Evidence map›Paper›PMID 24669194›Full record

ReviewInfection and drug resistance2014

Community-acquired Clostridium difficile infection: an increasing public health threat.

Arjun Gupta, Sahil Khanna

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Infection and drug resistance, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03200093 (Secondary Prophylaxis With Oral Vancomycin for Clostridium Difficile Recurrence), which is not on this map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
14.7field-weighted citation impact, top 1% 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.

NCT03200093 phase4terminatednot on this mapstarted 2017, after this paper: background citation

Secondary Prophylaxis With Oral Vancomycin for Clostridium Difficile Recurrence: A Randomized Control Study

TypeinterventionalSponsorRochester General HospitalRan2017 to 2021Enrolled65ConditionsClostridium Difficile InfectionArmsOral Vancomycin, Placebo
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 213 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Silent Megacolon: FulminantACG case reports journal · 2026
    Article
  5. Epidemiology ofAntibiotics (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Addressing Unmet Needs inCurrent medicinal chemistry · 2026
    Review
  9. Smoking andInfection and drug resistance · 2026
    Article
  10. Article
  11. Community-AcquiredInternational journal of molecular sciences · 2025
    Review
  12. Article
  13. Article
  14. Pathogens (Basel, Switzerland) · 2024
    Review
  15. One health (Amsterdam, Netherlands) · 2024
    Article
  16. Toxins · 2024
    Review
  17. RethinkingEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  18. Ribotypes and New Virulent Strains Across Europe.Advances in experimental medicine and biology · 2024
    Review
  19. Recurrent Clostridioides difficile Infection: Current Clinical Management and Microbiome-Based Therapies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  20. Review

52 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

2 authors at 1 institution in 1 country.

Arjun GuptaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Sahil KhannaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been a startling shift in the epidemiology of Clostridium difficile infection over the last decade worldwide, and it is now increasingly recognized as a cause of diarrhea in the community. Classically considered a hospital-acquired infection, it has now emerged in populations previously considered to be low-risk and lacking the traditional risk factors for C. difficile infection, such as increased age, hospitalization, and antibiotic exposure. Recent studies have demonstrated great genetic diversity for C. difficile, pointing toward diverse sources and a fluid genome. Environmental sources like food, water, and animals may play an important role in these infections, apart from the role symptomatic patients and asymptomatic carriers play in spore dispersal. Prospective strain typing using highly discriminatory techniques is a possible way to explore the suspected diverse sources of C. difficile infection in the community. Patients with community-acquired C. difficile infection do not necessarily have a good outcome and clinicians should be aware of factors that predict worse outcomes in order to prevent them. This article summarizes the emerging epidemiology, risk factors, and outcomes for community-acquired C. difficile infection.

Indexed as

Clostridium difficilecommunity acquired infectionepidemiologyoutcomerisk factors

Identifiers

PMID24669194
PMCPMC3962320
OpenAlexW2093943421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.