Evidence map›Paper›PMID 26649183›Full record

ArticleNew microbes and new infections2015

Clostridium difficile infections among adults and children in Mwanza/Tanzania: is it an underappreciated pathogen among immunocompromised patients in sub-Saharan Africa?

M Seugendo, S E Mshana, A Hokororo, B Okamo, M M Mirambo, L von Müller, K Gunka, O Zimmermann, U Groß

Abstract read
In one paragraph

Article in New microbes and new infections, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Best Practices in the Management ofTropical medicine and infectious disease · 2024
    Review
  3. Make It LessGenes · 2022
    Review
  4. HighInternational journal of pediatrics · 2020
    Article
  5. High levels of toxigenicAccess microbiology · 2020
    Article
  6. High Prevalence of Multidrug-ResistantFrontiers in cellular and infection microbiology · 2020
    Article
  7. High rate of Clostridium difficile among young adults presenting with diarrhea at two hospitals in Kenya.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2018
    Article
  8. Prevalence and Strain Characterization ofFrontiers in microbiology · 2018
    Article
  9. Malawi medical journal : the journal of Medical Association of Malawi · 2016
    Review
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.

M SeugendoDepartment of Pediatric and Child Health, Weill Bugando School of Medicine, Mwanza, Tanzania.
S E MshanaDepartment of Microbiology, Weill Bugando School of Medicine, Mwanza, Tanzania.
A HokororoDepartment of Pediatric and Child Health, Weill Bugando School of Medicine, Mwanza, Tanzania.
B OkamoDepartment of Biochemistry and Molecular Biology, Weill Bugando School of Medicine, Mwanza, Tanzania.
M M MiramboDepartment of Microbiology, Weill Bugando School of Medicine, Mwanza, Tanzania.
L von MüllerInstitute for Medical Microbiology and Hygiene, German Reference Laboratory for Clostridium difficile Saarland University Medical Center, Germany.
K GunkaInstitute of Medical Microbiology, University Medical Center Göttingen, Göttingen, Germany.
O ZimmermannInstitute of Medical Microbiology, University Medical Center Göttingen, Göttingen, Germany.
U GroßInstitute of Medical Microbiology, University Medical Center Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known regarding the epidemiology Clostridium difficile in developing countries. Fresh stool samples from patients with diarrhoea were cultured anaerobically. C. difficile was detected in nine (6.4%) of 141 (95% confidence interval 4.2-13.1), of which seven (77.8%) were from children. HIV infection, prolonged hospitalization and antibiotic use were independent factors associated with the occurrence of C. difficile in the gastrointestinal tract. Two of the toxigenic isolates were typed as ribotype 045, and the other two had unknown ribotype. All C. difficile isolates were susceptible to metronidazole, moxifloxacin and clarithromycin, while three isolates were resistant to clarithromycin. C. difficile may be an important pathogen causing diarrhoea in sub-Saharan Africa among immunocompromised patients.

Indexed as

Clostridium difficilediarrhoeaimmunocompromisedsub-SaharanTanzania

Identifiers

PMID26649183
PMCPMC4644260

What OpenQuestion holds

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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.