Evidence map›Paper›PMID 34670645›Full record

ArticleEmerging infectious diseases2021

Multidrug-Resistant Methicillin-Resistant Staphylococcus aureus Associated with Bacteremia and Monocyte Evasion, Rio de Janeiro, Brazil.

Alice Slotfeldt Viana, Ana Maria Nunes Botelho, Ahmed M Moustafa, Craig L K Boge, Adriana Lucia Pires Ferreira, Maria Cícera da Silva Carvalho, Márcia Aparecida Guimarães, Bruno de Souza Scramignon Costa, Marcos Corrêa de Mattos, Sabrina Pires Maciel and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-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

22 citing papers in PubMed, 33 citations in OpenAlex.

  1. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
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  10. Decoding the evolutionary history of ST30Frontiers in microbiology · 2025
    Article
  11. Article
  12. Review
  13. Different evolution ofHeliyon · 2024
    Article
  14. Regulation of σMicroorganisms · 2023
    Article
  15. Article
  16. Article
  17. Genomic epidemiology ofMicrobial genomics · 2023
    Observational
  18. Article
  19. Article
  20. 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

18 authors at 6 institutions in 2 countries.

Alice Slotfeldt Viana
Ana Maria Nunes Botelho
Ahmed M Moustafa
Craig L K Boge
Adriana Lucia Pires Ferreira
Maria Cícera da Silva Carvalho
Márcia Aparecida Guimarães
Bruno de Souza Scramignon Costa
Marcos Corrêa de Mattos
Sabrina Pires Maciel
Juliana Echevarria-Lima
Apurva Narechania
Kelsey O'Brien
Chanelle Ryan
Jeffrey S Gerber
Bernadete Teixeira Ferreira Carvalho
Agnes Marie Sá Figueiredo
Paul J Planet
American Museum of Natural History · USUniversidade Federal do Rio de Janeiro · BRUniversidade Federal Fluminense · BRCalifornia University of Pennsylvania · USChildren's Hospital of Philadelphia · USUniversidade de Caxias do Sul · BR

Funding

Bacterial Interference to Prevent Staphylococcus aureus InfectionR01AI137526 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI PLANET, PAUL J · 2018 to 2021
$1.7M
NIAID NIH HHS R01 AI137526
6 · The paper itself

Abstract

We typed 600 methicillin-resistant Staphylococcus aureus (MRSA) isolates collected in 51 hospitals in the Rio de Janeiro, Brazil, metropolitan area during 2014-2017. We found that multiple new clonal complex (CC) 5 sequence types had replaced previously dominant MRSA lineages in hospitals. Whole-genome analysis of 208 isolates revealed an emerging sublineage of multidrug-resistant MRSA, sequence type 105, staphylococcal cassette chromosome mec II, spa t002, which we designated the Rio de Janeiro (RdJ) clone. Using molecular clock analysis, we hypothesized that this lineage began to expand in the Rio de Janeiro metropolitan area in 2009. Multivariate analysis supported an association between bloodstream infections and the CC5 lineage that includes the RdJ clone. Compared with other closely related isolates, representative isolates of the RdJ clone more effectively evaded immune function related to monocytic cells, as evidenced by decreased phagocytosis rate and increased numbers of viable unphagocytosed (free) bacteria after in vitro exposure to monocytes.

Indexed as

BacteremiaMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsBrazilHumansMonocytesantimicrobial resistancebacteremiabacteriabacterial infectionbloodstream infectionsBrazildrug resistancemethicillin-resistant Staphylococcus aureusmolecular epidemiologymonocyte evasionmonocytesMRSAMRSA and other staphylococcimultidrug-resistancephagocytosisphylogeneticsRio de JaneiroStaphylococcus aureus

Identifiers

PMID34670645
PMCPMC8544994
OpenAlexW3207718904

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.