Evidence map›Paper›PMID 29967393›Full record

ArticleScientific reports2018

Complex ecological interactions of Staphylococcus aureus in tampons during menstruation.

Isaline Jacquemond, Anaëlle Muggeo, Gery Lamblin, Anne Tristan, Yves Gillet, Pierre Adrien Bolze, Michèle Bes, Claude Alexandre Gustave, Jean-Philippe Rasigade, François Golfier and 8 more

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Journal of bacteriology · 2026
    Article
  2. Review
  3. Review
  4. TSST-1 promotes colonization ofInfection and immunity · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. TheGenes · 2021
    Review
  9. Article
  10. Article
  11. Device-Associated Menstrual Toxic Shock Syndrome.Clinical microbiology reviews · 2020
    Review
  12. Determinants of Vaginal Microbiota Composition.Frontiers in cellular and infection microbiology · 2020
    Review
  13. Fulminant Staphylococcal Infections.Microbiology spectrum · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Isaline JacquemondUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France.
Anaëlle MuggeoCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France.
Gery LamblinDepartment of Gynecology, Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Bron, France.
Anne TristanCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France.
Yves GilletCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France.
Pierre Adrien BolzeDepartment of Gynecological Surgery and Oncology, Obstetrics, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.
Michèle BesCentre National de Référence des Staphylocoques, Institut des Agent infectieux, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France.
Claude Alexandre GustaveCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France.
Jean-Philippe RasigadeCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France.
François GolfierDepartment of Gynecological Surgery and Oncology, Obstetrics, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.
Tristan FerryService des maladies infectieuses et tropicales, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France.
Audrey DubostUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France.ORCID http://orcid.org/0000-0003-0572-7834
Danis AbroukUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France.
Samuel BarretoUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France.
Claire Prigent-CombaretUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France.
Jean ThioulouseUniversité Lyon 1, CNRS, UMR5558, Laboratoire de Biométrie et Biologie Evolutive, Villeurbanne, France.ORCID http://orcid.org/0000-0001-7664-0598
Gérard LinaCIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Lyon 1, Ecole Normale Supérieure de Lyon, CNRS UMR 5308, Lyon, France. gerard.lina@univ-lyon1.fr.ORCID http://orcid.org/0000-0002-9236-7998
Daniel MullerUniversité de Lyon, Université Claude Bernard Lyon 1, CNRS, INRA, VetAgro Sup, UMR Ecologie Microbienne, 43 bd du 11 Novembre, F-69622, Villeurbanne, France. daniel.muller@univ-lyon1.fr.ORCID http://orcid.org/0000-0002-6619-4691

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Menstrual toxic shock syndrome (mTSS) is a severe disease that occurs in healthy women vaginally colonized by Staphylococcus aureus producing toxic shock toxin 1 and who use tampons. The aim of the present study was to determine the impact of the composition of vaginal microbial communities on tampon colonisation by S. aureus during menses. We analysed the microbiota in menstrual fluids extracted from tampons from 108 healthy women and 7 mTSS cases. Using culture, S. aureus was detected in menstrual fluids of 40% of healthy volunteers and 100% of mTSS patients. Between class analysis of culturomic and 16S rRNA gene metabarcoding data indicated that the composition of the tampons' microbiota differs according to the presence or absence of S. aureus and identify discriminating genera. However, the bacterial communities of tampon fluid positive for S. aureus did not cluster together. No difference in tampon microbiome richness, diversity, and ecological distance was observed between tampon vaginal fluids with or without S. aureus, and between healthy donors carrying S. aureus and mTSS patients. Our results show that the vagina is a major niche of. S. aureus in tampon users and the composition of the tampon microbiota control its virulence though more complex interactions than simple inhibition by lactic acid-producing bacterial species.

Indexed as

MenstruationMicrobiotaAdultBacteriaDNA Barcoding, TaxonomicFemaleHumansMenstrual Hygiene ProductsRNA, Ribosomal, 16SShock, SepticStaphylococcal InfectionsStaphylococcus aureusVaginaYoung AdultRNA, Ribosomal, 16S

Identifiers

PMID29967393
PMCPMC6028614

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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.