Evidence map›Paper›PMID 27122590›Full record

Observational studyThe Journal of infectious diseases2016

Systematic Surveillance Detects Multiple Silent Introductions and Household Transmission of Methicillin-Resistant Staphylococcus aureus USA300 in the East of England.

Michelle S Toleman, Sandra Reuter, Francesc Coll, Ewan M Harrison, Beth Blane, Nicholas M Brown, M Estée Török, Julian Parkhill, Sharon J Peacock

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Treatment of methicillin-resistantJAC-antimicrobial resistance · 2021
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Prospective genomic surveillance of methicillin-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Observational
  14. Article
  15. Article
  16. Global Scale Dissemination of ST93: A DivergentFrontiers in microbiology · 2018
    Article
  17. An outbreak in intravenous drug users due to USA300 Latin-American variant community-acquired methicillin-resistant Staphylococcus aureus in France as early as 2007.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  18. Article
  19. Article
  20. 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

9 authors at 4 institutions in 1 country.

Michelle S TolemanUniversity of Cambridge Wellcome Trust Sanger Institute Cambridge University Hospitals NHS Foundation Trust.
Sandra ReuterUniversity of Cambridge.
Francesc CollUniversity of Cambridge.
Ewan M HarrisonUniversity of Cambridge.
Beth BlaneUniversity of Cambridge.
Nicholas M BrownCambridge University Hospitals NHS Foundation Trust Clinical Microbiology and Public Health Laboratory, Public Health England, Cambridge.
M Estée TörökUniversity of Cambridge Cambridge University Hospitals NHS Foundation Trust Clinical Microbiology and Public Health Laboratory, Public Health England, Cambridge.
Julian ParkhillWellcome Trust Sanger Institute.
Sharon J PeacockUniversity of Cambridge Wellcome Trust Sanger Institute Cambridge University Hospitals NHS Foundation Trust London School of Hygiene and Tropical Medicine, United Kingdom.
University of Cambridge · GBWellcome Sanger Institute · GBCambridge University Hospitals NHS Foundation Trust · GBPublic Health England · GB

Funding

Medical Research Council G1000803Medical Research Council MR/N029399/1Wellcome Trust 098051
6 · The paper itself

Abstract

backgroundThe spread of USA300 methicillin-resistant Staphylococcus aureus (MRSA) across the United States resulted in an epidemic of infections. In Europe, only sporadic cases or small clusters of USA300 infections are described, and its prevalence in England is unknown. We conducted prospective surveillance for USA300 in the east of England.

methodsWe undertook a 12-month prospective observational cohort study of all individuals with MRSA isolated from community and hospital samples submitted to a microbiology laboratory. At least 1 MRSA isolate from each individual underwent whole-genome sequencing. USA300 was identified on the basis of sequence analysis, and phylogenetic comparisons were made between these and USA300 genomes from the United States.

resultsBetween April 2012 and April 2013, we sequenced 2283 MRSA isolates (detected during carriage screening and in clinical samples) from 1465 individuals. USA300 was isolated from 24 cases (1.6%). Ten cases (42%) had skin and soft tissue infection, and 2 cases had invasive disease. Phylogenetic analyses identified multiple introductions and household transmission of USA300.

conclusionsUse of a diagnostic laboratory as a sentinel for surveillance has identified repeated introductions of USA300 in eastern England in 2012-2013, with evidence for limited transmission. Our results show how systematic surveillance could provide an early warning of strain emergence and dissemination.

Indexed as

Epidemiological MonitoringFamily CharacteristicsFamily HealthAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDisease Transmission, InfectiousEnglandFemaleGenotypeHumansMaleMethicillin-Resistant Staphylococcus aureusmolecular epidemiologyMRSAStaphylococcus aureusUSA300whole-genome sequencing

Identifiers

PMID27122590
PMCPMC4936647
OpenAlexW2342497815

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.