Evidence map›Paper›PMID 28061866›Full record

ArticleItalian journal of pediatrics2017

Rapid containment of nosocomial transmission of a rare community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) clone, responsible for the Staphylococcal Scalded Skin Syndrome (SSSS).

Onofrio Lamanna, Dafne Bongiorno, Lisa Bertoncello, Stefano Grandesso, Sandra Mazzucato, Giovanni Battista Pozzan, Mario Cutrone, Michela Chirico, Flavia Baesso, Pierluigi Brugnaro and 3 more

Abstract read
In one paragraph

Article in Italian journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Antimicrobial Resistance and Molecular Analysis ofJournal of Korean medical science · 2021
    Article
  7. Article
  8. Review
  9. Article
  10. Frontiers in microbiology · 2018
    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

13 authors.

Onofrio LamannaOspedale dell'Angelo, Mestre, Venice, Italy.
Dafne BongiornoMMARLab - Department of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Via Santa Sofia 97, 95123, Catania, Italy.
Lisa BertoncelloOspedale dell'Angelo, Mestre, Venice, Italy.
Stefano GrandessoOspedale dell'Angelo, Mestre, Venice, Italy.
Sandra MazzucatoOspedale dell'Angelo, Mestre, Venice, Italy.
Giovanni Battista PozzanOspedale dell'Angelo, Mestre, Venice, Italy.
Mario CutroneOspedale dell'Angelo, Mestre, Venice, Italy.
Michela ChiricoOspedale dell'Angelo, Mestre, Venice, Italy.
Flavia BaessoOspedale dell'Angelo, Mestre, Venice, Italy.
Pierluigi BrugnaroOspedale dell'Angelo, Mestre, Venice, Italy.
Viviana CafisoMMARLab - Department of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Via Santa Sofia 97, 95123, Catania, Italy.
Stefania StefaniMMARLab - Department of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Via Santa Sofia 97, 95123, Catania, Italy.
Floriana CampanileMMARLab - Department of Biomedical and Biotechnological Sciences (BIOMETEC), University of Catania, Via Santa Sofia 97, 95123, Catania, Italy. f.campanile@unict.it.ORCID http://orcid.org/0000-0002-8405-5425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aims of this study were to identify the source and the transmission pathway for a Staphylococcal Scalded Skin Syndrome (SSSS) outbreak in a maternity setting in Italy over 2 months, during 2014; to implement appropriate control measures in order to prevent the epidemic spread within the maternity ward; and to identify the Methicillin-Resistant Staphylococcus aureus (MRSA) epidemic clone.

methodsEpidemiological and microbiological investigations, based on phenotyping and genotyping methods, were performed. All neonates involved in the outbreak underwent clinical and microbiological investigations to detect the cause of illness. Parents and healthcare workers were screened for Staphylococcus aureus to identify asymptomatic carriers.

resultsThe SSSS outbreak was due to the cross-transmission of a rare clone of ST5-CA-MRSA-SCCmecV-spa type t311, exfoliative toxin A-producer, isolated from three neonates, one mother (from her nose and from dermatological lesions due to pre-existing hand eczema) and from a nurse (colonized in her nose by this microorganism). The epidemiological and microbiological investigation confirmed these as two potential carriers.

conclusionsA rapid containment of these infections was obtained only after implementation of robust swabbing of mothers and healthcare workers. The use of molecular methodologies for typing was able to identify all carriers and to trace the transmission.

Indexed as

Disease OutbreaksAdultCarrier StateCross InfectionFemaleGenotypeHumansInfant, NewbornInfectious Disease Transmission, Professional-to-PatientItalyMethicillin-Resistant Staphylococcus aureusMothersNurseries, HospitalNursesRetrospective StudiesStaphylococcal Scalded Skin SyndromeCross-transmissionETA exfoliative-toxinST5/spa type t311 CA-MRSA clone

Identifiers

PMID28061866
PMCPMC5217574

What OpenQuestion holds

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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.