Evidence map›Paper›PMID 35303019›Full record

ArticlePloS one2022

Epidemiological and clinical features of Panton-Valentine Leukocidin positive Staphylococcus aureus bacteremia: A case-control study.

Ming Da Qu, Humera Kausar, Stephen Smith, Peter G Lazar, Aimee R Kroll-Desrosiers, Carl Hollins, Bruce A Barton, Doyle V Ward, Richard T Ellison

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. International journal of molecular sciences · 2023
    Pooled it
  2. Article
  3. Phenotypic and Genotypic Characterization ofPathogens (Basel, Switzerland) · 2025
    Article
  4. Article
  5. Observational
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

9 authors at 1 institution in 1 country.

Ming Da QuDepartment of Medicine, UMass Chan Medical School, Worcester, MA, United States of America.ORCID 0000-0002-4557-5583
Humera KausarDepartment of Medicine, UMass Chan Medical School, Worcester, MA, United States of America.
Stephen SmithCenter for Microbiome Research, UMass Chan Medical School, Worcester, MA, United States of America.
Peter G LazarDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, United States of America.
Aimee R Kroll-DesrosiersDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, United States of America.
Carl HollinsDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, United States of America.
Bruce A BartonDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, United States of America.
Doyle V WardCenter for Microbiome Research, UMass Chan Medical School, Worcester, MA, United States of America.
Richard T EllisonDepartment of Medicine, UMass Chan Medical School, Worcester, MA, United States of America.
University of Massachusetts Chan Medical School · US

Funding

University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
NCATS NIH HHS UL1 TR001453
6 · The paper itself

Abstract

backgroundPanton-Valentine Leukocidin (PVL) toxin in Staphylococcus aureus has been associated with both severe pneumonia and skin and soft tissue infections. However, there are only limited data on how this virulence factor may influence the clinical course or complications of bacteremic S. aureus infections.

methodsBetween September 2016 and March 2018, S. aureus isolates from clinical cultures from hospitals in an academic medical center underwent comprehensive genomic sequencing. Four hundred sixty-nine (29%) of 1681 S. aureus sequenced isolates were identified as containing the genes that encode for PVL. Case patients with one or more positive blood cultures for PVL were randomly matched with control patients having positive blood cultures with lukF/lukS-PV negative (PVL strains from a retrospective chart review).

results51 case and 56 control patients were analyzed. Case patients were more likely to have a history of injection drug use, while controls more likely to undergo hemodialysis. Isolates from 78.4% of case patients were methicillin resistant as compared to 28.6% from control patients. Case patients had a higher incidence of pneumonia and skin and soft tissue infection and longer duration of fever without differences in length of bacteremia. Clinical cure or expiration was comparable.

conclusionsThese results are consistent with prior observations associating the PVL toxin with both community-acquired MRSA strains as well as severe staphylococcal pneumonia. The presence of the PVL toxin does not appear to otherwise influence the natural history of bacteremic S. aureus disease other than in prolonging the duration of fever.

Indexed as

BacteremiaCommunity-Acquired InfectionsMethicillin-Resistant Staphylococcus aureusPneumonia, StaphylococcalSoft Tissue InfectionsStaphylococcal InfectionsBacterial ToxinsCase-Control StudiesExotoxinsFeverHumansLeukocidinsRetrospective StudiesStaphylococcus aureusBacterial ToxinsExotoxinsLeukocidinsPanton-Valentine leukocidin

Identifiers

PMID35303019
PMCPMC8932578
OpenAlexW4221009210

What OpenQuestion holds

Textmetadata
LicenceCC0
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.