Evidence map›Paper›PMID 27605711›Full record

ArticleJournal of clinical microbiology2016

Molecular Epidemiology of Staphylococcus aureus in the General Population in Northeast Germany: Results of the Study of Health in Pomerania (SHIP-TREND-0).

Silva Holtfreter, Dorothee Grumann, Veronika Balau, Annette Barwich, Julia Kolata, André Goehler, Stefan Weiss, Birte Holtfreter, Stephanie S Bauerfeind, Paula Döring and 19 more

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

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

  1. Pooled it
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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

29 authors.

Silva HoltfreterDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Dorothee GrumannDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Veronika BalauFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Annette BarwichFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Julia KolataDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
André GoehlerFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Stefan WeissDepartment of Functional Genomics, Interfaculty Institute for Genetics and Functional Genomics, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Birte HoltfreterDepartment of Restorative Dentistry, Periodontology, Endodontology and Pedodontics, University Medicine Greifswald, Greifswald, Germany.
Stephanie S BauerfeindDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Paula DöringDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Erika FriebeDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Nicole HaaslerInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Kristin HenselinInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Katrin KühnFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Sophie NowotnyDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Dörte RadkeInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Katrin SchulzFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Sebastian R SchulzDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Patricia TrübeDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Chi Hai VuDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany.
Birgit WaltherCentre for Infection Medicine, Institute of Microbiology and Epizootics, Freie Universität Berlin, Berlin, Germany.
Susanne WestphalInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Christiane CunyRobert Koch Institute, Wernigerode Branch, National Reference Center for Staphylococci, Wernigerode, Germany.
Wolfgang WitteRobert Koch Institute, Wernigerode Branch, National Reference Center for Staphylococci, Wernigerode, Germany.
Henry VölzkeInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Hans Jörgen GrabeDepartment of Psychiatry und Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
Thomas KocherDepartment of Restorative Dentistry, Periodontology, Endodontology and Pedodontics, University Medicine Greifswald, Greifswald, Germany.
Ivo SteinmetzFriedrich-Loeffler Institute for Medical Microbiology, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany.
Barbara M BrökerDepartment of Immunology, University Medicine Greifswald, Greifswald, Germany broeker@uni-greifswald.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Population-based studies on Staphylococcus aureus nasal colonization are scarce. We examined the prevalence, resistance, and molecular diversity of S. aureus in the general population in Northeast Germany. Nasal swabs were obtained from 3,891 adults in the large-scale population-based Study of Health in Pomerania (SHIP-TREND). Isolates were characterized using spa genotyping, as well as antibiotic resistance and virulence gene profiling. We observed an S. aureus prevalence of 27.2%. Nasal S. aureus carriage was associated with male sex and inversely correlated with age. Methicillin-resistant S. aureus (MRSA) accounted for 0.95% of the colonizing S. aureus strains. MRSA carriage was associated with frequent visits to hospitals, nursing homes, or retirement homes within the previous 24 months. All MRSA strains were resistant to multiple antibiotics. Most MRSA isolates belonged to the pandemic European hospital-acquired MRSA sequence type 22 (HA-MRSA-ST22) lineage. We also detected one livestock-associated MRSA ST398 (LA-MRSA-ST398) isolate, as well as six livestock-associated methicillin-susceptible S. aureus (LA-MSSA) isolates (clonal complex 1 [CC1], CC97, and CC398). spa typing revealed a diverse but also highly clonal S. aureus population structure. We identified a total of 357 spa types, which were grouped into 30 CCs or sequence types. The major seven CCs (CC30, CC45, CC15, CC8, CC7, CC22, and CC25) included 75% of all isolates. Virulence gene patterns were strongly linked to the clonal background. In conclusion, MSSA and MRSA prevalences and the molecular diversity of S. aureus in Northeast Germany are consistent with those of other European countries. The detection of HA-MRSA and LA-MRSA within the general population indicates possible transmission from hospitals and livestock, respectively, and should be closely monitored.

Indexed as

AdultAgedAged, 80 and overAge FactorsCarrier StateCluster AnalysisCohort StudiesDrug Resistance, BacterialFemaleGenetic VariationGenotypeGenotyping TechniquesGermanyHumansMaleMiddle AgedStaphylococcal Protein AVirulence Factors

Identifiers

PMID27605711
PMCPMC5078557

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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.