Evidence map›Paper›PMID 30094828›Full record

ArticleJournal of the American Geriatrics Society2018

Burden of Invasive Methicillin-Resistant Staphylococcus aureus Infections in Nursing Home Residents.

Cheri Grigg, Danielle Palms, Nimalie D Stone, Nicole Gualandi, Wendy Bamberg, Ghinwa Dumyati, Lee H Harrison, Ruth Lynfield, Joelle Nadle, Susan Petit and 4 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
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  4. Construction of A New Dose-Response Model forPathogens (Basel, Switzerland) · 2019
    Article
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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

14 authors at 10 institutions in 2 countries.

Cheri GriggDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-9910-0463
Danielle PalmsDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nimalie D StoneDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nicole GualandiDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Wendy BambergDisease Control and Environmental Epidemiology Division, Colorado Department of Public Health and Environment, Denver, Colorado.
Ghinwa DumyatiInfectious Diseases Division and Center for Community Health and Prevention, University of Rochester Medical Center, Rochester, New York.
Lee H HarrisonDepartment of International Health, Maryland Emerging Infections Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Ruth LynfieldExecutive Office, Minnesota Department of Health, St. Paul, Minnesota.
Joelle NadleHospital Associated Infections Projects, California Emerging Infections Program, Oakland, California.
Susan PetitEpidemiology and Emerging Infections Program, Connecticut Department of Public Health, Hartford, Connecticut.
Susan RayDivision of Infectious Diseases, School of Medicine, Emory University, Atlanta, Georgia.
William SchaffnerDepartment of Health Policy, School of Medicine, Vanderbilt University, Nashville, Tennessee.
John TownesDivision of Infectious Diseases, Oregon Health & Science University, Portland, Oregon.
Isaac SeeDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USColorado Department of Public Health and Environment · USConnecticut Department of Public Health · USEmory University · USJohns Hopkins University · USMinnesota Department of Health · USOmsk Research Institute of Natural Focal Infections · RUOregon Health & Science University · USUniversity of Rochester Medical Center · USVanderbilt University · US

Funding

CDC HHSNCEZID CDC HHS U50 CK000194NCEZID CDC HHS U50 CK000195NCEZID CDC HHS U50 CK000196NCEZID CDC HHS U50 CK000197NCEZID CDC HHS U50 CK000198NCEZID CDC HHS U50 CK000199NCEZID CDC HHS U50 CK000201NCEZID CDC HHS U50 CK000203NCEZID CDC HHS U50 CK000204
6 · The paper itself

Abstract

objectivesTo describe the epidemiology and incidence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in nursing home (NH) residents, which has previously not been well characterized.

designRetrospective analysis of public health surveillance data.

settingHealthcare facilities in 33 U.S. counties.

participantsResidents of the surveillance area. MEASUREMENTS: Counts of NH-onset and hospital-onset (HO) invasive MRSA infections (cultured from sterile body sites) identified from the Centers for Disease Control and Prevention Emerging Infections Program (EIP) population-based surveillance from 2009 to 2013 were compared. Demographic characteristics and risk factors of NH-onset cases were analyzed. Using NH resident-day denominators from the Centers for Medicare and Medicaid Services Skilled Nursing Facility Cost Reports, incidence of NH-onset invasive MRSA infections from facilities in the EIP area was determined.

resultsA total of 4,607 NH-onset and 4,344 HO invasive MRSA cases were reported. Of NH-onset cases, median age was 74, most infections were bloodstream infections, and known risk factors for infection were common: 1,455 (32%) had previous MRSA infection or colonization, 1,014 (22%) had decubitus ulcers, 1,098 (24%) had recent central venous catheters, and 1,103 (24%) were undergoing chronic dialysis; 2,499 (54%) had been discharged from a hospital in the previous 100 days. The in-hospital case-fatality rate was 19%. The 2013 pooled mean incidence of NH-onset invasive MRSA infections in the surveillance area was 2.4 per 100,000 patient-days.

conclusionMore NH-onset than HO cases occurred, primarily in individuals with known MRSA risk factors. These data reinforce the importance of infection prevention practices during wound and device care in NH residents, especially those with a history of MRSA infection or colonization.

Indexed as

Methicillin-Resistant Staphylococcus aureusPopulation SurveillanceAgedAged, 80 and overCross InfectionFemaleHomes for the AgedHumansIncidenceMaleNursing HomesRetrospective StudiesRisk FactorsSkilled Nursing FacilitiesStaphylococcal InfectionsUnited Statesepidemiologyinvasive infectionsmethicillin-resistant Staphylococcus aureusnursing home

Identifiers

PMID30094828
PMCPMC11009933
OpenAlexW2885972935

What OpenQuestion holds

Textmetadata
LicenceTDM
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.