Evidence map›Paper›PMID 28107412›Full record

ArticlePloS one2017

Nasal Carriage of Staphylococcus aureus among Children in the Ashanti Region of Ghana.

Daniel Eibach, Michael Nagel, Benedikt Hogan, Clinton Azuure, Ralf Krumkamp, Denise Dekker, Mike Gajdiss, Melanie Brunke, Nimako Sarpong, Ellis Owusu-Dabo and 1 more

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Global prevalence of macrolide-resistantFrontiers in microbiology · 2025
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Methicillin-ResistantMedicina (Kaunas, Lithuania) · 2024
    Article
  9. Article
  10. Article
  11. Proven anti-virulence therapies in combating methicillin- and vancomycin-resistantFrontiers in cellular and infection microbiology · 2024
    Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Ecology and Genetic Lineages of NasalPathogens (Basel, Switzerland) · 2021
    Review
  17. Nasopharyngeal Carriage of Methicillin-ResistantInfectious disease reports · 2021
    Article
  18. Article
  19. Article
  20. Nasal Carriage and Methicillin Resistance ofInternational journal of microbiology · 2021
    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

11 authors.

Daniel EibachInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID http://orcid.org/0000-0002-6672-8147
Michael NagelDeutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Bonn, Germany.
Benedikt HoganInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Clinton AzuureKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Ralf KrumkampInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Denise DekkerInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Mike GajdissInstitute of Medical Microbiology, Immunology and Parasitology, University Clinic of Bonn, Bonn, Germany.
Melanie BrunkeInstitute for Pharmaceutical Microbiology, University of Bonn, Bonn, Germany.
Nimako SarpongGerman Centre for Infection Research (DZIF), Hamburg-Borstel-Lübeck, Germany.
Ellis Owusu-DaboKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana.
Jürgen MayInfectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNasal carriage with Staphylococcus aureus is a common risk factor for invasive infections, indicating the necessity to monitor prevalent strains, particularly in the vulnerable paediatric population. This surveillance study aims to identify carriage rates, subtypes, antimicrobial susceptibilities and virulence markers of nasal S. aureus isolates collected from children living in the Ashanti region of Ghana.

methodsNasal swabs were obtained from children < 15 years of age on admission to the Agogo Presbyterian Hospital between April 2014 and January 2015. S. aureus isolates were characterized by their antimicrobial susceptibility, the presence of genes encoding for Panton-Valentine leukocidin (PVL) and toxic shock syndrome toxin-1 (TSST-1) and further differentiated by spa-typing and multi-locus-sequence-typing.

resultsOut of 544 children 120 (22.1%) were colonized with S. aureus, with highest carriage rates during the rainy seasons (27.2%; p = 0.007), in females aged 6-8 years (43.7%) and males aged 8-10 years (35.2%). The 123 isolates belonged to 35 different spa-types and 19 sequence types (ST) with the three most prevalent spa-types being t355 (n = 25), t84 (n = 18), t939 (n = 13), corresponding to ST152, ST15 and ST45. Two (2%) isolates were methicillin-resistant S. aureus (MRSA), classified as t1096 (ST152) and t4454 (ST45), and 16 (13%) were resistant to three or more different antimicrobial classes. PVL and TSST-1 were detected in 71 (58%) and 17 (14%) isolates respectively.

conclusionS. aureus carriage among Ghanaian children seems to depend on age, sex and seasonality. While MRSA rates are low, the high prevalence of PVL is of serious concern as these strains might serve not only as a source for severe invasive infections but may also transfer genes, leading to highly virulent MRSA clones.

Indexed as

Anti-Bacterial AgentsCarrier StateChild, PreschoolFemaleGhanaHumansInfantMaleMicrobial Sensitivity TestsNasal CavityStaphylococcus aureusVirulenceAnti-Bacterial Agents

Identifiers

PMID28107412
PMCPMC5249101

What OpenQuestion holds

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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.