Evidence map›Paper›PMID 24410618›Full record

ReviewExpert review of anti-infective therapy2014

Clostridium difficile infection: molecular pathogenesis and novel therapeutics.

Ardeshir Rineh, Michael J Kelso, Fatma Vatansever, George P Tegos, Michael R Hamblin

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Expert review of anti-infective therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07221370 (Enteral Vancomycin as Primary Prophylaxis Against Clostridioides Difficile Infection in Critically Ill Patients), which is not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT07221370 phase2 / phase3recruitingnot on this mapstarted 2024, after this paper: background citation

Enteral Vancomycin as Primary Prophylaxis Against Clostridioides Difficile Infection in Critically Ill Patients

TypeinterventionalSponsorRiverside University Health System Medical CenterRan2024 to 2026Enrolled176ConditionsClostridium Difficile Infection, Vancomycin Resistant Enterococci InfectionArmsVancomycin 125mg, Placebo
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 104 citations in OpenAlex.

  1. Intestinal Microbiome Changes in Fecal Microbiota Transplant (FMT)Canadian journal of gastroenterology & hepatology · 2019
    Trial
  2. Trial
  3. Predictors of RecurrentDiagnostics (Basel, Switzerland) · 2026
    Article
  4. Review
  5. Article
  6. Extraintestinal Manifestations ofAntibiotics (Basel, Switzerland) · 2025
    Review
  7. CONCURRENTActa clinica Croatica · 2025
    Article
  8. Predicting positiveHeliyon · 2025
    Article
  9. Unraveling Cecal Alterations inJournal of proteome research · 2024
    Article
  10. Best Practices in the Management ofTropical medicine and infectious disease · 2024
    Review
  11. Rational Design of Live Biotherapeutic Products for the Prevention ofbioRxiv : the preprint server for biology · 2024
    Article
  12. Review
  13. In Vitro Models for Investigating Intestinal Host-Pathogen Interactions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  14. Review
  15. Article
  16. Correlating Antibiotic-Induced Dysbiosis toACS infectious diseases · 2023
    Article
  17. Review
  18. Article
  19. Article
  20. Article

4 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

5 authors at 3 institutions in 2 countries.

Ardeshir RinehThe Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Michael J Kelso
Fatma Vatansever
George P Tegos
Michael R Hamblin
Massachusetts General Hospital · USHarvard University · USUniversity of Wollongong · AU

Funding

Photodynamic Therapy of Localized InfectionsR01AI050875 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI HAMBLIN, MICHAEL R · 2003 to 2017
$4.8M
NIAID NIH HHS R01 AI050875NIAID NIH HHS R01AI050875
6 · The paper itself

Abstract

The Gram-positive anaerobic bacterium Clostridium difficile produces toxins A and B, which can cause a spectrum of diseases from pseudomembranous colitis to C. difficile-associated diarrhea. A limited number of C. difficile strains also produce a binary toxin that exhibits ADP ribosyltransferase activity. Here, the structure and the mechanism of action of these toxins as well as their role in disease are reviewed. Nosocomial C. difficile infection is often contracted in hospital when patients treated with antibiotics suffer a disturbance in normal gut microflora. C. difficile spores can persist on dry, inanimate surface for months. Metronidazole and oral vancomycin are clinically used for treatment of C. difficile infection but clinical failure and concern about promotion of resistance are motivating the search for novel non-antibiotic therapeutics. Methods for controlling both toxins and spores, replacing gut microflora by probiotics or fecal transplant, and killing bacteria in the anaerobic gut by photodynamic therapy are discussed.

Indexed as

Clostridioides difficileDrug Resistance, BacterialEnterocolitis, PseudomembranousHumansSpores, BacterialVirulence

Identifiers

PMID24410618
PMCPMC4306399
OpenAlexW2017882679

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.