Evidence map›Paper›PMID 23586062›Full record

ArticleBioMed research international2013

Evaluation of multiplex PCR with enhanced spore germination for detection of Clostridium difficile from stool samples of the hospitalized patients.

Surang Chankhamhaengdecha, Piyapong Hadpanus, Amornrat Aroonnual, Puriya Ngamwongsatit, Darunee Chotiprasitsakul, Piriyaporn Chongtrakool, Tavan Janvilisri

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Comparative Relatedness ofAntibiotics (Basel, Switzerland) · 2025
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  4. Temporal Variations in Patterns ofAntibiotics (Basel, Switzerland) · 2021
    Article
  5. Article
  6. Emerging microbes & infections · 2019
    Review
  7. Antimicrobial Effect of Asiatic Acid AgainstFrontiers in microbiology · 2018
    Article
  8. Article
  9. Review
  10. 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

7 authors at 3 institutions in 1 country.

Surang ChankhamhaengdechaDepartment of Biology, Faculty of Science, Mahidol University, Bangkok 10400, Thailand.
Piyapong Hadpanus
Amornrat Aroonnual
Puriya Ngamwongsatit
Darunee Chotiprasitsakul
Piriyaporn Chongtrakool
Tavan Janvilisri
Mahidol University · THRamathibodi Hospital · THMahidol Oxford Tropical Medicine Research Unit · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile poses as the most common etiologic agent of nosocomial diarrhea. Although there are many diagnostic methods to detect C. difficile directly from stool samples, the nucleic acid-based approach has been largely performed in several laboratories due to its high sensitivity and specificity as well as rapid turnaround time. In this study, a multiplex PCR was newly designed with recent accumulated nucleotide sequences. The PCR testing with various C. difficile ribotypes, other Clostridium spp., and non-Clostridium strains revealed 100% specificity with the ability to detect as low as ~22 genomic copy number per PCR reaction. Different combinations of sample processing were evaluated prior to multiplex PCR for the detection of C. difficile in fecal samples from hospitalized patients. The most optimal condition was the non-selective enrichment at 37 °C for 1 h in brain heart infusion broth supplemented with taurocholate, followed by the multiplex PCR. The detection limit after sample processing was shown as being 5 spores per gram of fecal sample. Two hundred and thirty-eight fecal samples collected from the University affiliated hospital were analyzed by the enrichment multiplex PCR procedure. The results suggested that the combination of sample processing with the high-performance detection method would be applicable for routine diagnostic use in clinical setting.

Indexed as

Multiplex Polymerase Chain ReactionClostridioides difficileCross InfectionDiagnosis, DifferentialDiarrheaEnterocolitis, PseudomembranousFecesHumansSpores, Bacterial

Identifiers

PMID23586062
PMCPMC3613053
OpenAlexW2017374848

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Registered trials

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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.