Evidence map›Paper›PMID 23916741›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2013

Clostridium difficile infection after adult autologous stem cell transplantation: a multicenter study of epidemiology and risk factors.

Carolyn D Alonso, Simon F Dufresne, David B Hanna, Annie-Claude Labbé, Suzanne B Treadway, Dionissios Neofytos, Sylvie Bélanger, Carol Ann Huff, Michel Laverdière, Kieren A Marr

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Prevalence ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Guideline
  3. Trial
  4. Management ofEClinicalMedicine · 2025
    Review
  5. Epidemiology and Outcomes of RecurrentOpen forum infectious diseases · 2024
    Article
  6. Clinical microbiology reviews · 2024
    Review
  7. Informing estimates of probability ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Humoral Immune Response toOpen forum infectious diseases · 2021
    Article
  12. Review
  13. A Single-Center Experience and Literature Review of Management Strategies forInfectious diseases in clinical practice (Baltimore, Md.) · 2020
    Article
  14. Article
  15. Risk forTransplantation direct · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Carolyn D AlonsoDivision of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Electronic address: calonso@bidmc.harvard.edu.
Simon F Dufresne
David B Hanna
Annie-Claude Labbé
Suzanne B Treadway
Dionissios Neofytos
Sylvie Bélanger
Carol Ann Huff
Michel Laverdière
Kieren A Marr
Hôpital Maisonneuve-Rosemont · CAJohns Hopkins Medicine · USAlbert Einstein College of Medicine · USHarvard University · USJohns Hopkins University · USPenn State Milton S. Hershey Medical Center · US

Funding

RESEARCH TRAINING IN MICROBIAL DISEASEST32AI007291 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JOEL N BLANKSON, Sara Elizabeth Cosgrove · 1986 to 2026
$9.1M
Prospective Cohort Study of CryptococcosisU01AI109657 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARR, KIEREN A., WILLIAMSON, PETER RICHARD · 2013 to 2015
$1.9M
Patient Oriented Research in Transplant and Oncology IDK24AI085118 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARR, KIEREN A. · 2010 to 2014
$995k
NIAID NIH HHS K24 AI085118NIAID NIH HHS T32 AI007291
6 · The paper itself

Abstract

We sought to describe the epidemiology of Clostridium difficile infection (CDI) among adult recipients of autologous hematopoietic stem cell transplantation (auto-HSCT) within the first year after HSCT in centers with variable epidemiology of hypertoxigenic strains. A multicenter, retrospective nested case-control study was conducted among 873 auto-HSCT recipients at Johns Hopkins Hospital (JHH) and Hôpital Maisonneuve-Rosemont (HMR) between January 2003 and December 2008. Despite center differences in the prevalence of NAP-1 strains during the study period (21% to 43% at JHH versus 80% to 84% in HMR), the 1-year incidence of CDI was similar in the 2 hospitals (6.2% at JHH versus 5.7% at HMR). The median time to infection was 11 days (interquartile range, 1 to 27 days). In case-control analyses, grade ≥2 mucositis (odds ratio [OR], 3.00; P = .02) and receipt of a fourth-generation cephalosporin (OR, 2.76; P = .04) were identified as predictors for CDI. Mucositis was the strongest predictor of risk for CDI in multivariate analysis (adjusted OR, 2.77; P = .03). CDI is a common and early complication of auto-HSCT. Treatment-related gastrointestinal mucosal damage, along with the potentially modifiable risk of antimicrobial exposure, influence the risk for CDI early after auto-HSCT.

Indexed as

Clostridioides difficileEnterocolitis, PseudomembranousFemaleHematopoietic Stem Cell TransplantationHumansIncidenceMaleMiddle AgedRisk FactorsTransplantation, AutologousTransplantation ConditioningAntibioticsClostridium difficileMucositisNAP-1Stem cell transplantation

Identifiers

PMID23916741
PMCPMC3806308
OpenAlexW2159078916

What OpenQuestion holds

Textmetadata
LicenceTDM
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.