Evidence map›Paper›PMID 28684128›Full record

Trial reportAmerican journal of infection control2017

Methodologic considerations of household-level methicillin-resistant Staphylococcus aureus decolonization among persons living with HIV.

Jason E Farley, Laura E Starbird, Jill Anderson, Nancy A Perrin, Kelly Lowensen, Tracy Ross, Karen C Carroll

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Risk factors for methicillin-resistantThe Journal of international medical research · 2022
    Pooled it
  2. Trial
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

7 authors at 1 institution in 1 country.

Jason E FarleyDepartment of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, MD. Electronic address: jfarley1@jhu.edu.
Laura E StarbirdDepartment of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, MD.
Jill AndersonDepartment of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, MD.
Nancy A PerrinJohns Hopkins Center for Global Health, Johns Hopkins University School of Nursing, Baltimore, MD.
Kelly LowensenDepartment of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, MD.
Tracy RossDivision of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Karen C CarrollDivision of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · US

Funding

Nurse Case Management to Improve Hepatitis C Linkage to Care and Treatment in HIV CoinfectionF31NR016200 · NINR · JOHNS HOPKINS UNIVERSITY · PI STARBIRD, LAURA · 2016 to 2018
$87k
NINR NIH HHS F31 NR016200
6 · The paper itself

Abstract

backgroundPeople living with HIV (PLWH) have a higher prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization and likelihood of recurrent infection than the general population. Simultaneously treating MRSA-colonized household members may improve success with MRSA decolonization strategies. This article describes a pilot trial testing household-level MRSA decolonization and documents methodologic and pragmatic challenges of this approach.

methodsWe conducted a randomized controlled trial of individual versus individual-plus-household MRSA decolonization to reduce recurrent MRSA. PLWH with a history of MRSA who are patients of an urban HIV clinic received a standard MRSA decolonization regimen. MRSA colonization at 6 months was the primary outcome.

resultsOne hundred sixty-six patients were referred for MRSA screening; 77 (46%) enrolled. Of those, 28 (36%) were colonized with MRSA and identified risk factors consistent with the published literature. Eighteen were randomized and 13 households completed the study.

conclusionsThis is the first study to report on a household-level MRSA decolonization among PLWH. Challenges included provider referral, HIV stigma, confidentiality concerns over enrolling households, and dynamic living situations. Although simultaneous household MRSA decolonization may reduce recolonization, recruitment and retention challenges specific to PLWH limit the ability to conduct household-level research. Efforts to minimize these barriers are needed to inform evidence-based practice.

Indexed as

Family CharacteristicsAdultAnti-Bacterial AgentsCarrier StateChlorhexidineFemaleHIV InfectionsHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedMupirocinProspective StudiesStaphylococcal InfectionsTreatment OutcomeAnti-Bacterial AgentsChlorhexidineMupirocinClinical trialPilotSocial network

Identifiers

PMID28684128
PMCPMC5791522
OpenAlexW2725307049

What OpenQuestion holds

Textmetadata
LicenceTDM
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.