Evidence map›Paper›PMID 30261854›Full record

ArticleBMC infectious diseases2018

Healthcare-associated transmission of Panton-Valentine leucocidin positive methicillin-resistant Staphylococcus aureus: the value of screening asymptomatic healthcare workers.

Panagiotis Papastergiou, Eleni Tsiouli

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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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

2 authors at 1 institution in 1 country.

Panagiotis PapastergiouMicrobiology Department, NRP Innovation Centre, Norwich Research Park, Norfolk and Norwich University Hospital, Colney, Norwich, NR4 7GJ, UK. panpapast@hotmail.com.ORCID http://orcid.org/0000-0002-2986-3163
Eleni TsiouliMicrobiology Department, NRP Innovation Centre, Norwich Research Park, Norfolk and Norwich University Hospital, Colney, Norwich, NR4 7GJ, UK.
Norwich Research Park · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree patients hospitalised in the coronary care unit of a general district hospital (England, UK) were tested positive for Panton-Valentine leucocidin methicillin-resistant Staphylococcus aureus colonisation during their routine weekly screening for methicillin-resistant Staphylococcus aureus (MRSA). The isolates were indistinguishable and all three patients have previously had negative screening tests. The outbreak investigation team considered exploring the possibility of PVL-MRSA transmission from members of staff to the patients and potentially between members of staff.

methodAs part of the investigations, healthcare workers on coronary care unit and intensive care unit were screened for MRSA carriage.

resultsAmong 134 screened healthcare workers, five staff members (3.7%) were MRSA colonised. Among these isolates, four were Panton-Valentine leukocidin positive. However, only two healthcare workers had an indistinguishable isolate with the isolate identified among the colonised patients. Decolonisation treatment was offered to all colonised patients and healthcare workers.

conclusionIn low MRSA prevalence settings, healthcare workers may be a reservoir of MRSA and an important potential source of transmission to patients. Screening and decolonisation of colonised healthcare workers may provide a valuable strategy in managing linked hospital acquisitions and reduce the risk of occupationally acquired complications. MRSA mass screen of healthcare workers should be considered in transmission with a strain that has a potentially increased virulence, such as Panton-Valentine leucocidin methicillin-resistant Staphylococcus aureus.

Indexed as

Asymptomatic DiseasesBacterial ToxinsCoronary Care UnitsDisease ReservoirsExotoxinsHealth PersonnelHospitals, GeneralHumansIntensive Care UnitsLeukocidinsMethicillin-Resistant Staphylococcus aureusMultilocus Sequence TypingStaphylococcal InfectionsBacterial ToxinsExotoxinsLeukocidinsPanton-Valentine leukocidinHealthcare workerInfection controlMethicillin-resistant Staphylococcus aureusMRSA, nosocomialOccupational healthPanton–Valentine leucocidinPVL

Identifiers

PMID30261854
PMCPMC6161321
OpenAlexW2893131748

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.