Evidence map›Paper›PMID 28486667›Full record

ArticleThe Journal of infectious diseases2017

Genomic and Epidemiological Evidence for Community Origins of Hospital-Onset Methicillin-Resistant Staphylococcus aureus Bloodstream Infections.

Kyle J Popovich, Evan S Snitkin, Bala Hota, Stefan J Green, Ali Pirani, Alla Aroutcheva, Robert A Weinstein

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Dynamic Networks of Methicillin-ResistantOpen forum infectious diseases · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Black and White Patients With Staphylococcus aureus Bacteremia Have Similar Outcomes but Different Risk Factors.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Kyle J PopovichDivision of Infectious Diseases, Rush University Medical Center/Stroger Hospital of Cook County, Chicago, Illinois.
Evan S SnitkinDepartment of Microbiology and Immunology, Division of Infectious Diseases, University of Michigan, Ann Arbor.
Bala HotaDivision of Infectious Diseases, Rush University Medical Center/Stroger Hospital of Cook County, Chicago, Illinois.
Stefan J GreenDepartment of Microbiology and Immunology, University of Illinois at Chicago, Research Resources Center.
Ali PiraniDepartment of Microbiology and Immunology, University of Illinois at Chicago, Research Resources Center.
Alla AroutchevaDivision of Infectious Diseases, Rush University Medical Center/Stroger Hospital of Cook County, Chicago, Illinois.
Robert A WeinsteinDivision of Infectious Diseases, Rush University Medical Center/Stroger Hospital of Cook County, Chicago, Illinois.
Rush University Medical Center · USUniversity of Illinois Chicago · USJohn H. Stroger, Jr. Hospital of Cook County · USUniversity of Michigan–Ann Arbor · US

Funding

Genomic Epidemiology of Methicillin-Resistant Staphylococcus aureus in JailR01AI114688 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI POPOVICH, KYLE JEANNE · 2015 to 2019
$1.8M
NIAID NIH HHS R01 AI114688
6 · The paper itself

Abstract

Background: We examined whether disparities existed in hospital-onset (HO) Staphylococcus aureus bloodstream infections (BSIs) and used whole-genome sequencing (WGS) to identify factors associated with USA300 transmission networks. Methods: We evaluated HO methicillin-susceptible S. aureus (MSSA) and HO methicillin-resistant S. aureus (MRSA) BSIs for 2009-2013 at 2 hospitals and used an adjusted incidence for modeling. WGS and phylogenetic analyses were performed on a sample of USA300 BSI isolates. Epidemiologic data were analyzed in the context of phylogenetic reconstructions. Results: On multivariate analysis, male sex, African-American race, and non-Hispanic white race/ethnicity were significantly associated with HO-MRSA BSIs whereas Hispanic ethnicity was negatively associated (rate ratio, 0.41; P = .002). Intermixing of community-onset and HO-USA300 strains on the phylogenetic tree indicates that these strains derive from a common pool. African-American race was the only factor associated with genomic clustering of isolates. Conclusions: In a multicenter assessment of HO-S. aureus BSIs, African-American race was significantly associated with HO-MRSA but not MSSA BSIs. There appears to be a nexus of USA300 community and hospital transmission networks, with a community factor being the primary driver. Our data suggest that HO-USA300 BSIs likely are due to colonizing strains acquired in the community before hospitalization. Therefore, prevention efforts may need to extend to the community for maximal benefit.

Indexed as

BacteremiaCross InfectionStaphylococcal InfectionsDNA, BacterialFemaleGenome, BacterialGenomicsHumansMaleMethicillin-Resistant Staphylococcus aureusRetrospective StudiesSequence Analysis, DNADNA, BacterialbacteremiadisparitiesMRSAWhole genome sequencing

Identifiers

PMID28486667
PMCPMC5853804
OpenAlexW2612285087

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.