Evidence map›Paper›PMID 28710350›Full record

ArticleScientific reports2017

Environmental surveillance identifies multiple introductions of MRSA CC398 in an Equine Veterinary Hospital in the UK, 2011-2016.

Alessio Bortolami, Nicola J Williams, Catherine M McGowan, Padraig G Kelly, Debra C Archer, Michela Corrò, Gina Pinchbeck, Christine J Saunders, Dorina Timofte

Abstract read
In one paragraph

Article in Scientific reports, 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
–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

16 citing papers in PubMed.

  1. Methicillin-ResistantInternational journal of molecular sciences · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Methicillin-resistantJournal of medical microbiology · 2024
    Article
  6. Article
  7. Rapid typing ofFrontiers in microbiology · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Livestock-Associated Methicillin-ResistantFrontiers in microbiology · 2019
    Review
  16. 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

9 authors.

Alessio BortolamiInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Nicola J WilliamsInstitute of Infection and Global Health, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Catherine M McGowanInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Padraig G KellyInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Debra C ArcherInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Michela CorròIstituto Zooprofilattico Sperimentale delle Venezie, Legnaro, 35020, Italy.
Gina PinchbeckInstitute of Infection and Global Health, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Christine J SaundersInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK.
Dorina TimofteInstitute of Veterinary Science, University of Liverpool, Neston, Wirral, CH64 7TE, UK. d.timofte@liv.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial environmental and surgical site infection (SSI) surveillance was implemented from 2011-2016 in a UK Equine Referral Veterinary Hospital and identified 81 methicillin-resistant Staphylococcus aureus (MRSA) isolates. A cluster of MRSA SSIs occurred in early 2016 with the isolates confirmed as ST398 by multilocus sequence typing (MLST), which prompted retrospective analysis of all MRSA isolates obtained from the environment (n = 62), SSIs (n = 13) and hand plates (n = 6) in the past five years. Sixty five of these isolates were typed to CC398 and a selection of these (n = 38) were further characterised for resistance and virulence genes, SCCmec and spa typing. Overall, MRSA was identified in 62/540 (11.5%) of environmental samples, 6/81 of the hand-plates (7.4%) and 13/208 of the SSIs (6.3%). spa t011 was the most frequent (24/38) and Based Upon Repeat Pattern (BURP) analysis identified spa t011 as one of the two group founders of the main spa CC identified across the five years (spa CC011/3423). However, 3 singletons (t073, t786, t064) were also identified suggesting separate introductions into the hospital environment. This long-term MRSA surveillance study revealed multiple introductions of MRSA CC398 in a UK Equine Hospital, identifying an emerging zoonotic pathogen so far only sporadically recorded in the UK.

Indexed as

Environmental MonitoringHospitals, AnimalAnimalsDrug Resistance, BacterialGenes, BacterialHorsesMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsPrevalenceStaphylococcal InfectionsUnited KingdomVirulence

Identifiers

PMID28710350
PMCPMC5511188

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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.