Evidence map›Paper›PMID 38334373›Full record

ArticleThe Journal of antimicrobial chemotherapy2024

Carriage of methicillin-resistant Staphylococcus aureus in children <6 years old: a retrospective follow-up study of the natural course and effectiveness of decolonization treatment.

Thomas Helbo, Jonas Bredtoft Boel, Mette Damkjær Bartels, Magnus Glindvad Ahlström, Barbara Juliane Holzknecht, Helle Brander Eriksen

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2024. 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
0.4field-weighted citation impact, top 44% 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, 1 citations in OpenAlex.

  1. Review
  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

6 authors at 3 institutions in 1 country.

Thomas HelboDepartment of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.ORCID 0009-0008-2272-7557
Jonas Bredtoft BoelDepartment of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Mette Damkjær BartelsDepartment of Clinical Microbiology, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Magnus Glindvad AhlströmDepartment of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Barbara Juliane HolzknechtDepartment of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Helle Brander EriksenDepartment of Clinical Microbiology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.ORCID 0000-0003-2012-0176
Gentofte Hospital · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DK

Funding

Beckett Foundation 22-2-8807
6 · The paper itself

Abstract

backgroundDecolonization treatment of MRSA carriers is recommended in Denmark, except in households with MRSA-positive children <2 years old (wait-and-see approach).

objectivesTo investigate a wait-and-see approach in children 2-5 years old, and the effect of decolonization treatment of MRSA carriage in all children <6 years old. PATIENTS AND

methodsIn this retrospective follow-up study, we included MRSA carriers <6 years old in the Capital Region of Denmark from 2007 to 2021. Data were collected from laboratory information systems and electronic patient records. We divided children into age groups of <2 years or 2-5 years and decolonization treatment versus no treatment. Treatment was chlorhexidine body washes and nasal mupirocin, sometimes supplemented with systemic antibiotics. Children were followed until becoming MRSA free, or censoring. The probability of becoming MRSA free was investigated with Cox regression (higher HRs indicate faster decolonization).

resultsOf 348 included children, 226 were <2 years old [56/226 (25%) received treatment] and 122 were 2-5 years old [90/122 (74%) received treatment]. Multivariable analyses did not show a larger effect of decolonization treatment versus no treatment in <2-year-olds (HR 0.92, 95% CI 0.52-1.65) or 2-5-year-olds (HR 0.54, 95% CI 0.26-1.12). Without treatment, 2-5-year-olds tended to clear MRSA faster than <2-year-olds (HR 1.81, 95% CI 0.98-3.37).

conclusionsWe did not find a larger effect of decolonization treatment versus no treatment in children <6 years old, and 2-5-year-olds tended to become MRSA free faster than <2-year-olds. These results support a wait-and-see approach for all children <6 years old, but further studies are needed.

Indexed as

Methicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAnti-Bacterial AgentsCarrier StateChildChild, PreschoolChlorhexidineFollow-Up StudiesHumansMupirocinRetrospective StudiesAnti-Bacterial AgentsChlorhexidineMupirocin

Identifiers

PMID38334373
PMCPMC10984942
OpenAlexW4391682785

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.