Evidence map›Paper›PMID 26999466›Full record

ArticleBone marrow transplantation2016

Rifaximin preserves intestinal microbiota balance in patients undergoing allogeneic stem cell transplantation.

D Weber, P J Oefner, K Dettmer, A Hiergeist, J Koestler, A Gessner, M Weber, F Stämmler, J Hahn, D Wolff and 2 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
6.4field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

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  10. Oral and Gut Microbiome Alterations in Oral Chronic GVHD Disease: Results from Close Assessment and Testing for Chronic GVHD (CATCH Study).Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

D WeberDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center, Regensburg, Germany.
P J OefnerChair and Institute of Functional Genomics, University of Regensburg, Regensburg, Germany.
K DettmerChair and Institute of Functional Genomics, University of Regensburg, Regensburg, Germany.
A HiergeistInstitute of Clinical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany.
J KoestlerInstitute of Clinical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany.
A GessnerInstitute of Clinical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany.
M WeberDepartment of Orthopedic Surgery, University Medical Center, Regensburg, Germany.
F StämmlerChair of Statistical Bioinformatics, Institute of Functional Genomics, University of Regensburg, Regensburg, Germany.
J HahnDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center, Regensburg, Germany.
D WolffDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center, Regensburg, Germany.
W HerrDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center, Regensburg, Germany.
E HollerDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center, Regensburg, Germany.
University Hospital Regensburg · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intestinal dysbiosis has been associated with acute gastrointestinal GvHD and poor outcome following allogeneic stem cell transplantation (ASCT). To assess the effect of a switch in 2012 from ciprofloxacin/metronidazole to rifaximin for gut decontamination on intestinal microbiota composition and ASCT outcome, we retrospectively analyzed 394 patients receiving ASCT from September 2008 through June 2015. In 131 and 90 patients, respectively, urinary 3-indoxyl sulfate levels and intestinal enterococcal load were measured before conditioning and weekly within the first 28 days after ASCT. The use of rifaximin correlated with lower enterococcal positivity (6.9 vs 21.9%, P=0.05) and higher urinary 3-indoxyl sulfate concentrations (10.5 vs 4.6 μmoL/mmoL crea, P<0.001) after ASCT. Patients on rifaximin showed lower 1-year transplant-related mortality (P=0.04) and higher overall survival (P=0.008). Treatment of infectious complications with systemic antibiotics did not abrogate the beneficial effects of rifaximin on intestinal microbiota composition in the early course of ASCT and outcome. The data underscore the importance of maintaining a diverse population of symbiotic and mutualistic bacteria in the gut on ASCT outcome.

Indexed as

AdultEnterococcusFemaleGastrointestinal DiseasesGastrointestinal MicrobiomeGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIndicanMaleMiddle AgedRetrospective StudiesRifamycinsRifaximinSurvival AnalysisTransplantation, HomologousIndicanRifamycinsRifaximin

Identifiers

PMID26999466
OpenAlexW2298225937

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.