Evidence map›Paper›PMID 29544544›Full record

ArticleAnnals of clinical microbiology and antimicrobials2018

Comparative and molecular analysis of MRSA isolates from infection sites and carrier colonization sites.

Khaled R Alkharsah, Suriya Rehman, Fatimah Alkhamis, Amani Alnimr, Asim Diab, Amein K Al-Ali

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

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

  1. Methicillin-ResistantToxins · 2020
    Pooled it
  2. Article
  3. Article
  4. Review
  5. The Changes in the Antibiotic Resistance ofJournal of clinical medicine · 2025
    Article
  6. Article
  7. Understanding the Molecular Epidemiology of Community-Acquired Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  8. Methicillin-resistantFrontiers in microbiology · 2025
    Article
  9. Molecular epidemiology of methicillin-resistantFrontiers in microbiology · 2025
    Review
  10. Determinants of maturation of theJournal of bacteriology · 2024
    Article
  11. Review
  12. Methicillin-resistantVeterinary world · 2024
    Review
  13. Article
  14. Review
  15. Clonal Flux and Spread ofMicroorganisms · 2023
    Article
  16. Community-Acquired Methicillin-ResistantDiagnostics (Basel, Switzerland) · 2023
    Article
  17. Article
  18. Article
  19. A Sequalae of Lineage Divergence inDiagnostics (Basel, Switzerland) · 2023
    Article
  20. Comparative genomic analysis of antibiotic resistance and virulence genes inFrontiers in cellular and infection microbiology · 2023
    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

6 authors.

Khaled R AlkharsahDepartment of Epidemic Diseases Research, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia. kalkharsah@iau.edu.sa.ORCID http://orcid.org/0000-0002-4641-2604
Suriya RehmanDepartment of Epidemic Diseases Research, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia.
Fatimah AlkhamisDepartment of Epidemic Diseases Research, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia.
Amani AlnimrDepartment of Microbiology, College of Medicine, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia.
Asim DiabDepartment of Microbiology, College of Medicine, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia.
Amein K Al-AliDepartment of Biochemistry, College of Medicine, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam, 31441, Saudi Arabia.

Funding

Deanship for Scientific Research, University of Dammam, SA project number 2013229
6 · The paper itself

Abstract

backgroundMethicillin resistant Staphylococcus aureus (MRSA) constitutes a major global health concern causing hospital and community acquired infections. A wide diversity of MRSA genotypes are circulating in geographically related regions. Therefore understanding the molecular epidemiology of MRSA is fundamental to design control and clearance measures.

methodsA total of 106 MRSA isolates from infection (51) and carrier colonization sites (55) are characterized genetically based on SCCmec and MLST genotyping methods in addition to detection of PVL, TSST-1 and enterotoxins.

resultsSccmec-IV was the most frequently detected genotype (77.3%) followed by genotype V (13.2%) and III (9.4%). SCCmec-IVa was more prevalent among the carrier group (p value 0.002). CC80 was the most commonly identified clonal complex (CC). CC6 and CC22 were significantly more prevalent among the carrier group (p value 0.02 and 0.01, respectively). PVL was highly prevalent among the isolates (58.5%). PVL was detected in 70.6% of isolates from infection sites and 47.3% of isolates from carriers. All strains were sensitive to vancomycin, however, MRSA strains isolated from infection sites had significantly higher MICs compared to strains isolated from carrier colonization sites (p value 0.021). Five new sequence types mainly from the carrier group were identified and described in the study.

conclusionsMRSA population is genetically very diverse among carriers and infected individuals. With SCCmec type IV being most prevalent, this suggests a community origin of most MRSA strains. Therefore very well designed surveillance and clearance strategies should be prepared to prevent emergence and control spread of MRSA in the community.

Indexed as

GenotypeMolecular EpidemiologyAdultAllelesAnti-Bacterial AgentsBacterial ProteinsBacterial ToxinsBacterial Typing TechniquesCommunity-Acquired InfectionsCross InfectionDNA, BacterialDrug Resistance, Multiple, BacterialEnterotoxinsExotoxinsFemaleGenes, BacterialAnti-Bacterial AgentsBacterial ProteinsBacterial ToxinsDNA, Bacterialenterotoxin F, StaphylococcalEnterotoxinsExotoxinsLeukocidinsmecA protein, Staphylococcus aureusPanton-Valentine leukocidinPenicillin-Binding ProteinsSuperantigensCA-MRSACarrierHA-MRSAInfectionMLSTMRSASaudi ArabiaSCCmec

Identifiers

PMID29544544
PMCPMC5852952

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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.