Evidence map›Paper›PMID 32762778›Full record

ArticleInfection control and hospital epidemiology2020

Burden of perianal

Justin J Kim, J Kristie Johnson, Emily M Stucke, John D Sorkin, LiCheng Zhao, Alison Lydecker, Lona Mody, Mary-Claire Roghmann

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Infection control and hospital epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Transfer ofOpen forum infectious diseases · 2026
    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

8 authors at 2 institutions in 1 country.

Justin J KimDivision of Infectious Diseases, University of Maryland Medical Center, Baltimore, Maryland.ORCID 0000-0002-6544-6797
J Kristie JohnsonDepartment of Pathology, University of Maryland School of Medicine, Baltimore, Maryland.
Emily M StuckeDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
John D SorkinDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
LiCheng ZhaoDepartment of Pathology, University of Maryland School of Medicine, Baltimore, Maryland.
Alison LydeckerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Lona ModyDivision of Geriatric and Palliative Care Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Mary-Claire RoghmannDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.ORCID 0000-0003-1063-9257
University of Maryland, Baltimore · USUniversity of Michigan · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
EXPAND PARTICIPATION BY MINORITIES IN BIOMEDICAL SCIENCER25GM055036 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI SUMMERS, MICHAEL FINLEY · 1996 to 2021
$16.9M
Physician Scientist Training in Age-Related DiseasesT32AG062403 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIN, LILLIAN CHIANG, MODY, LONA · 2020 to 2025
$2.7M
Enhancing Patient Safety by Preventing Urinary Tract Infection in Post-Acute CareR01HS025451 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2017 to 2021
$2.4M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
Modifying Contact Precautions for MRSA in Extended CareR18HS019979 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ROGHMANN, MARY-CLAIRE · 2011 to 2013
$1.4M
AHRQ HHS R01 HS025451AHRQ HHS R18 HS019979NIA NIH HHS K24 AG050685NIA NIH HHS P30 AG024824NIA NIH HHS P30 AG028747NIA NIH HHS T32 AG062403NIGMS NIH HHS R25 GM055036
6 · The paper itself

Abstract

objectiveTo evaluate the effect of the burden of Staphylococcus aureus colonization of nursing home residents on the risk of S. aureus transmission to healthcare worker (HCW) gowns and gloves.

designMulticenter prospective cohort study. SETTING AND

participantsResidents and HCWs from 13 community-based nursing homes in Maryland and Michigan.

methodsResidents were cultured for S. aureus at the anterior nares and perianal skin. The S. aureus burden was estimated by quantitative polymerase chain reaction detecting the nuc gene. HCWs wore gowns and gloves during usual care activities; gowns and gloves were swabbed and then cultured for the presence of S. aureus.

resultsIn total, 403 residents were enrolled; 169 were colonized with methicillin-resistant S. aureus (MRSA) or methicillin-sensitive S. aureus (MSSA) and comprised the study population; 232 were not colonized and thus were excluded from this analysis; and 2 were withdrawn prior to being swabbed. After multivariable analysis, perianal colonization with S. aureus conferred the greatest odds for transmission to HCW gowns and gloves, and the odds increased with increasing burden of colonization: adjusted odds ratio (aOR), 2.1 (95% CI, 1.3-3.5) for low-level colonization and aOR 5.2 (95% CI, 3.1-8.7) for high level colonization.

conclusionsAmong nursing home patients colonized with S. aureus, the risk of transmission to HCW gowns and gloves was greater from those colonized with greater quantities of S. aureus on the perianal skin. Our findings inform future infection control practices for both MRSA and MSSA in nursing homes.

Indexed as

Cross InfectionMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsHealth PersonnelHumansNursing HomesProspective StudiesStaphylococcus aureus

Identifiers

PMID32762778
PMCPMC8221075
OpenAlexW3047979470

What OpenQuestion holds

Textmetadata
LicenceTDM
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.