Evidence map›Paper›PMID 15238498›Full record

ReviewCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2004

Clostridium difficile-associated diarrhea in adults.

Susan M Poutanen, Andrew E Simor

Open access · goldAbstract readReview
In one paragraph

Review in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 1 pooled it
13.4field-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

136 citing papers in PubMed, 1 synthesis or guideline pooled it, 412 citations in OpenAlex.

  1. Probiotic therapy for the prevention and treatment of Clostridium difficile-associated diarrhea: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Pharmacological reduction of neutrophil infiltration reducesbioRxiv : the preprint server for biology · 2025
    Article
  7. Investigating in-hospital transmission ofJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  8. Article
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  10. Risk Factors forAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Shengjiang Xiexin decoction combined with vancomycin forFrontiers in cellular and infection microbiology · 2025
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  12. Gut Microbiota and New Microbiome-Targeted Drugs forAntibiotics (Basel, Switzerland) · 2024
    Review
  13. Characterization ofMicroorganisms · 2024
    Article
  14. Review
  15. The changing epidemiology ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  16. Novel metal peroxide nanoboxes restrainBioengineering & translational medicine · 2023
    Article
  17. Prevalence ofAnimals : an open access journal from MDPI · 2023
    Article
  18. Article
  19. Characterization of community-acquiredFrontiers in microbiology · 2023
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Susan M PoutanenDepartment of Microbiology, Toronto Medical Laboratories and Mount Sinai Hospital.
Andrew E Simor
Mount Sinai Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile is the most important cause of nosocomial diarrhea in adults. Illness may range from mild watery diarrhea to life-threatening colitis. An antecedent disruption of the normal colonic flora followed by exposure to a toxigenic strain of C. difficile are necessary first steps in the pathogenesis of disease. Diagnosis is based primarily on the detection of C. difficile toxin A or toxin B. First-line treatment is with oral metronidazole therapy. Treatment with oral vancomycin therapy should be reserved for patients who have contraindications or intolerance to metronidazole or who fail to respond to first-line therapy.

Indexed as

Clostridioides difficileClostridium InfectionsAnti-Infective AgentsBacterial Typing TechniquesCanadaCarrier StateCross InfectionDiarrheaHumansMetronidazoleRecurrenceRisk FactorsAnti-Infective AgentsMetronidazole

Identifiers

PMID15238498
PMCPMC437686
OpenAlexW2108693491

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.