Evidence map›Paper›PMID 30985510›Full record

ArticleThe Pediatric infectious disease journal2019

Bacterial Colonization of the Hospitalized Newborn: Competition Between Staphylococcus aureus and Staphylococcus epidermidis.

Daniel C Lee, Anchasa Kananurak, Michelle Tn Tran, Patricia A Connolly, Christopher R Polage, Tadayuki Iwase, Charles L Bevins, Mark A Underwood

Open access · greenAbstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. The extracellular serine protease fromFrontiers in immunology · 2024
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  6. Antimicrobial ResistantPathogens (Basel, Switzerland) · 2023
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  7. Review
  8. Antimicrobial Resistance and Molecular Epidemiology ofPathogens (Basel, Switzerland) · 2022
    Article
  9. Look Who's Talking: Host and Pathogen Drivers ofInternational journal of molecular sciences · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Novel Cytoplasmic Bacteriocin Compounds Derived fromPathogens (Basel, Switzerland) · 2020
    Article
  14. Novel Research Models forFrontiers in microbiology · 2020
    Review
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

8 authors at 2 institutions in 2 countries.

Daniel C LeeFrom the Division of neonatology, Department of Pediatrics, School of Medicine, University of California Davis, Sacramento, California.
Anchasa KananurakDepartment of Microbiology and Immunology, School of Medicine, University of California Davis, Davis, California.
Michelle Tn TranDepartment of Microbiology and Immunology, School of Medicine, University of California Davis, Davis, California.
Patricia A ConnollyDepartment of Pathology, School of Medicine, University of California Davis, Sacramento, California.
Christopher R PolageDepartment of Pathology, School of Medicine, University of California Davis, Sacramento, California.
Tadayuki IwaseDepartment of Bacteriology, The Jikei University School of Medicine, Tokyo, Japan.
Charles L BevinsDepartment of Microbiology and Immunology, School of Medicine, University of California Davis, Davis, California.
Mark A UnderwoodFrom the Division of neonatology, Department of Pediatrics, School of Medicine, University of California Davis, Sacramento, California.
University of California, Davis · USJikei University School of Medicine · JP

Funding

Necrotizing Enterocolitis: Prevention and PredictionR01HD059127 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI LEBRILLA, CARLITO B, MILLS, DAVID ANDREW · 2008 to 2012
$3.1M
Novel Defensins in Human Epithelial TissuesR37AI032738 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BEVINS, CHARLES L · 2015 to 2022
$3.1M
NIAID NIH HHS R37 AI032738NICHD NIH HHS R01 HD059127
6 · The paper itself

Abstract

backgroundIn adults, Staphylococcus epidermidis and Staphylococcus aureus compete for colonization of the nasal mucosa and S. epidermidis strains that produce the Esp serine protease eradicate S. aureus nasal colonization. Whether similar phenomena are seen in newborn infants is unknown.

methodsNasal swabs were obtained on admission and discharge from newborn infants (n = 90 and 83, respectively) in the neonatal intensive care unit at UC Davis Children's Hospital. Swabs were cultured for S. aureus and S. epidermidis. S. epidermidis isolates were tested for Esp expression, overall secreted protease activity and biofilm inhibition.

resultsNo infant had S. aureus on admission. S. epidermidis colonization was rare on admission in inborn infants (2.5%), but common in infants transferred from referring hospitals (50%). At discharge, most infants (96%) were colonized by staphylococci. S. aureus colonization was less common in infants with S. epidermidis colonization (9%) and more common in infants without S. epidermidis (77%) (relative risk of S. aureus colonization in infants colonized with S. epidermidis 0.18, 95% confidence interval: 0.089-0.34, P < 0.0001). Compared with S. epidermidis strains from infants without S. aureus, S. epidermidis from infants co-colonized with S. aureus had lower total proteolytic enzyme activity and decreased biofilm inhibition capacity, but did not have lower frequency of Esp positivity.

conclusionsIn hospitalized neonates, S. epidermidis colonization has a protective effect against S. aureus colonization. Secretion of proteases by S. epidermidis is a possible mechanism of inhibition of S. aureus colonization; however, in this cohort of neonates, the source of major protease activity is likely other than Esp.

Indexed as

AntibiosisCarrier StateFemaleHospitalizationHumansInfant, NewbornIntensive Care Units, NeonatalMaleNasal MucosaPeptide HydrolasesProspective StudiesStaphylococcal InfectionsStaphylococcus aureusStaphylococcus epidermidisPeptide Hydrolases

Identifiers

PMID30985510
PMCPMC6814272
OpenAlexW2937630700

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.