Evidence map›Paper›PMID 29190731›Full record

ArticlePloS one2017

Newly identified risk factors for MRSA carriage in The Netherlands.

W S N Lekkerkerk, A Haenen, M A B van der Sande, T Leenstra, S de Greeff, A Timen, A Tjon-A-Tsien, J H Richardus, N van de Sande-Bruinsma, M C Vos

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Decolonization of methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  4. Observational
  5. Article
  6. Methicillin-ResistantInfection and drug resistance · 2021
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Microbiome as a tool and a target in the effort to address antimicrobial resistance.Proceedings of the National Academy of Sciences of the United States of America · 2018
    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.

W S N LekkerkerkDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-1521-1295
A HaenenRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
M A B van der SandeRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
T LeenstraRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
S de GreeffRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
A TimenRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
A Tjon-A-TsienMunicipal Public Health Service Rotterdam Rijnmond, Rotterdam, The Netherlands.
J H RichardusMunicipal Public Health Service Rotterdam Rijnmond, Rotterdam, The Netherlands.
N van de Sande-BruinsmaRIVM, National Centre for Health and Environment, Bilthoven, The Netherlands.
M C VosDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo elucidate new risk factors for MRSA carriers without known risk factors (MRSA of unknown origin; MUO). These MUO carriers are neither pre-emptively screened nor isolated as normally dictated by the Dutch Search & Destroy policy, thus resulting in policy failure.

methodsWe performed a prospective case control study to determine risk factors for MUO acquisition/carriage (Dutch Trial Register: NTR2041). Cases were MUO carriers reported by participating medical microbiological laboratories to the RIVM from September 1st 2011 until September 1st 2013. Controls were randomly selected from the community during this period.

resultsSignificant risk factors for MUO in logistic multivariate analysis were antibiotic use in the last twelve months, aOR 8.1 (5.6-11.7), screened as contact in a contact tracing but not detected as a MRSA carrier at that time, aOR 4.3 (2.1-8.8), having at least one foreign parent, aOR 2.4 (1.4-3.9) and receiving ambulatory care, aOR 2.3 (1.4-3.7). Our found risk factors explained 83% of the MUO carriage.

conclusionsIdentifying new risk factors for MRSA carriers remains crucial for countries that apply a targeted screening approach as a Search and Destroy policy or as vertical infection prevention measure.

Indexed as

Carrier StateCase-Control StudiesHumansMethicillin-Resistant Staphylococcus aureusNetherlandsPopulation SurveillanceProspective StudiesRisk FactorsStaphylococcal Infections

Identifiers

PMID29190731
PMCPMC5708665

What OpenQuestion holds

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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.