Evidence map›Paper›PMID 27179682›Full record

ArticleBMC infectious diseases2016

Association of Panton Valentine Leukocidin (PVL) genes with methicillin resistant Staphylococcus aureus (MRSA) in Western Nepal: a matter of concern for community infections (a hospital based prospective study).

Dharm R Bhatta, Lina M Cavaco, Gopal Nath, Kush Kumar, Abhishek Gaur, Shishir Gokhale, Dwij R Bhatta

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

58 citing papers in PubMed, 113 citations in OpenAlex.

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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

7 authors at 5 institutions in 3 countries.

Dharm R BhattaCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal. ddharma2039@gmail.com.
Lina M CavacoResearch Group for Genomic Epidemiology, National Food Institute, Technical University of Denmark, Kgs Lyngby, Denmark.
Gopal NathDepartment of Microbiology, Institute of Medical Sciences, Banaras Hindu University (BHU), Varanasi, India.
Kush KumarDepartment of Microbiology, Institute of Medical Sciences, Banaras Hindu University (BHU), Varanasi, India.
Abhishek GaurDepartment of Microbiology, Manipal College of Medical Sciences, Pokhara, Nepal.
Shishir GokhaleDepartment of Microbiology, Manipal College of Medical Sciences, Pokhara, Nepal.
Dwij R BhattaCentral Department of Microbiology, Tribhuvan University, Kathmandu, Nepal.
Manipal College of Medical Sciences · NPTribhuvan University · NPBanaras Hindu University · INInstitute of Medical Sciences · INTechnical University of Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethicillin resistant Staphylococcus aureus (MRSA) is a major human pathogen associated with nosocomial and community infections. Panton Valentine leukocidin (PVL) is considered one of the important virulence factors of S. aureus responsible for destruction of white blood cells, necrosis and apoptosis and as a marker of community acquired MRSA. This study was aimed to determine the prevalence of PVL genes among MRSA isolates and to check the reliability of PVL as marker of community acquired MRSA isolates from Western Nepal.

methodsA total of 400 strains of S. aureus were collected from clinical specimens and various units (Operation Theater, Intensive Care Units) of the hospital and 139 of these had been confirmed as MRSA by previous study. Multiplex PCR was used to detect mecA and PVL genes. Clinical data as well as antimicrobial susceptibility data was analyzed and compared among PVL positive and negative MRSA isolates.

resultsOut of 139 MRSA isolates, 79 (56.8 %) were PVL positive. The majority of the community acquired MRSA (90.4 %) were PVL positive (Positive predictive value: 94.9 % and negative predictive value: 86.6 %), while PVL was detected only in 4 (7.1 %) hospital associated MRSA strains. None of the MRSA isolates from hospital environment was found positive for the PVL genes. The majority of the PVL positive strains (75.5 %) were isolated from pus samples. Antibiotic resistance among PVL negative MRSA isolates was found higher as compared to PVL positive MRSA.

conclusionOur study showed high prevalence of PVL among community acquired MRSA isolates. Absence of PVL among MRSA isolates from hospital environment indicates its poor association with hospital acquired MRSA and therefore, PVL may be used a marker for community acquired MRSA. This is first study from Nepal, to test PVL among MRSA isolates from hospital environment.

Indexed as

Bacterial ProteinsBacterial ToxinsCross InfectionDrug Resistance, Multiple, BacterialExotoxinsHospitalsHumansLeukocidinsMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsNepalPenicillin-Binding ProteinsProspective StudiesReproducibility of ResultsStaphylococcal InfectionsVirulence FactorsBacterial ProteinsBacterial ToxinsExotoxinsLeukocidinsmecA protein, Staphylococcus aureusPanton-Valentine leukocidinPenicillin-Binding ProteinsVirulence FactorsMRSAPCRPVLStaphylococcus aureus

Identifiers

PMID27179682
PMCPMC4867903
OpenAlexW2349187649

What OpenQuestion holds

Textmetadata
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.