Evidence map›Paper›PMID 26668737›Full record

ArticleAntimicrobial resistance and infection control2015

Association between microbial characteristics and poor outcomes among patients with methicillin-resistant Staphylococcus aureus pneumonia: a retrospective cohort study.

Jennifer S McDanel, Eli N Perencevich, Daniel J Diekema, Patricia L Winokur, J Kristie Johnson, Loreen A Herwaldt, Tara C Smith, Elizabeth A Chrischilles, Jeffrey D Dawson, Marin L Schweizer

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
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.

Jennifer S McDanelDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA ; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Iowa City Veterans Affairs Health Care System, Iowa City, IA USA.
Eli N PerencevichDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA ; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Iowa City Veterans Affairs Health Care System, Iowa City, IA USA.
Daniel J DiekemaDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Department of Pathology, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Clinical Quality, Safety, and Performance Improvement, University of Iowa Hospitals and Clinics, Iowa City, IA USA.
Patricia L WinokurDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Iowa City Veterans Affairs Health Care System, Iowa City, IA USA.
J Kristie JohnsonDepartment of Pathology, University of Maryland School of Medicine, Baltimore, MD USA.
Loreen A HerwaldtDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA ; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Clinical Quality, Safety, and Performance Improvement, University of Iowa Hospitals and Clinics, Iowa City, IA USA.
Tara C SmithDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA ; Present address: Department of Biostatistics, Environmental Health Sciences, and Epidemiology, Kent State University, Kent, OH USA.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA.
Jeffrey D DawsonDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA USA.
Marin L SchweizerDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA USA ; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA USA ; Iowa City Veterans Affairs Health Care System, Iowa City, IA USA.

Funding

The University of Iowa Clinical and Translational Science AwardU54TR001356 · NCATS · UNIVERSITY OF IOWA · PI WINOKUR, PATRICIA · 2015 to 2016
$7.1M
NCATS NIH HHS U54 TR001356
6 · The paper itself

Abstract

backgroundMethicillin-resistant S. aureus (MRSA) pneumonia is associated with poor clinical outcomes. This study examined the association between microbial characteristics and poor outcomes among patients with methicillin-resistant Staphylococcus aureus pneumonia.

findingsThis retrospective cohort study included 75 patients with MRSA pneumonia who were admitted to two large tertiary care medical centers during 2003-2010. Multivariable models were created using Cox proportional hazards regression and ordinal logistic regression to identify predictors of mortality or increased length of stay (LOS). None of the microbial characteristics (PFGE type, agr dysfunction, SCCmec type, and detection of PVL, ACME, and TSST-1) were significantly associated with 30-day mortality or post-infection hospital length of stay, after adjusting for gender, age, previous hospital admission within 12 months, previous MRSA infection or colonization, positive influenza test, Charlson Comorbidity Index score, and treatment (linezolid or vancomycin).

conclusionLarge prospective studies are needed to examine the impact of microbial characteristics on the risk of death and other adverse outcomes among patients with MRSA pneumonia.

Indexed as

Accessory Gene Regulatorlength of staymortalityMRSA pneumoniaPanton-Valentine leukocidin

Identifiers

PMID26668737
PMCPMC4677450

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Registered trials

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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.