Evidence map›Paper›PMID 31288765›Full record

ArticleBMC public health2019

Sociodemographic and geospatial associations with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections in a large Canadian city: an 11 year retrospective study.

Victoria C Gill, Irene Ma, Maggie Guo, Dan B Gregson, Christopher Naugler, Deirdre L Church

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. The global epidemiology of MRSA.JAC-antimicrobial resistance · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Antimicrobial Resistance Patterns in an Urban County: a Spatiotemporal Exploration.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
    Article
  6. Molecular Epidemiologic and Geo-Spatial Characterization ofAntibiotics (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Genomic analysis of group AJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2022
    Article
  11. Review
  12. Bioguided Isolation of Active Compounds fromMolecules (Basel, Switzerland) · 2021
    Article
  13. Review
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  15. 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

6 authors at 2 institutions in 2 countries.

Victoria C GillLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Irene MaDepartment of Pathology and Laboratory Medicine Cumming School of Medicine, University of Calgary, 3535 Research Rd NW, Calgary, Alberta, T2L 2K8, Canada.
Maggie GuoDepartment of Pathology and Laboratory Medicine Cumming School of Medicine, University of Calgary, 3535 Research Rd NW, Calgary, Alberta, T2L 2K8, Canada.
Dan B GregsonDepartment of Pathology and Laboratory Medicine Cumming School of Medicine, University of Calgary, 3535 Research Rd NW, Calgary, Alberta, T2L 2K8, Canada.
Christopher NauglerDepartment of Pathology and Laboratory Medicine Cumming School of Medicine, University of Calgary, 3535 Research Rd NW, Calgary, Alberta, T2L 2K8, Canada.
Deirdre L ChurchDepartment of Pathology and Laboratory Medicine Cumming School of Medicine, University of Calgary, 3535 Research Rd NW, Calgary, Alberta, T2L 2K8, Canada. Deirdre.Church@albertapubliclabs.ca.ORCID http://orcid.org/0000-0002-8306-8099
University of Calgary · CAUniversity of London · GB

Funding

Canadian Institutes of Health Research RN254781-333204
6 · The paper itself

Abstract

backgroundThe first Canadian outbreak of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) was identified in 2004 in Calgary, Alberta. Using a novel model of MRSA population-based surveillance, sociodemographic risk associations, yearly geospatial dissemination and prevalence of CA-MRSA infections over an 11 year period was identified in an urban healthcare jurisdiction of Calgary.

methodsPositive MRSA case records, patient demographics and laboratory data were obtained from a centralized Laboratory Information System of Calgary Laboratory Services in Calgary, Alberta, Canada between 2004 and 2014. Public census data was obtained from Statistics Canada, which was used to match with laboratory data and mapped using Geographic Information Systems.

resultsDuring the study period, 52.5% of positive MRSA infections in Calgary were CA-MRSA cases. The majority were CMRSA10 (USA300) clones (94.1%; n = 4255), while the remaining case (n = 266) were CMRSA7 (USA400) clones. Period prevalence of CMRSA10 increased from 3.6 cases/100000 population in 2004, to 41.3 cases/100000 population in 2014. Geospatial analysis demonstrated wide dissemination of CMRSA10 annually in the city. Those who are English speaking (RR = 0.05, p <  0.0001), identify as visible minority Chinese (RR = 0.09, p = 0.0023) or visible minority South Asian (RR = 0.25, p = 0.015), and have a high median household income (RR = 0.27, p <  0.0001) have a significantly decreased relative risk of CMRSA10 infections.

conclusionsCMRSA10 prevalence increased between 2004 and 2007, followed by a stabilization of cases by 2014. Certain sociodemographic factors were protective from CMRSA10 infections. The model of MRSA population-surveillance and geomap outbreak events can be used to track the epidemiology of MRSA in any jurisdiction.

Indexed as

Population SurveillanceAdultAlbertaCommunity-Acquired InfectionsFemaleGeographic Information SystemsHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSpatial AnalysisStaphylococcal InfectionsCA-MRSACMRSA10Geospatial analysisLaboratory medicine

Identifiers

PMID31288765
PMCPMC6617829
OpenAlexW2958885598

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.