Evidence map›Paper›PMID 30680961›Full record

ArticleMicrobiologyOpen2019

Vascular access infection by Staphylococcus aureus from removed dialysis accesses.

Chishih Chu, Min Yi Wong, Yuan-Hsi Tseng, Chun-Liang Lin, Chun-Wu Tung, Chih-Chen Kao, Yao-Kuang Huang

Open access · goldAbstract read
In one paragraph

Article in MicrobiologyOpen, 2019. 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
0.9field-weighted citation impact, top 28% 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, 7 citations in OpenAlex.

  1. Molecular Characteristics and Distribution of Virulence Genes amongThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
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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

7 authors at 3 institutions in 1 country.

Chishih ChuDepartment of Microbiology, Immunology, and Biopharmaceuticals, National Chiayi University, Chiayi City, Taiwan (R.O.C.).
Min Yi WongDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Puzi City, Chiayi County, Taiwan (R.O.C.).
Yuan-Hsi TsengDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Puzi City, Chiayi County, Taiwan (R.O.C.).
Chun-Liang LinDepartment of Nephrology, Chiayi Chang Gung Memorial Hospital, Puzi City, Chiayi County, Taiwan (R.O.C.).
Chun-Wu TungDepartment of Nephrology, Chiayi Chang Gung Memorial Hospital, Puzi City, Chiayi County, Taiwan (R.O.C.).
Chih-Chen KaoDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Puzi City, Chiayi County, Taiwan (R.O.C.).
Yao-Kuang HuangDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Puzi City, Chiayi County, Taiwan (R.O.C.).ORCID 0000-0003-2699-2207
Chang Gung University · TWChiayi Chang Gung Memorial Hospital · TWNational Chiayi University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemodialysis patients are particularly vulnerable to Staphylococcus aureus infection, with the vascular access serving as the site of entry for this formidable pathogen. Patients with arteriovenous grafts (AVGs) and tunneled-cuffed catheters (TCCs) are at elevated risk of S. aureus infection. In this study, we investigated the correlation between the clinical characteristics of S. aureus vascular access infection (VAI), molecular profiles, and the biofilm formation abilities of clinical isolates of S. aureus. We collected samples of methicillin-resistant S. aureus (MRSA), methicillin-sensitive S. aureus (MSSA), and methicillin-sensitive S. argenteus (MSSAg) from patients with S. aureus VAI and patients with other infections. The molecular profiles of the clinical isolates were determined using disk diffusion testing and molecular typing. The biofilm formation ability was determined by microtiter plate assay. In total, 63 S. aureus and 10 S. argenteus isolates were identified: 40 MRSA, 23 MSSA, and ten MSSAg. MRSA was highly prevalent (77.8%) in TCC isolates and was multidrug resistant. Of the 40 MRSA isolates, ST239-SCCmec III was the predominant clone. SCCmec type IV was the predominant type (35%) in isolates from AVGs, while SCCmec type III was prevalent in TCC infection and showed significantly higher biofilm formation ability than types IV and V. In dialysis VAI by S. aureus, patients with TCC were more often infected with MRSA than patients with AVG, and MRSA in TCC-VAI was predominantly SCCmec type III, which had the strongest drug resistance and biofilm formation ability.

Indexed as

AgedBiofilmsCatheter-Related InfectionsDiagnostic Tests, RoutineDisk Diffusion Antimicrobial TestsDrug Resistance, Multiple, BacterialFemaleGenotypeHumansMaleMiddle AgedMolecular TypingRenal DialysisStaphylococcal InfectionsStaphylococcusStaphylococcus aureusantibiotic resistancehemodialysisMRSAMSSASCCmecvascular access infection

Identifiers

PMID30680961
PMCPMC6692541
OpenAlexW2912719998

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.