gym use (HR 1.66, 95% CI, 1.04-2.66), whereas antibacterial soap use was protective (HR, 0.50; 95% CI, 0.32-0.78). In a separate model, perigenital colonization was associated with recent syphilis infection (HR, 4.63; 95% CI, 1.01-21.42). Fifteen percent of participants developed an SSTI (incidence rate of 9.4 cases [95% CI, 6.8-12.7] per 100 PYs). Risk factors for an SSTI included incident S aureus colonization (HR 2.52; 95% CI, 1.35-4.69), public shower use (HR, 2.59; 95% CI, 1.48-4.56), and hospitalization (HR 3.54; 95% CI, 1.67-7.53). The perigenital location for S aureus colonization was predictive of SSTIs. Human immunodeficiency virus-related factors (CD4 count, HIV RNA level, and HAART) were not associated with colonization or SSTIs. Conclusions.  Specific behaviors, but not HIV-related factors, are predictors of colonization and SSTIs. Behavioral modifications may be the most important strategies in preventing S aureus colonization and SSTIs among persons infected with HIV.

Indexed as

behaviorscolonizationHIVhuman immunodeficiency virusMRSArisk factorsskin and soft tissue infectionsStaphylococcus aureus

Identifiers

PMID26380335
PMCPMC4567094

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.