Evidence map›Paper›PMID 35710440›Full record

Trial reportTrials2022

A randomized, placebo-controlled, double-blinded trial of MRSA throat carriage treatment, with either standard decolonization alone or in combination with oral clindamycin.

Mona Katrine Alberthe Holm, Heidi Karin Meiniche, Michael Pedersen, Helle Brander Eriksen, Henrik Westh, Barbara J Holzknecht, Mette Damkjær Bartels

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 1 country.

Mona Katrine Alberthe HolmDepartment of Clinical Microbiology, Copenhagen University Hospital Amager and Hvidovre, Kettegaard alle 30, 2650 Hvidovre, Copenhagen, Denmark. mona.katrine.alberthe.holm@regionh.dk.ORCID http://orcid.org/0000-0003-2233-0062
Heidi Karin MeinicheDepartment of Clinical Microbiology, Copenhagen University Hospital Amager and Hvidovre, Kettegaard alle 30, 2650 Hvidovre, Copenhagen, Denmark.
Michael PedersenDepartment of Clinical Microbiology, Copenhagen University Hospital Amager and Hvidovre, Kettegaard alle 30, 2650 Hvidovre, Copenhagen, Denmark.
Helle Brander EriksenDepartment of Clinical Microbiology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Henrik WesthDepartment of Clinical Microbiology, Copenhagen University Hospital Amager and Hvidovre, Kettegaard alle 30, 2650 Hvidovre, Copenhagen, Denmark.
Barbara J HolzknechtDepartment of Clinical Microbiology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Mette Damkjær BartelsDepartment of Clinical Microbiology, Copenhagen University Hospital Amager and Hvidovre, Kettegaard alle 30, 2650 Hvidovre, Copenhagen, Denmark.
Amager Hospital · DKUniversity of Copenhagen · DKGentofte Hospital · DK

Funding

Hvidovre Hospital AHH forskningspulje 2019 - frie midlerHvidovre Hospital Direktionen
6 · The paper itself

Abstract

backgroundStaphylococcus aureus is a frequent colonizer of the human skin and mucous membranes but can also cause a variety of serious infections. Antimicrobial resistance is an increasing worldwide challenge and is mainly driven by an overuse of antimicrobials. To avoid the spread of methicillin-resistant Staphylococcus aureus (MRSA) in Denmark, the Danish Health Authority recommends decolonization treatment of MRSA carriers and their household contacts. Standard decolonization treatment includes chlorhexidine body wash and mupirocin nasal ointment, especially throat carriage is difficult to treat. The broad-spectrum antibiotic, clindamycin, is often added to the decolonization treatment, but there is currently low scientific evidence for this treatment.

aimTo investigate whether the addition of clindamycin to the standard decolonization treatment increases decolonization success in MRSA throat carriers.

methodsA randomized, placebo-controlled, double-blinded trial, including patients ≥ 18 years, who tested MRSA positive in the throat after completing one standard decolonization treatment. All carriers included in the trial receive standard decolonization treatment and are randomized to treatment with either placebo or clindamycin capsules for 10 days. We plan to include 40 participants in each of the two treatment arms. DISCUSSION: Due to the lack of consistent scientific evidence of clindamycin's effect in MRSA decolonization and the worldwide urgent need to reduce the use of antibiotics, we judged that a 30% increase in the decolonization success rate in carriers treated with clindamycin is appropriate to justify prescribing clindamycin as part of the decolonization treatment of asymptomatic MRSA carriers.

trial registrationEudraCT number 2019-002631-29.

Indexed as

Anti-Infective Agents, LocalMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAnti-Bacterial AgentsChlorhexidineClindamycinHumansMupirocinPharynxAnti-Bacterial AgentsAnti-Infective Agents, LocalChlorhexidineClindamycinMupirocinMethicillin-resistant Staphylococcus aureusMRSA decolonizationMRSA eradicationMRSA throat carriageTreatment failure

Identifiers

PMID35710440
PMCPMC9205106
OpenAlexW4283021701

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.