Evidence map›Paper›PMID 21502971›Full record

ReviewNature reviews. Gastroenterology & hepatology2011

Treatment of refractory and recurrent Clostridium difficile infection.

Christina M Surawicz, Jacob Alexander

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05770726 (The Comparison of the Adjuvant Effect of Probiotics Between Delivery Via Colonoscopic Spray and Oral Administration in Patients With Clostridioides Difficile Colitis Receiving Vancomycin Treatment), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05770726 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Comparison of the Adjuvant Effect of Probiotics Between Delivery Via Colonoscopic Spray and Oral Administration in Patients With Clostridioides Difficile Colitis Receiving Vancomycin Treatment

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2023 to 2024Enrolled60ConditionsDiarrhea InfectiousArmsProbiotics administration
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Correlating Antibiotic-Induced Dysbiosis toACS infectious diseases · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Antibiotic Resistance and Biofilm Production Capacity inFrontiers in cellular and infection microbiology · 2021
    Article
  12. RapidACS infectious diseases · 2020
    Article
  13. Review
  14. Vaccination againstInfection and immunity · 2019
    Article
  15. Risk Factors Associated With RecurrentJournal of clinical medicine research · 2019
    Article
  16. Extended duration vancomycin in recurrentTherapeutic advances in infectious disease · 2018
    Review
  17. Article
  18. Article
  19. Article
  20. 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

2 authors.

Christina M SurawiczDivision of Gastroenterology, Department of Medicine, University of Washington School of Medicine, 325 Ninth Avenue, Box 359773, Seattle, WA 98104, USA. surawicz@u.washington.edu
Jacob Alexander

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of Clostridium difficile infection (CDI) has increased since 2000, with greater numbers of severe cases reported, in part due to the emergence of a hypervirulent strain. Initial therapy with metronidazole is still recommended for mild to moderate CDI, but vancomycin is recommended for first-line therapy of severe CDI. Colectomy could be life-saving for some patients with severe disease that does not respond to maximal medical therapy. Recurrent CDI is a challenge to treat; no single effective therapy currently exists. Treatments include antibiotics, adjunct probiotics, fecal microbiota transplant and immune approaches. This Review discusses the various therapeutic approaches used for the treatment of refractory and recurrent CDI.

Indexed as

Clostridioides difficileColectomyEnterocolitis, PseudomembranousHumansMetronidazoleRecurrenceSeverity of Illness IndexTreatment OutcomeVancomycinMetronidazoleVancomycin

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.