Evidence map›Paper›PMID 36709300›Full record

SynthesisAntimicrobial resistance and infection control2023

The global prevalence of methicillin-resistant Staphylococcus aureus colonization in residents of elderly care centers: a systematic review and meta-analysis.

Amir Hossein Hasanpour, Mahdi Sepidarkish, Abolfazl Mollalo, Ali Ardekani, Mustafa Almukhtar, Amal Mechaal, Seyed Reza Hosseini, Masoumeh Bayani, Mostafa Javanian, Ali Rostami

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Antimicrobial resistance and infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 5 pooled it
22.3field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 5 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
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  6. Article
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  10. The global epidemiology of MRSA.JAC-antimicrobial resistance · 2026
    Review
  11. Article
  12. Treatment of Methicillin-ResistantMedicines (Basel, Switzerland) · 2026
    Review
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  14. Article
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  16. Article
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  20. Article

11 more citing papers are in PubMed but not listed here.

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

10 authors at 4 institutions in 2 countries.

Amir Hossein HasanpourStudent Research Committee, Babol University of Medical Sciences, Babol, Iran.
Mahdi SepidarkishDepartment of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.
Abolfazl MollaloDepartment of Public Health and Prevention Science, School of Health Sciences, Baldwin Wallace University, Berea, OH, USA.
Ali ArdekaniSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mustafa AlmukhtarHarlem Medical Center, Bridgeview, IL, USA.
Amal MechaalDepartment of Hematopoietic Biology and Malignancy, The University of Texas Md Anderson Cancer Center, Houston, TX, USA.
Seyed Reza HosseiniSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Masoumeh BayaniSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Mostafa JavanianInfectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Ali RostamiInfectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. alirostami1984@gmail.com.
Babol University of Medical Sciences · IRBaldwin–Wallace College · USShiraz University of Medical Sciences · IRThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethicillin-resistant Staphylococcus aureus (MRSA) is a difficult to treat infection, particularly in residents of elderly care centers (ECCs). Despite the substantial burden of MRSA, an inadequate number of studies have analyzed MRSA prevalence in ECCs.

objectivesWe conducted a worldwide systematic review and meta-analysis on the prevalence and risk factors of MRSA in ECCs.

methodsWe searched MEDLINE/PubMed, EMBASE, Web of Science, and Scopus databases and the gray literature sources for all studies published between January 1980 and December 2022 on the prevalence of MRSA in ECCs. A random-effects model was utilized to estimate pooled prevalence rates at 95% confidence intervals (CI). Moreover, the data were analyzed based on World Health Organization-defined regions, income, and human development index levels.

resultsIn total, 119 studies, including 164,717 participants from 29 countries, were found eligible for meta-analysis. The pooled global prevalence of MRSA was 14.69% (95% CI 12.39-17.15%; 16,793/164,717). Male gender [prevalence ratio (PR) = 1.55; 95% CI 1.47-1.64], previous MRSA infection (PR = 3.71; 95% CI 3.44-4.01), prior use of antibiotics (PR = 1.97; 95% CI 1.83-2.12), hospitalized within the previous year (PR = 1.32; 95% CI 1.20-1.45), have had any wound (PR = 2.38; 95% CI 2.23-2.55), have used urinary catheter (PR = 2.24; 95% CI 2.06-2.43), have used any medical device (PR = 1.78; 95% CI 1.66-1.91), and those with diabetes (PR = 1.55; CI 1.43-1.67) were more likely to be colonized by MRSA than other patients.

conclusionScreening programs and preventive measures should target MRSA in ECCs due to the high global prevalence rates.

Indexed as

Methicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsCarrier StateHumansMalePrevalenceRisk FactorsLong-term careMethicillin-resistant Staphylococcus aureusNursing homesResidential facilitiesSystematic review

Identifiers

PMID36709300
PMCPMC9884412
OpenAlexW4318395099

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.