Evidence map›Paper›PMID 27716432›Full record

Observational studyGenome medicine2016

Transmission of methicillin-resistant Staphylococcus aureus in long-term care facilities and their related healthcare networks.

Ewan M Harrison, Catherine Ludden, Hayley J Brodrick, Beth Blane, Gráinne Brennan, Dearbháile Morris, Francesc Coll, Sandra Reuter, Nicholas M Brown, Mark A Holmes and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Genome medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Infection control in long term care institutions for the elderly: A reflection document on the situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  8. Colonization and transmission ofMicrobial genomics · 2023
    Article
  9. Framing Bacterial Genomics for Public Health (Care).Journal of clinical microbiology · 2021
    Article
  10. Article
  11. Article
  12. Transmission and Long-Term Colonization Patterns ofInternational journal of environmental research and public health · 2020
    Article
  13. Dynamic Transmission ofInternational journal of environmental research and public health · 2020
    Review
  14. Article
  15. Article
  16. Article
  17. 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

15 authors at 9 institutions in 2 countries.

Ewan M HarrisonDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK. eh439@cam.ac.uk.
Catherine LuddenLondon School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Hayley J BrodrickDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Beth BlaneDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Gráinne BrennanNational MRSA Reference Laboratory, St. James's Hospital, Dublin, Ireland.
Dearbháile MorrisAntimicrobial Resistance and Microbial Ecology (ARME) Group, School of Medicine, National University of Ireland, Galway, Ireland.
Francesc CollDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Sandra ReuterDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Nicholas M BrownCambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.
Mark A HolmesDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Brian O'ConnellNational MRSA Reference Laboratory, St. James's Hospital, Dublin, Ireland.
Julian ParkhillWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, UK.
M Estee TörökDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Martin CormicanAntimicrobial Resistance and Microbial Ecology (ARME) Group, School of Medicine, National University of Ireland, Galway, Ireland.
Sharon J PeacockDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Box 157, Hills Road, Cambridge, CB2 0QQ, UK.
Addenbrooke's Hospital · GBOllscoil na Gaillimhe – University of Galway · IESt. James's Hospital · IEUniversity of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBLondon School of Hygiene & Tropical Medicine · GBPublic Health England · GBUniversity of London · GBWellcome Sanger Institute · GB

Funding

Medical Research Council G1000803Medical Research Council G1001787Medical Research Council MR/N029399/1Wellcome Trust 098051Wellcome Trust 201344/Z/16/Z
6 · The paper itself

Abstract

backgroundLong-term care facilities (LTCF) are potential reservoirs for methicillin-resistant Staphylococcus aureus (MRSA), control of which may reduce MRSA transmission and infection elsewhere in the healthcare system. Whole-genome sequencing (WGS) has been used successfully to understand MRSA epidemiology and transmission in hospitals and has the potential to identify transmission between these and LTCF.

methodsTwo prospective observational studies of MRSA carriage were conducted in LTCF in England and Ireland. MRSA isolates were whole-genome sequenced and analyzed using established methods. Genomic data were available for MRSA isolated in the local healthcare systems (isolates submitted by hospitals and general practitioners).

resultsWe sequenced a total of 181 MRSA isolates from the two study sites. The majority of MRSA were multilocus sequence type (ST)22. WGS identified one likely transmission event between residents in the English LTCF and three putative transmission events in the Irish LTCF. WGS also identified closely related isolates present in colonized Irish residents and their immediate environment. Based on phylogenetic reconstruction, closely related MRSA clades were identified between the LTCF and their healthcare referral network, together with putative MRSA acquisition by LTCF residents during hospital admission.

conclusionsThese data confirm that MRSA is transmitted between residents of LTCF and is both acquired and transmitted to others in referral hospitals and beyond. Our data present compelling evidence for the importance of environmental contamination in MRSA transmission, reinforcing the importance of environmental cleaning. The use of WGS in this study highlights the need to consider infection control in hospitals and community healthcare facilities as a continuum.

Indexed as

AdultAgedAged, 80 and overCross InfectionDNA, BacterialFemaleHealth Facility EnvironmentHigh-Throughput Nucleotide SequencingHumansInfection ControlLong-Term CareMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedMultilocus Sequence TypingProspective StudiesDNA, BacterialLong-term care facilitiesMolecular epidemiologyMRSANursing homeStaphylococcus aureusTransmissionWhole-genome sequencing

Identifiers

PMID27716432
PMCPMC5048656
OpenAlexW2528918455

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.