Evidence map›Paper›PMID 24759727›Full record

ArticleJournal of clinical microbiology2014

Prevalence and duration of asymptomatic Clostridium difficile carriage among healthy subjects in Pittsburgh, Pennsylvania.

Alison L Galdys, Jemma S Nelson, Kathleen A Shutt, Jessica L Schlackman, Diana L Pakstis, A William Pasculle, Jane W Marsh, Lee H Harrison, Scott R Curry

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Gut Microbiota Composition Associated withPathogens (Basel, Switzerland) · 2022
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  9. Survivability ofVeterinary world · 2022
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  12. Characterization of Non-ToxigenicJournal of clinical medicine · 2020
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  13. Review
  14. Clinics in colon and rectal surgery · 2020
    Review
  15. Atypical presentation ofBMJ case reports · 2019
    Article
  16. Article
  17. Enterotoxic Clostridia:Microbiology spectrum · 2019
    Review
  18. Cytoskeletal Tropomyosin as a Biomarker inJournal of clinical medicine research · 2019
    Article
  19. The Challenges of Tracking Clostridium difficile to Its Source in Hospitalized Patients.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    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

9 authors at 1 institution in 1 country.

Alison L GaldysInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jemma S NelsonInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kathleen A ShuttInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jessica L SchlackmanInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Diana L PakstisInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
A William PasculleDivision of Microbiology, Department of Pathology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jane W MarshInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Lee H HarrisonInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Scott R CurryInfectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, and Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA currysr@upmc.edu.
University of Pittsburgh · US

Funding

Shedding of HIV In Semen Despite Antiretroviral TherapyK24AI052788 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRISON, LEE H · 2002 to 2012
$1.4M
NIAID NIH HHS K24 AI052788NIAID NIH HHS K24 AI52788
6 · The paper itself

Abstract

Previous studies suggested that 7 to 15% of healthy adults are colonized with toxigenic Clostridium difficile. To investigate the epidemiology, genetic diversity, and duration of C. difficile colonization in asymptomatic persons, we recruited healthy adults from the general population in Allegheny County, Pennsylvania. Participants provided epidemiological and dietary intake data and submitted stool specimens. The presence of C. difficile in stool specimens was determined by anaerobic culture. Stool specimens yielding C. difficile underwent nucleic acid testing of the tcdA gene segment with a commercial assay; tcdC genotyping was performed on C. difficile isolates. Subjects positive for C. difficile by toxigenic anaerobic culture were asked to submit additional specimens. One hundred six (81%) of 130 subjects submitted specimens, and 7 (6.6%) of those subjects were colonized with C. difficile. Seven distinct tcdC genotypes were observed among the 7 C. difficile-colonized individuals, including tcdC genotype 20, which has been found in uncooked ground pork in this region. Two (33%) out of 6 C. difficile-colonized subjects who submitted additional specimens tested positive for identical C. difficile strains on successive occasions, 1 month apart. The prevalence of C. difficile carriage in this healthy cohort is concordant with prior estimates. C. difficile-colonized individuals may be important reservoirs for C. difficile and may falsely test positive for infections due to C. difficile when evaluated for community-acquired diarrhea caused by other enteric pathogens.

Indexed as

Healthy VolunteersAdolescentAdultAgedAged, 80 and overBacterial ProteinsBacterial ToxinsCarrier StateClostridioides difficileClostridium InfectionsEnterotoxinsFecesFeeding BehaviorFemaleGenetic VariationGenotypeBacterial ProteinsBacterial ToxinsEnterotoxinsRepressor ProteinstcdA protein, Clostridium difficileTcdC protein, Clostridium difficile

Identifiers

PMID24759727
PMCPMC4097745
OpenAlexW2021214552

What OpenQuestion holds

Textmetadata
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.