Evidence map›Paper›PMID 10878030›Full record

ArticleJournal of clinical microbiology2000

Comparison of PCR-ribotyping, arbitrarily primed PCR, and pulsed-field gel electrophoresis for typing Clostridium difficile.

P Bidet, V Lalande, B Salauze, B Burghoffer, V Avesani, M Delmée, A Rossier, F Barbut, J C Petit

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

73 citing papers in PubMed, 214 citations in OpenAlex.

  1. Toxins · 2026
    Article
  2. Article
  3. Ribotypes and New Virulent Strains Across Europe.Advances in experimental medicine and biology · 2024
    Review
  4. High Prevalence ofPathogens (Basel, Switzerland) · 2023
    Article
  5. Characterization ofMicroorganisms · 2022
    Article
  6. Article
  7. Rapid Classification ofMicroorganisms · 2021
    Article
  8. Article
  9. Recurrent community-acquired Clostridium(Clostridioides)difficile infection in Serbianchildren.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Variable spectrum of disease and risk factors of peripartum Clostridium difficile infection: report of 14 cases from French hospitals and literature review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Review
  15. Article
  16. Article
  17. Epidemiology ofThe open microbiology journal · 2017
    Article
  18. Article
  19. Development and evaluation of double locus sequence typing for molecular epidemiological investigations of Clostridium difficile.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  20. Article

13 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

9 authors at 5 institutions in 2 countries.

P BidetLaboratoire de Bactériologie, Hôpital Saint-Antoine, Centre Hospitalo-Universitaire Saint-Antoine, Université Paris 6, Assistance Publique-Hôpitaux de Paris, Paris, France. philippe.bidet@trs.ap-hop-paris.fr
V Lalande
B Salauze
B Burghoffer
V Avesani
M Delmée
A Rossier
F Barbut
J C Petit
Hôpital Saint-Antoine · FRSorbonne Université · FRUCLouvain · BEAssistance Publique – Hôpitaux de Paris · FRHôpital Rothschild · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile is now recognized as the major agent responsible for nosocomial diarrhea in adults. Among the genotyping methods available, arbitrarily primed PCR (AP-PCR), PCR-ribotyping, and pulsed-field gel electrophoresis (PFGE) have been widely used for investigating outbreaks of C. difficile infections. However, the comparative typing ability, reproducibility, discriminatory power, and efficiency of these methods have not been fully investigated. We compared the results of three methods-AP-PCR with three different primers (AP3, AP4, and AP5), PCR-ribotyping, and PFGE (with SmaI endonuclease)-to differentiate 99 strains of C. difficile that had been previously serogrouped. Typing abilities were 100% for PCR-ribotyping and AP-PCR with AP3 and 90% for PFGE, due to early DNA degradation in strains from serogroup G. Reproducibilities were 100% for PCR-ribotyping and PFGE but only 88% for AP-PCR with AP3, 67% for AP-PCR with AP4, and 33% for AP-PCR with AP5. Discriminatory power for unrelated strains was >0.95 for all the methods but was lower for PCR-ribotyping among serogroups D and C. PCR-based methods were easier and quicker to perform, but their fingerprints were more difficult to interpret than those of PFGE. We conclude that PCR-ribotyping offers the best combination of advantages as an initial typing tool for C. difficile.

Indexed as

Bacterial Typing TechniquesClostridioides difficileDeoxyribonucleases, Type II Site-SpecificElectrophoresis, Gel, Pulsed-FieldEnterocolitis, PseudomembranousGenes, rRNAHumansPolymerase Chain ReactionReproducibility of ResultsRNA, Ribosomal, 16SRNA, Ribosomal, 23SCCCGGG-specific type II deoxyribonucleasesDeoxyribonucleases, Type II Site-SpecificRNA, Ribosomal, 16SRNA, Ribosomal, 23S

Identifiers

PMID10878030
PMCPMC86949
OpenAlexW2106317612

What OpenQuestion holds

Textmetadata
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.