Evidence map›Paper›PMID 31425575›Full record

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

Frequent Methicillin-Resistant Staphylococcus aureus Introductions Into an Inner-city Jail: Indications of Community Transmission Networks.

Kyle J Popovich, Evan S Snitkin, Chad Zawitz, Alla Aroutcheva, Darjai Payne, Stephanie N Thiede, Michael Schoeny, Stefan J Green, Mary K Hayden, Bala Hota and 1 more

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 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Risk factors for methicillin-resistantThe Journal of international medical research · 2022
    Pooled it
  3. Pooled it
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  10. Genomic Epidemiology of MRSA During Incarceration at a Large Inner-City Jail.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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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

11 authors.

Kyle J PopovichDivision of Infectious Diseases, Rush University Medical Center/Cook County Health, Chicago, Illinois, USA.
Evan S SnitkinDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, Chicago, Illinois, USA.
Chad ZawitzClinical Coordinator of HIV and Infectious Disease Services, Cermak Health Services, Cook County Health, Chicago, Illinois, USA.
Alla AroutchevaDivision of Infectious Diseases, Rush University Medical Center/Cook County Health, Chicago, Illinois, USA.
Darjai PayneDivision of Infectious Diseases, Chicago, Illinois, USA.
Stephanie N ThiedeDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, Chicago, Illinois, USA.
Michael SchoenyCommunity, Systems, and Mental Health Nursing Rush University Medical Center, Chicago, Illinois, USA.
Stefan J GreenSequencing Core and Associate Director, Research Resources Center, University of Illinois at Chicago, Chicago, Illinois, USA.
Mary K HaydenDivision of Infectious Diseases, Chicago, Illinois, USA.
Bala HotaDivision of Infectious Diseases, Chicago, Illinois, USA.
Robert A WeinsteinDivision of Infectious Diseases, Rush University Medical Center/Cook County Health, Chicago, Illinois, USA.

Funding

Molecular Mechanisms of Microbial Pathogenesis Training ProgramT32AI007528 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARRUTHERS, VERNON BRUCE · 1998 to 2024
$6.8M
MICRONEME FUNCTION IN TOXOPLASMAR01AI046675 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARRUTHERS, VERNON BRUCE · 2000 to 2021
$6.5M
Genomic Epidemiology of Methicillin-Resistant Staphylococcus aureus in JailR01AI114688 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI POPOVICH, KYLE JEANNE · 2015 to 2019
$1.8M
NIAID NIH HHS R01 AI046675NIAID NIH HHS R01 AI114688NIAID NIH HHS T32 AI007528
6 · The paper itself

Abstract

backgroundJails may facilitate spread of methicillin-resistant Staphylococcus aureus (MRSA) in urban areas. We examined MRSA colonization upon entrance to a large urban jail to determine if there are MRSA transmission networks preceding incarceration.

methodsMales incarcerated in Cook County Jail (Chicago) were enrolled, with enrichment for people living with human immunodeficiency virus (PLHIV), within 72 hours of intake. Surveillance cultures assessed prevalence of MRSA colonization. Whole-genome sequencing (WGS) identified preincarceration transmission networks.We examined methicillin-resistant Staphylococcus aureus (MRSA) isolates to determine if there are transmission networks that precede incarceration. A large proportion of individuals enter jail colonized with MRSA. Molecular epidemiology and colonization risk factors provide clues to community reservoirs for MRSA.

resultsThere were 718 individuals (800 incarcerations) enrolled; 58% were PLHIV. The prevalence of MRSA colonization at intake was 19%. In multivariate analysis, methamphetamine use, unstable housing, current/recent skin infection, and recent injection drug use were predictors of MRSA. Among PLHIV, recent injection drug use, current skin infection, and HIV care at outpatient clinic A that emphasizes comprehensive care to the lesbian, gay, bisexual, transgender community were predictors of MRSA. Fourteen (45%) of 31 detainees with care at clinic A had colonization. WGS revealed that this prevalence was not due to clonal spread in clinic but rather to an intermingling of distinct community transmission networks. In contrast, genomic analysis supported spread of USA500 strains within a network. Members of this USA500 network were more likely to be PLHIV (P < .01), men who have sex with men (P < .001), and methamphetamine users (P < .001).

conclusionsA large proportion of individuals enter jail colonized with MRSA. Molecular epidemiology and colonization risk factors provide clues to identify colonized detainees entering jail and potential community reservoirs of MRSA.

Indexed as

Methicillin-Resistant Staphylococcus aureusSexual and Gender MinoritiesStaphylococcal InfectionsChicagoFemaleHomosexuality, MaleHumansIllinoisJailsMalePrevalenceRisk Factorscommunity-associated MRSAepidemiologyincarcerationMRSAwhole genomic sequencing

Identifiers

PMID31425575
PMCPMC7353325

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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.