Evidence map›Paper›PMID 27256090›Full record

Observational studyBMJ open2016

Risk factors for dermatitis in submariners during a submerged patrol: an observational cohort study.

Amy Flaxman, Elizabeth Allen, Claudia Lindemann, Yuko Yamaguchi, Matthew K O'Shea, Joanne L Fallowfield, Michael Lindsay, Frances Gunner, Kyle Knox, David H Wyllie

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 1 country.

Amy FlaxmanJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK.ORCID 0000-0001-6460-1372
Elizabeth AllenJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK.ORCID 0000-0002-2689-6939
Claudia LindemannJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK.ORCID 0000-0002-6987-2398
Yuko YamaguchiJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK.ORCID 0000-0002-8506-2184
Matthew K O'SheaJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK Department of Academic Medicine, Royal Centre for Defence Medicine, Birmingham, UK.
Joanne L FallowfieldEnvironmental Medicine and Science Division, Institute of Naval Medicine, Hampshire, UK.
Michael LindsayEnvironmental Medicine and Science Division, Institute of Naval Medicine, Hampshire, UK.
Frances GunnerEnvironmental Medicine and Science Division, Institute of Naval Medicine, Hampshire, UK.
Kyle KnoxNuffield Department of Primary Care Health Sciences, New Radcliffe House, Oxford, UK.ORCID 0000-0002-3947-1649
David H WyllieJenner Institute, Centre for Cellular & Molecular Physiology, University of Oxford, Oxford, UK Nuffield Department of Medicine, Department of Microbiology, John Radcliffe Hospital, Oxford, UK.
University of Oxford · GBJohn Radcliffe Hospital · GBNuffield Health · GBRoyal Navy · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this pilot study was to determine risk factors, including Staphylococcus aureus nasal carriage, for dermatitis in submariners during a submarine patrol. PARTICIPANTS AND

methods36 submariners undertaking a submerged 6-week patrol participated in the study. Severity of dermatitis and its impact was assessed using visual analogue scales and questionnaires at baseline and weekly throughout the patrol. S. aureus carriage levels in submariners were determined by nasal swabbing at baseline and shortly before disembarking the submarine. Occurrence of any skin or soft tissue infections (SSTI) were reported to the medical officer and swabs of the area were taken for subsequent analysis.

resultsS. aureus carriers were significantly more likely than non-carriers to have previously received treatment for a cutaneous abscess (39% vs 5%, OR=13 (95% CI 1.3 to 130)) with a trend to being submariners longer (p=0.051). Skin scores at baseline and on patrol were not significantly associated with carriage status. Higher dermatitis scores were observed in those who had been submariners longer (p=0.045). Smoking and allergies were not found to be linked to carriage status or skin health score in this cohort.

conclusionsThis small pilot study investigates S. aureus carriage status and skin health in submariners. Length of submarine service but not S. aureus carriage was identified as a risk factor for worsening skin health in this small cohort during a 6-week patrol. This does not support S. aureus decolonisation to improve skin health in this population. Further investigation into causes of dermatitis in submariners is required. This data supports a better understanding of the potential impact of exposure to environmental factors that could affect skin health in submariners.

Indexed as

AdultCarrier StateDermatitisHumansLinear ModelsLogistic ModelsMaleMilitary PersonnelPilot ProjectsProspective StudiesRisk FactorsStaphylococcal InfectionsSurveys and QuestionnairesUnited KingdomVisual Analog ScaleDermatitisS. aureusSubmariners

Identifiers

PMID27256090
PMCPMC4893864
OpenAlexW2415956413

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.