Evidence map›Paper›PMID 34101737›Full record

ArticlePloS one2021

Effect of mupirocin for Staphylococcus aureus decolonization on the microbiome of the nose and throat in community and nursing home dwelling adults.

Mary-Claire Roghmann, Alison D Lydecker, Michelle Shardell, Robert T DeBoy, J Kristie Johnson, LiCheng Zhao, Lauren L Hittle, Emmanuel F Mongodin

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Topical application of bacteriocins fromPostepy dermatologii i alergologii · 2023
    Article
  4. Article
  5. 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

8 authors at 1 institution in 1 country.

Mary-Claire RoghmannGeriatrics Research Education and Clinical Center, VA Maryland Health Care System, Baltimore, Maryland, United States of America.ORCID 0000-0003-1063-9257
Alison D LydeckerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Michelle ShardellDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Robert T DeBoyDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
J Kristie JohnsonDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
LiCheng ZhaoDepartment of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Lauren L HittleDepartment of Microbiology and Immunology and Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Emmanuel F MongodinDepartment of Microbiology and Immunology and Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
University of Maryland, Baltimore · US

Funding

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
Human Microbiome and Healthcare Associated InfectionsR01AI087865 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI ROGHMANN, MARY-CLAIRE · 2011 to 2014
$1.4M
Metagenomic Studies of MRSA ColonizationI01CX000491 · VA · BALTIMORE VA MEDICAL CENTER · PI ROGHMANN, MARY-CLAIRE · 2012 to 2015
–
CSRD VA I01 CX000491NIAID NIH HHS R01 AI087865NIA NIH HHS P30 AG028747
6 · The paper itself

Abstract

objectiveTo characterize the microbial communities of the anterior nares (nose) and posterior pharynx (throat) of adults dwelling in the community and in nursing homes before and after treatment with intranasal mupirocin.

methodsStaphylococcus aureus-colonized adults were recruited from the community (n = 25) and from nursing homes (n = 7). S. aureus colonization was confirmed using cultures. Participants had specimens taken from nose and throat for S. aureus quantitation using quantitative PCR for the nuc gene and bacterial profiling using 16S rRNA gene sequencing over 12 weeks. After two baseline study visits 4 weeks apart, participants received intranasal mupirocin for 5 days with 3 further visits over a 8 week follow-up period.

resultsWe found a decrease in the absolute abundance of S. aureus in the nose for 8 weeks after mupirocin (1693 vs 141 fg/ul, p = 0.047). Mupirocin caused a statistically significant disruption in bacterial communities of the nose and throat after 1 week, which was no longer detected after 8 weeks. Bacterial community profiling demonstrated that there was a decrease in the relative abundance of S. aureus (8% vs 0.3%, p<0.01) 8 weeks after mupirocin and a transient decrease in the relative abundance of Staphylococcus epidermidis in the nose (21% vs 5%, p<0.01) 1 week after mupirocin.

conclusionsDecolonization with mupirocin leads to a sustained effect on absolute and relative abundance of S. aureus but not for other bacteria in the nose. This demonstrates that a short course of mupirocin selectively decreases S. aureus in the nose for up to 8 weeks.

Indexed as

Administration, IntranasalAdultAgedAged, 80 and overAnti-Bacterial AgentsFemaleHomes for the AgedHumansMaleMicrobiotaMiddle AgedMupirocinNoseNursing HomesPharynxStaphylococcal InfectionsAnti-Bacterial AgentsMupirocin

Identifiers

PMID34101737
PMCPMC8186807
OpenAlexW3173022150

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.