Evidence map›Paper›PMID 26260753›Full record

ArticleGut and liver2016

Incidence and Clinical Outcomes of Clostridium difficile Infection after Treatment with Tuberculosis Medication.

Yu Mi Lee, Kyu Chan Huh, Soon Man Yoon, Byung Ik Jang, Jeong Eun Shin, Hoon Sup Koo, Yunho Jung, Sae Hee Kim, Hee Seok Moon, Seung Woo Lee and 1 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Mechanisms ofBreathe (Sheffield, England) · 2026
    Review
  2. Article
  3. Antimicrobial Resistance ofAntibiotics (Basel, Switzerland) · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. African journal of laboratory medicine · 2018
    Article
  9. Epidemiology and outcomes ofBMJ global health · 2018
    Article
  10. Toxin A-negative toxin B-positive ribotype 017 Clostridium difficile is the dominant strain type in patients with diarrhoea attending tuberculosis hospitals in Cape Town, South Africa.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  11. Characterisation of Clostridium difficile strains isolated from Groote Schuur Hospital, Cape Town, South Africa.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  12. 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

11 authors at 8 institutions in 3 countries.

Yu Mi LeeDepartment of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Kyu Chan HuhDepartment of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Soon Man YoonDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Byung Ik JangDepartment of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Jeong Eun ShinDepartment of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Hoon Sup KooDepartment of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Yunho JungDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Sae Hee KimDepartment of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
Hee Seok MoonDepartment of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea.
Seung Woo LeeDepartment of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.
Daejeon-Chungchung Intestinal Research Group
Konyang University · KRCatholic University of Korea · KRChungnam National University Hospital · KRDaejeon Eulji Medical Center, Eulji University · KRDankook University · KRNew Generation University College · ETSoonchunhyang University · KRYeungnam University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo determine the incidence and clinical characteristics of tuberculosis (TB) medication-associated Clostridium difficile infection.

methodsThis multicenter study included patients from eight tertiary hospitals enrolled from 2008 to 2013. A retrospective analysis was conducted to identify the clinical features of C. difficile infection in patients who received TB medication.

resultsC. difficile infection developed in 54 of the 19,080 patients prescribed TB medication, representing a total incidence of infection of 2.83 cases per 1,000 adults. Fifty-one of the 54 patients (94.4%) were treated with rifampin. The patients were usually treated with oral metronidazole, which produced improvement in 47 of the 54 patients (87%). Twenty-three patients clinically improved with continuous rifampin therapy for C. difficile infection. There were no significant differences in improvement between patients treated continuously (n=21) and patients in whom treatment was discontinued (n=26).

conclusionsThe incidence of C. difficile infection after TB medication was not low considering the relatively low TB medication dosage compared to other antibiotics. It may not be always necessary to discontinue TB medication. Instead, decisions concerning discontinuation of TB medication should be based on TB status.

Indexed as

Clostridioides difficileAdultAgedAged, 80 and overAntibiotics, AntitubercularAnti-Infective AgentsEnterocolitis, PseudomembranousFemaleHumansIncidenceMaleMetronidazoleMiddle AgedRetrospective StudiesRifampinTreatment OutcomeAntibiotics, AntitubercularAnti-Infective AgentsMetronidazoleRifampinClostridium difficileEnterocolitis, pseudomembranousRifampinTuberculosis

Identifiers

PMID26260753
PMCPMC4780455
OpenAlexW2313521075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.