Evidence map›Paper›PMID 28575216›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Emergence of Livestock-Associated Methicillin-Resistant Staphylococcus aureus Bloodstream Infections in Denmark.

Jesper Larsen, Andreas Petersen, Anders R Larsen, Raphael N Sieber, Marc Stegger, Anders Koch, Frank M Aarestrup, Lance B Price, Robert L Skov, Danish MRSA Study Group

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Veterinary sciences · 2025
    Review
  7. Comparative Evaluation of the Antibiotic Resistance Profile ofInternational journal of public health · 2024
    Article
  8. Article
  9. Virulence Mechanisms of Staphylococcal Animal Pathogens.International journal of molecular sciences · 2023
    Review
  10. Article
  11. The Epidemiology of Animal-Associated Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2023
    Review
  12. Article
  13. Review
  14. Methicillin-resistantEmerging microbes & infections · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Livestock-associated methicillin-resistantFrontiers in microbiology · 2022
    Article
  19. Article
  20. 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

10 authors.

Jesper LarsenStatens Serum Institut, Copenhagen, Denmark.
Andreas PetersenStatens Serum Institut, Copenhagen, Denmark.
Anders R LarsenStatens Serum Institut, Copenhagen, Denmark.
Raphael N SieberStatens Serum Institut, Copenhagen, Denmark.
Marc SteggerStatens Serum Institut, Copenhagen, Denmark.
Anders KochStatens Serum Institut, Copenhagen, Denmark.
Frank M AarestrupTechnical University of Denmark, Kongens Lyngby; and.
Lance B PriceTranslational Genomics Research Institute, Flagstaff, Arizona.
Robert L SkovStatens Serum Institut, Copenhagen, Denmark.
Danish MRSA Study Group

Funding

Rapid Emergence of Livestock-associated MRSA ST398: Host-adaptation & VirulenceR01AI101371 · NIAID · TRANSLATIONAL GENOMICS RESEARCH INST · PI PRICE, LANCE BRADLEY · 2013 to 2016
$1.6M
NIAID NIH HHS R01 AI101371
6 · The paper itself

Abstract

Background: Livestock-associated methicillin-resistant Staphylococcus aureus clonal complex 398 (LA-MRSA CC398) is causing an increasing number of skin and soft tissue infections (SSTIs) in Denmark and other European countries with industrial pig production. Yet, its impact on MRSA bloodstream infections (BSIs) has not been well studied. Methods: We investigated the clinical epidemiology of all human cases of LA-MRSA CC398 BSI during 2010-2015. Cases of LA-MRSA CC398 BSI were compared to cases of BSI caused by other types of MRSA and cases of SSTI caused by LA-MRSA CC398. Whole-genome sequence analysis was used to assess the phylogenetic relationship among LA-MRSA CC398 isolates from Danish pigs and cases of BSI and SSTI. Results: The number of LA-MRSA CC398 BSIs and SSTIs increased over the years, peaking in 2014, when LA-MRSA CC398 accounted for 16% (7/44) and 21% (211/985) of all MRSA BSIs and SSTIs, corresponding to 1.2 and 37.4 cases of BSI and SSTI per 1000000 person-years, respectively. Most patients with LA-MRSA CC398 BSI had no contact to livestock, although they tended to live in rural areas. LA-MRSA CC398 caused 24.3 BSIs per 1000 SSTIs among people with no livestock contact, which is similar to the ratio observed for other types of MRSA. Whole-genome sequence analysis showed that most of the BSI and SSTI isolates were closely related to Danish pig isolates. Conclusions: This study demonstrates that the increasing number of LA-MRSA CC398 BSIs occurred in parallel with a much larger wave of LA-MRSA CC398 SSTIs and an expanding pig reservoir.

Indexed as

AdultAgedAged, 80 and overAnimalsBacteremiaChildDenmarkFemaleHumansInfant, NewbornLivestockMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPhylogenySoft Tissue Infections

Identifiers

PMID28575216
PMCPMC5850567

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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.