Evidence map›Paper›PMID 34713607›Full record

ArticleMicrobiologyOpen2021

Characterization of methicillin-resistant Staphylococcus aureus strains colonizing the nostrils of Spanish children.

Federico Román, Ana Mendez-Echevarria, Teresa Del Rosal, Cesar Garcia-Vera, Luis Escosa-Garcia, Martin Agud, Fernando Chaves, José Gutiérrez-Fernández, Enrique Ruiz de Gopegui, Guillermo Ruiz-Carrascoso and 6 more

Open access · goldAbstract read
In one paragraph

Article in MicrobiologyOpen, 2021. 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
0.2field-weighted citation impact, top 45% 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, 7 citations in OpenAlex.

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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

16 authors at 11 institutions in 1 country.

Federico RománNosocomial Infections Unit, CNM, Carlos III Health Institute, Madrid, Spain.
Ana Mendez-EchevarriaPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital and Translational Research Network in Paediatric Infectious Diseases (RITIP), Institute for Health Research IdiPAZ, Madrid, Spain.ORCID 0000-0002-7455-9080
Teresa Del RosalPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital and Translational Research Network in Paediatric Infectious Diseases (RITIP), Institute for Health Research IdiPAZ, Madrid, Spain.
Cesar Garcia-VeraPrimary Healthcare Centre "José Ramón Muñoz Fernández", Aragón Health Service, Zaragoza, Spain.
Luis Escosa-GarciaPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital and Translational Research Network in Paediatric Infectious Diseases (RITIP), Institute for Health Research IdiPAZ, Madrid, Spain.
Martin AgudPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital, Madrid, Spain.
Fernando ChavesDepartment of Clinical Microbiology, University Hospital 12 de Octubre, Madrid, Spain.
José Gutiérrez-FernándezDepartment of Microbiology, Hospital Virgen de las Nieves, Institute for Biosanitary Research-Ibs, Granada, Spain.ORCID 0000-0001-6146-9740
Enrique Ruiz de GopeguiDepartment of Clinical Microbiology, University Hospital Son Espases, Palma, Spain.
Guillermo Ruiz-CarrascosoDepartment of Clinical Microbiology, La Paz University Hospital, Madrid, Spain.
Maria Del Carmen Ruiz-GallegoDepartment of Microbiology, University Hospital Virgen del Rocío, Sevilla, Spain.
Albert BernetSection of Microbiology, Arnau de Vilanova University Hospital, Lleida, Spain.
Sara Maria QuevedoDepartment of Microbiology, University Hospital Severo Ochoa, Leganes, Spain.
Ana Maria Fernández-VerdugoDepartment of Microbiology, Central University Hospital of Asturias, Oviedo, Spain.
Talia SainzPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital and Translational Research Network in Paediatric Infectious Diseases (RITIP), Institute for Health Research IdiPAZ, Madrid, Spain.
Cristina CalvoPaediatric Infectious and Tropical Diseases Department, La Paz University Hospital and Translational Research Network in Paediatric Infectious Diseases (RITIP), Institute for Health Research IdiPAZ, Madrid, Spain.
Hospital La Paz Institute for Health Research · ESHospital Universitario La Paz · ESHospital Universitari Arnau de Vilanova · ESHospital Universitario Central de Asturias · ESHospital Universitario Severo Ochoa · ESHospital Universitario Son Espases · ESHospital Universitario Virgen del Rocío · ESInstituto de Investigación Biosanitaria de Granada · ESInstituto de Salud Carlos III · ESResearch Institute Hospital 12 de Octubre · ESServicio Aragonés de Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize the Staphylococcus aureus strains colonizing healthy Spanish children.

methodsBetween March and July 2018, 1876 Spanish children younger than 14 years attending primary healthcare centers were recruited from rural and urban areas. Staphylococcus aureus colonization of the anterior nostrils was analyzed. MecA and mecC genes, antibiotic susceptibility, and genotyping according to the spa were determined in all strains, and the following toxins were examined: Panton-Valentine leucocidin (pvl), toxic shock syndrome toxin (tst), and exfoliative toxins (eta, etb, etd). Multilocus sequence typing (MLST) and staphylococcal cassette chromosome (SCCmec) typing were performed on methicillin-resistant Staphylococcus aureus (MRSA) strains, as well as pulsed-field gel electrophoresis (PFGE).

results619 strains were isolated in 1876 children (33%), and 92% of them were sent for characterization to the Spanish National Centre of Microbiology (n = 572). Twenty (3.5%) of these strains were mecA-positive. Several spa types were detected among MRSA, being t002 the most frequently observed (30%), associating with SCCmec IVc. Among MSSA, 33% were positive for tst, while only 0.73% were positive for pvl. The 20 MRSA strains were negative for pvl, and 6 (30%) harbored the tst gene.

conclusionsmethicillin-resistant Staphylococcus aureus nasal colonization in Spanish children is rare, with t002 being the most observed spa type, associated with SCCmec IVc. None of the MRSA strains produced pvl, but up to 30% of S. aureus strains were positive for tst.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsBacterial ToxinsChildChild, PreschoolDNA, BacterialDrug Resistance, BacterialExfoliatinsExotoxinsFemaleGenotyping TechniquesHumansLeukocidinsMaleMethicillin-Resistant Staphylococcus aureusMicrobial Sensitivity TestsAnti-Bacterial AgentsBacterial ProteinsBacterial ToxinsDNA, BacterialExfoliatinsExotoxinsLeukocidinsmecA protein, Staphylococcus aureusPanton-Valentine leukocidinPenicillin-Binding ProteinsStaphylococcal Protein Amethicillin-resistantmolecular characterizationnasal colonizationStaphylococcus aureus

Identifiers

PMID34713607
PMCPMC8494715
OpenAlexW3206734299

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.