Evidence map›Paper›PMID 28108681›Full record

ArticleThe Journal of antimicrobial chemotherapy2017

Re-emergence of methicillin susceptibility in a resistant lineage of Staphylococcus aureus.

Alice Ledda, James R Price, Kevin Cole, Martin J Llewelyn, Angela M Kearns, Derrick W Crook, John Paul, Xavier Didelot

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Whole-genome sequencing ofMicrobiology spectrum · 2026
    Article
  2. Trends, Seasonality, and the Impact of COVID-19 on ClinicalAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Phylogenetic Analysis of Bacterial Pathogen Genomes.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  5. Article
  6. Detection of Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2022
    Article
  7. Review
  8. Antimicrobial Resistance and Genetic Lineages ofAnimals : an open access journal from MDPI · 2021
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Prevalence and Characterization ofFrontiers in microbiology · 2018
    Article
  18. Observational
  19. 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

8 authors at 4 institutions in 1 country.

Alice LeddaDepartment of Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London W2 1PG, UK.
James R PriceDepartment of Infectious Diseases and Microbiology, Royal Sussex County Hospital, Brighton, UK.
Kevin ColeDepartment of Infectious Diseases and Microbiology, Royal Sussex County Hospital, Brighton, UK.
Martin J LlewelynDepartment of Infectious Diseases and Microbiology, Royal Sussex County Hospital, Brighton, UK.
Angela M KearnsAntimicrobial Resistance and Healthcare Associated Infections Reference Unit, National Infection Service, Public Health England, Colindale, UK.
Derrick W CrookNuffield Department of Medicine, University of Oxford, Oxford OX3 7BN, UK.
John PaulPublic Health England, Microbiology, Royal Sussex County Hospital, Brighton, UK.
Xavier DidelotDepartment of Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London W2 1PG, UK.
Public Health England · GBImperial College London · GBRoyal Sussex County Hospital · GBUniversity of Oxford · GB

Funding

Medical Research Council MR/N010760/1
6 · The paper itself

Abstract

Objectives: MRSA is a leading cause of hospital-associated infection. Acquired resistance is encoded by the mecA gene or its homologue mecC , but little is known about the evolutionary dynamics involved in gain and loss of resistance. The objective of this study was to obtain an expanded understanding of Staphylococcus aureus methicillin resistance microevolution in vivo , by focusing on a single lineage. Methods: We compared the whole-genome sequences of 231 isolates from a single epidemic lineage [clonal complex 30 (CC30) and spa -type t018] of S. aureus that caused an epidemic in the UK. Results: We show that resistance to methicillin in this single lineage was gained on at least two separate occasions, one of which led to a clonal expansion around 1995 presumably caused by a selective advantage. Resistance was, however, subsequently lost in vivo by nine strains isolated between 2008 and 2012. We describe the genetic mechanisms involved in this loss of resistance and the imperfect relationship between genotypic and phenotypic resistance. Conclusions: The recent re-emergence of methicillin susceptibility in this epidemic lineage suggests a significant fitness cost of resistance and reduced selective advantage following the introduction in the mid-2000s of MRSA hospital control measures throughout the UK.

Indexed as

Cross InfectionDNA, BacterialEvolution, MolecularGenetic FitnessGenome, BacterialGenotypeHumansMethicillinMethicillin ResistanceMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsPhenotypeStaphylococcal InfectionsUnited KingdomDNA, BacterialMethicillin

Identifiers

PMID28108681
PMCPMC5890754
OpenAlexW2573190084

What OpenQuestion holds

Textmetadata
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.