Evidence map›Paper›PMID 23247066›Full record

ArticleAnaerobe2013

A systematic evaluation of methods to optimize culture-based recovery of Clostridium difficile from stool specimens.

Tiffany Hink, Carey-Ann D Burnham, Erik R Dubberke

Registry-linked trialOpen access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Anaerobe, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02046512 (Randomized Controlled Trial of Lactobacillus Rhamnosus GG to Promote Intestinal Health), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT02046512 phase4completednot on this mapstarted 2014, after this paper: background citation

Randomized Controlled Trial of Lactobacillus Rhamnosus GG to Promote Intestinal Health

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2018Enrolled89ConditionsCommunicable Diseases, Infection, Anti-Infective Agents, Therapeutic UsesArmsProbiotic, Placebo
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Open forum infectious diseases · 2026
    Article
  4. Relationship BetweenOpen forum infectious diseases · 2026
    Article
  5. Comparative evaluation of the STANDARD M10 and XpertJournal of clinical microbiology · 2024
    Article
  6. Comparison ofJournal of clinical microbiology · 2024
    Article
  7. Diagnostic Guidance for C. difficile Infections.Advances in experimental medicine and biology · 2024
    Article
  8. Review
  9. Review
  10. Laboratory diagnosis of Clostridioides difficile infection in symptomatic patients: what can we do better?Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  11. Article
  12. Molecular epidemiology ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Laboratory Tests for the Diagnosis ofClinics in colon and rectal surgery · 2020
    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

3 authors at 1 institution in 1 country.

Tiffany HinkDepartment of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
Carey-Ann D Burnham
Erik R Dubberke
Washington University in St. Louis · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
NIDDK NIH HHS P30 DK052574
6 · The paper itself

Abstract

With the increasing prevalence of Clostridium difficile infection among hospitalized patients, a clear understanding of C. difficile epidemiology is needed to evaluate current prevention policies, and to create new and effective policies. To determine the epidemiology of C. difficile, the most sensitive methods for detection of C. difficile are required. The purpose of this study was to systematically assess multiple methods to determine the most sensitive method to recover C. difficile from stool and rectal swabs. Stool samples from healthy asymptomatic individuals that were collected and confirmed to be culture negative for C. difficile were spiked with known concentrations of C. difficile ranging from 10(4) CFU of C. difficile per ml of stool to 10 CFU per ml. Two sets of experiments (A and B) were performed and each involved multiple combinations of untreated and treated stool/rectal swab specimens and selective and non-selective broth and agar. Overall, recovery of C. difficile was increased with the use of an initial broth enrichment followed by plating to solid medium. The most sensitive method of C. difficile detection for both stools and swab specimens was heat shock prior to inoculation of cycloserine-cefoxitin mannitol broth with taurocholate lysozyme cysteine (CCMB, Anaerobe Systems, Morgan Hill, CA) followed by isolation from pre-reduced TSA II with 5% sheep blood (BAP, BBL BD and Co., Sparks, MD). Identifying the most sensitive method of recovery will allow for further study of asymptomatic C. difficile carriers and their role in the epidemiology of C. difficile.

Indexed as

Bacteriological TechniquesClostridioides difficileClostridium InfectionsCulture MediaFecesHumansSensitivity and SpecificityCulture Media

Identifiers

PMID23247066
PMCPMC4146438
OpenAlexW2087209010

What OpenQuestion holds

Textmetadata
LicenceTDM
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.