Evidence map›Paper›PMID 30961989›Full record

ArticleThe Journal of pediatrics2019

Molecular Epidemiology of Invasive Staphylococcus aureus Infections and Concordance with Colonization Isolates.

Isaac P Thomsen, Priyanka Kadari, Nicole R Soper, Scott Riddell, Deanna Kiska, C Buddy Creech, Jana Shaw

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Population genomic variation inMicrobial genomics · 2026
    Article
  4. Article
  5. Article
  6. Limited Adaptation ofMicrobiology spectrum · 2023
    Article
  7. Frontiers in microbiology · 2023
    Article
  8. Review
  9. Article
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 2 institutions in 1 country.

Isaac P ThomsenDivision of Pediatric Infectious Diseases, Department of Pediatrics, and Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, TN. Electronic address: isaac.thomsen@vumc.org.
Priyanka KadariDivision of Pediatric Infectious Diseases, Department of Pediatrics, and Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, TN.
Nicole R SoperDivision of Pediatric Infectious Diseases, Department of Pediatrics, and Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, TN.
Scott RiddellDepartment of Pathology, SUNY Upstate Medical University, Syracuse, NY.
Deanna KiskaDepartment of Pathology, SUNY Upstate Medical University, Syracuse, NY.
C Buddy CreechDivision of Pediatric Infectious Diseases, Department of Pediatrics, and Vanderbilt Vaccine Research Program, Vanderbilt University School of Medicine, Nashville, TN.
Jana ShawDivision of Pediatric Infectious Diseases, Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY.
Vanderbilt University · USSUNY Upstate Medical University · US

Funding

Functional Antibody Repertoire Against S. aureus Leukocidins after Invasive Human InfectionR01AI139172 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CROWE, JAMES E · 2019 to 2023
$3.5M
Evaluating the Functional Antibody Response to Pediatric S. aureus InfectionsK23AI113150 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI THOMSEN, ISAAC P · 2014 to 2018
$887k
NIAID NIH HHS K23 AI113150NIAID NIH HHS R01 AI139172
6 · The paper itself

Abstract

objectivesTo characterize Staphylococcus aureus isolates recovered from hospitalized children and to determine the concordance between colonizing and invasive isolates. STUDY

designChildren with culture-confirmed, community-onset, invasive S aureus infections were enrolled in this prospective case series from a large children's hospital over a 5-year period. Colonization isolates were obtained from the anterior nares, oropharynx, and inguinal folds and were compared with invasive isolates via repetitive-element, sequence-based polymerase chain reaction testing. Isolates with a ≥96% genetic match were characterized as concordant.

resultsA total of 86 S aureus isolates (44 invasive, 42 colonization) were collected from 44 children with invasive infections. Clinical isolates were genetically diverse, 64% of invasive isolates were methicillin-susceptible S aureus (MSSA), and 59% of cases had a colonizing S aureus isolate at the time of hospitalization. Of those who were colonized, at least 1 of their colonization isolates was indistinguishable from the infecting isolate in 88% of cases. Patients with invasive MSSA were significantly more likely to have a concordant MSSA colonization isolate present compared with patients with invasive methicillin-resistant S aureus (MRSA) (61% vs 38%, P < .05).

conclusionsInvasive MSSA infection was more common than MRSA infection in this pediatric cohort, and patients with MSSA infection were significantly more likely than those with MRSA infection to have concordant colonizing isolates across multiple anatomic sites. These findings warrant larger scale validation and may have important infection control and epidemiologic implications, as unlike MRSA, transmissibility of MSSA largely is ignored in healthcare settings.

Indexed as

AdolescentCarrier StateChildChild, PreschoolCommunity-Acquired InfectionsDNA, BacterialFemaleGroinHumansInfantInfant, NewbornMaleMolecular EpidemiologyNasal CavityNew YorkOropharynxDNA, Bacterialcolonizationmolecular epidemiologyMRSAStaphylococcus aureus

Identifiers

PMID30961989
PMCPMC6592716
OpenAlexW2935378288

What OpenQuestion holds

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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.