Evidence map›Paper›PMID 20610822›Full record

ReviewClinical microbiology reviews2010

The changing epidemiology of Clostridium difficile infections.

J Freeman, M P Bauer, S D Baines, J Corver, W N Fawley, B Goorhuis, E J Kuijper, M H Wilcox

Abstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 353 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
353citing papers in PubMed, 5 pooled it
31.2field-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

353 citing papers in PubMed, 5 syntheses or guidelines pooled it, 808 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Epidemiology ofAntibiotics (Basel, Switzerland) · 2026
    Article
  9. Article
  10. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  11. Article
  12. Article
  13. A Colombian strain ofVirulence · 2025
    Article
  14. Article
  15. Community-AcquiredInternational journal of molecular sciences · 2025
    Review
  16. Article
  17. The Global Burden ofInfectious disease reports · 2025
    Review
  18. Journal of bacteriology · 2025
    Review
  19. Attributable Costs ofJournal of Korean medical science · 2025
    Article
  20. Article

293 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

8 authors at 3 institutions in 2 countries.

J FreemanDepartment of Microbiology, Old Medical School, Leeds Teaching Hospitals and University of Leeds, Leeds, United Kingdom.
M P Bauer
S D Baines
J Corver
W N Fawley
B Goorhuis
E J Kuijper
M H Wilcox
Leiden University Medical Center · NLLeeds Teaching Hospitals NHS Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The epidemiology of Clostridium difficile infection (CDI) has changed dramatically during this millennium. Infection rates have increased markedly in most countries with detailed surveillance data. There have been clear changes in the clinical presentation, response to treatment, and outcome of CDI. These changes have been driven to a major degree by the emergence and epidemic spread of a novel strain, known as PCR ribotype 027 (sometimes referred to as BI/NAP1/027). We review the evidence for the changing epidemiology, clinical virulence and outcome of treatment of CDI, and the similarities and differences between data from various countries and continents. Community-acquired CDI has also emerged, although the evidence for this as a distinct new entity is less clear. There are new data on the etiology of and potential risk factors for CDI; controversial issues include specific antimicrobial agents, gastric acid suppressants, potential animal and food sources of C. difficile, and the effect of the use of alcohol-based hand hygiene agents.

Indexed as

Clostridioides difficileClostridium InfectionsCommunity-Acquired InfectionsCross InfectionHumansRisk FactorsTreatment OutcomeVirulence

Identifiers

PMID20610822
PMCPMC2901659
OpenAlexW2123366827

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.