Evidence map›Paper›PMID 31245810›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Public Health Importance of Invasive Methicillin-sensitive Staphylococcus aureus Infections: Surveillance in 8 US Counties, 2016.

Kelly A Jackson, Runa H Gokhale, Joelle Nadle, Susan M Ray, Ghinwa Dumyati, William Schaffner, David C Ham, Shelley S Magill, Ruth Lynfield, Isaac See

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Emergence of a methicillin-susceptibleFrontiers in cellular and infection microbiology · 2026
    Article
  5. Article
  6. Article
  7. Infection and immunity · 2025
    Review
  8. The virulence toolkit of Staphylococcus aureus: a comprehensive review of toxin diversity, molecular mechanisms, and clinical implications.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  9. Participant Diversity in United States Randomized Controlled Trials of Antibacterials for Staphylococcus aureus Infections, 2000-2021.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  10. Genetic and Phenotypic Changes Related to the Development ofAntibiotics (Basel, Switzerland) · 2024
    Article
  11. Article
  12. Article
  13. Quantifying racial disparities in risk of invasiveInfection control and hospital epidemiology · 2024
    Article
  14. Different evolution ofHeliyon · 2024
    Article
  15. Genomic profiling of methicillin-sensitiveFrontiers in microbiology · 2024
    Article
  16. Determining the Prognostic Value of Complete Blood Count Subgroup Parameters inJournal of patient-centered research and reviews · 2024
    Article
  17. Article
  18. Genomic epidemiology ofMicrobial genomics · 2023
    Observational
  19. Article
  20. 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

10 authors.

Kelly A JacksonDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Runa H GokhaleDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Joelle NadleCalifornia Emerging Infections Program, Oakland.
Susan M RayGeorgia Emerging Infections Program and the Atlanta Veterans Affairs Medical Center, Decatur.
Ghinwa DumyatiUniversity of Rochester Medical Center, New York.
William SchaffnerVanderbilt University School of Medicine, Nashville, Tennessee.
David C HamDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shelley S MagillDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ruth LynfieldMinnesota Emerging Infections Program, Saint Paul.
Isaac SeeDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

NCEZID CDC HHS U50 CK000196NCEZID CDC HHS U50 CK000198NCEZID CDC HHS U50 CK000199NCEZID CDC HHS U50 CK000201NCEZID CDC HHS U50 CK000204
6 · The paper itself

Abstract

backgroundPublic health and infection control prevention and surveillance efforts in the United States have primarily focused on methicillin-resistant Staphylococcus aureus (MRSA). We describe the public health importance of methicillin-susceptible S. aureus (MSSA) in selected communities.

methodsWe analyzed Emerging Infections Program surveillance data for invasive S. aureus (SA) infections (isolated from a normally sterile body site) in 8 counties in 5 states during 2016. Cases were considered healthcare-associated if culture was obtained >3 days after hospital admission; if associated with dialysis, hospitalization, surgery, or long-term care facility (LTCF) residence within 1 year prior; or if a central venous catheter was present ≤2 days prior. Incidence per 100 000 census population was calculated, and a multivariate logistic regression model with random intercepts was used to compare MSSA risk factors with those of MRSA.

resultsInvasive MSSA incidence (31.3/100 000) was 1.8 times higher than MRSA (17.5/100 000). Persons with MSSA were more likely than those with MRSA to have no underlying medical conditions (adjusted odds ratio [aOR], 2.06; 95% confidence interval [CI], 1.26-3.39) and less likely to have prior hospitalization (aOR, 0.70; 95% CI, 0.60-0.82) or LTCF residence (aOR, 0.37; 95% CI, 0.29-0.47). MSSA accounted for 59.7% of healthcare-associated cases and 60.1% of deaths.

conclusionsAlthough MRSA tended to be more closely associated with healthcare exposures, invasive MSSA is a substantial public health problem in the areas studied. Public health and infection control prevention efforts should consider MSSA prevention in addition to MRSA.

Indexed as

Methicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsHumansMethicillinPublic HealthRenal DialysisStaphylococcus aureusUnited StatesMethicillinmethicillin-sensitive Staphylococcus aureusMSSAMSSA burden

Identifiers

PMID31245810
PMCPMC7902232

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Registered trials

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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.