Evidence map›Paper›PMID 31989375›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2020

Changing epidemiology of methicillin-resistant Staphylococcus aureus in a low endemicity area-new challenges for MRSA control.

Jenna Junnila, Tiina Hirvioja, Esa Rintala, Kari Auranen, Kaisu Rantakokko-Jalava, Jaakko Silvola, Laura Lindholm, Kirsi Gröndahl-Yli-Hannuksela, Harri Marttila, Jaana Vuopio

Open access · hybridAbstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
0.7field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Methicillin-resistantFrontiers in microbiology · 2025
    Pooled it
  2. Article
  3. Article
  4. Methicillin-resistantiScience · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Decolonization of methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  9. Risk Factors for Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  10. Article
  11. Characterization of methicillin resistantOne health (Amsterdam, Netherlands) · 2024
    Article
  12. Community-associated methicillin-resistantEpidemiology and infection · 2024
    Article
  13. Article
  14. Article
  15. Methicillin-ResistantMicroorganisms · 2023
    Article
  16. Dissemination Pattern of Hospital-Acquired Methicillin-ResistantThe Malaysian journal of medical sciences : MJMS · 2023
    Review
  17. Review
  18. Review
  19. Prevalence and Molecular Characterization of Methicillin-ResistantJournal of microbiology and biotechnology · 2022
    Article
  20. Vancomycin Resistance inMicroorganisms · 2022
    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

10 authors at 3 institutions in 1 country.

Jenna JunnilaInstitute of Biomedicine, University of Turku, Turku, Finland. jaevar@utu.fi.ORCID http://orcid.org/0000-0002-4897-3042
Tiina HirviojaDepartment of Hospital Hygiene & Infection Control, Turku University Hospital, Turku, Finland.
Esa RintalaDepartment of Hospital Hygiene & Infection Control, Turku University Hospital, Turku, Finland.
Kari AuranenDepartment of Mathematics and Statistics, and Department of Clinical Medicine, University of Turku, Turku, Finland.
Kaisu Rantakokko-JalavaInstitute of Biomedicine, University of Turku, Turku, Finland.
Jaakko SilvolaInstitute of Biomedicine, University of Turku, Turku, Finland.
Laura LindholmDepartment of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland.
Kirsi Gröndahl-Yli-HannukselaInstitute of Biomedicine, University of Turku, Turku, Finland.
Harri MarttilaDepartment of Hospital Hygiene & Infection Control, Turku University Hospital, Turku, Finland.
Jaana VuopioInstitute of Biomedicine, University of Turku, Turku, Finland.
University of Turku · FITurku University Hospital · FIFinnish Institute for Health and Welfare · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of methicillin-resistant Staphylococcus aureus (MRSA) has increased sharply in Hospital District of Southwest Finland (HD). To understand reasons behind this, a retrospective, population-based study covering 10 years was conducted. All new 983 MRSA cases in HD from January 2007 to December 2016 were analysed. Several data sources were used to gather background information on the cases. MRSA cases were classified as healthcare-associated (HA-MRSA), community-associated (CA-MRSA), and livestock contact was determined (livestock-associated MRSA, LA-MRSA). Spa typing was performed to all available strains. The incidence of MRSA doubled from 12.4 to 24.9 cases/100000 persons/year. The proportion of clinical infections increased from 25 to 32% in the 5-year periods, respectively, (p < 0.05). The median age decreased from 61 years in 2007 to 30 years in 2016. HA-MRSA accounted for 68% of all cases, of which 32% associated with 26 healthcare outbreaks. The proportion of CA-MRSA cases increased from 13% in 2007 to 43% in 2016. Of CA-MRSA cases, 43% were among family clusters, 32% in immigrants and 4% were LA-MRSA. The Gini-Simpson diversity index for spa types increased from 0.86 to 0.95 from the first to the second 5-year period. The proportion of a predominant strain t172 decreased from 43% in 2009 to 7% in 2016. The rise in the proportion of CA-MRSA, the switch to younger age groups, the complexity of possible transmission routes and the growing spa-type diversity characterize our current MRSA landscape. This creates challenges for targeted infection control measures, demanding further studies.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsCarrier StateChildChild, PreschoolCommunity-Acquired InfectionsCross InfectionFemaleFinlandHumansInfantInfant, NewbornLivestockCommunity-associatedEpidemiologyFamily clusterInfection controlMRSAspa type

Identifiers

PMID31989375
PMCPMC7669800
OpenAlexW3004142520

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.