Evidence map›Paper›PMID 29729180›Full record

ArticleThe British journal of dermatology2018

The widespread use of topical antimicrobials enriches for resistance in Staphylococcus aureus isolated from patients with atopic dermatitis.

C P Harkins, M A McAleer, D Bennett, M McHugh, O M Fleury, K A Pettigrew, K Oravcová, J Parkhill, C M Proby, R S Dawe and 3 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Understanding the role ofFrontiers in medicine · 2024
    Review
  7. Investigating genomic diversity ofFrontiers in microbiology · 2024
    Article
  8. In Vitro Effect ofVeterinary sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Microbial manipulation in atopic dermatitis.Clinical and translational medicine · 2022
    Article
  15. The Human Skin Microbiome in Selected Cutaneous Diseases.Frontiers in cellular and infection microbiology · 2022
    Review
  16. From Emollients to Biologicals: Targeting Atopic Dermatitis.International journal of molecular sciences · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. Skin Microbiome in Atopic Dermatitis.Acta dermato-venereologica · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

C P HarkinsSchool of Medicine, University of St Andrews, St Andrews, KY11 9TF, U.K.ORCID 0000-0002-9099-7291
M A McAleerNational Children's Research Centre, Trinity College Dublin, Dublin, Ireland.
D BennettIrish Meningitis and Sepsis Reference Laboratory (IMSRL), Temple Street Children's University Hospital, Dublin 1, DO1 YC67, Ireland.
M McHughSchool of Medicine, University of St Andrews, St Andrews, KY11 9TF, U.K.
O M FleuryDepartment of Microbiology, Moyne Institute of Preventative Medicine, School of Genetics and Microbiology, Trinity College Dublin, Dublin 2, Ireland.
K A PettigrewSchool of Medicine, University of St Andrews, St Andrews, KY11 9TF, U.K.
K OravcováSchool of Medicine, University of St Andrews, St Andrews, KY11 9TF, U.K.ORCID 0000-0001-5930-6803
J ParkhillThe Wellcome Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, CB10 1SA, U.K.ORCID 0000-0002-7069-5958
C M ProbyDepartment of Dermatology, Ninewells Hospital, Dundee, DD1 9SY, U.K.
R S DaweDepartment of Dermatology, Ninewells Hospital, Dundee, DD1 9SY, U.K.ORCID 0000-0002-4732-071X
J A GeogheganDepartment of Microbiology, Moyne Institute of Preventative Medicine, School of Genetics and Microbiology, Trinity College Dublin, Dublin 2, Ireland.
A D IrvineNational Children's Research Centre, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0002-9048-2044
M T G HoldenSchool of Medicine, University of St Andrews, St Andrews, KY11 9TF, U.K.ORCID 0000-0002-4958-2166
University of St Andrews · GBTrinity College Dublin · IEUniversity of Dundee · GBTemple Street Children's University Hospital · IEWellcome Sanger Institute · GB

Funding

Chief Scientist Office SIRN10Wellcome TrustWellcome Trust 098731/z/11zWellcome Trust 104241/z/14/z
6 · The paper itself

Abstract

backgroundCarriage rates of Staphylococcus aureus on affected skin in atopic dermatitis (AD) are approximately 70%. Increasing disease severity during flares and overall disease severity correlate with increased burden of S. aureus. Treatment in AD therefore often targets S. aureus with topical and systemic antimicrobials.

objectivesTo determine whether antimicrobial sensitivities and genetic determinants of resistance differed in S. aureus isolates from the skin of children with AD and healthy child nasal carriers.

methodsIn this case-control study, we compared S. aureus isolates from children with AD (n = 50) attending a hospital dermatology department against nasal carriage isolates from children without skin disease (n = 49) attending a hospital emergency department for noninfective conditions. Using whole genome sequencing we generated a phylogenetic framework for the isolates based on variation in the core genome, then compared antimicrobial resistance phenotypes and genotypes between disease groups.

resultsStaphylococcus aureus from cases and controls had on average similar numbers of phenotypic resistances per isolate. Case isolates differed in their resistance patterns, with fusidic acid resistance (Fus

conclusionsThe results suggest that strong selective pressure drives the emergence and maintenance of specific resistances in AD.

Indexed as

Administration, CutaneousAnti-Infective Agents, LocalCarrier StateCase-Control StudiesChildChild, PreschoolDermatitis, AtopicDrug Resistance, BacterialFemaleHealthy VolunteersHumansInfantInfant, NewbornMaleMicrobial Sensitivity TestsMutationAnti-Infective Agents, LocalFusA protein, Staphylococcus aureusPeptide Elongation Factor G

Identifiers

PMID29729180
PMCPMC6221151
OpenAlexW2801852277

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.