Evidence map›Paper›PMID 27166072›Full record

ArticleScientific reports2016

Gut microbiota composition and Clostridium difficile infection in hospitalized elderly individuals: a metagenomic study.

Christian Milani, Andrea Ticinesi, Jacoline Gerritsen, Antonio Nouvenne, Gabriele Andrea Lugli, Leonardo Mancabelli, Francesca Turroni, Sabrina Duranti, Marta Mangifesta, Alice Viappiani and 7 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 1 pooled it
18.3field-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.

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

135 citing papers in PubMed, 1 synthesis or guideline pooled it, 222 citations in OpenAlex.

  1. Pooled it
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  11. Antibiotic-perturbed microbiota and the role of probiotics.Nature reviews. Gastroenterology & hepatology · 2025
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  19. Rational Design of Live Biotherapeutic Products for the Prevention ofbioRxiv : the preprint server for biology · 2024
    Article
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75 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

17 authors at 3 institutions in 3 countries.

Christian MilaniLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Andrea TicinesiInternal Medicine and Critical Subacute Care Unit, Parma University Hospital, Parma, Italy.
Jacoline GerritsenLaboratory of Microbiology, Wageningen University, Dreijenplein 10, 6703 HB, Wageningen, The Netherlands.
Antonio NouvenneInternal Medicine and Critical Subacute Care Unit, Parma University Hospital, Parma, Italy.
Gabriele Andrea LugliLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Leonardo MancabelliLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Francesca TurroniLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Sabrina DurantiLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Marta MangifestaLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Alice ViappianiGenProbio srl, Parma, Italy.
Chiara FerrarioLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
Marcello MaggioDepartment of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
Fulvio LauretaniInternal Medicine and Critical Subacute Care Unit, Parma University Hospital, Parma, Italy.
Willem De VosLaboratory of Microbiology, Wageningen University, Dreijenplein 10, 6703 HB, Wageningen, The Netherlands.
Douwe van SinderenAPC Microbiome Institute and School of Microbiology, Bioscience Institute, National University of Ireland, Cork, Ireland.
Tiziana MeschiInternal Medicine and Critical Subacute Care Unit, Parma University Hospital, Parma, Italy.
Marco VenturaLaboratory of Probiogenomics, Department of Life Sciences, University of Parma, Italy.
University of Parma · ITWageningen University & Research · NLAPC Microbiome Institute · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut microbiota composition of elderly hospitalized patients with Clostridium difficile infection (CDI) exposed to previous antibiotic treatment is still poorly investigated. The aim of this study was to compare the microbiota composition by means of 16S rRNA microbial profiling among three groups of hospitalized elderly patients (age ≥ 65) under standard diet including 25 CDI-positive (CDI group), 29 CDI-negative exposed to antibiotic treatment (AB+ group) and 30 CDI-negative subjects not on antibiotic treatment (AB- group). The functional properties of the gut microbiomes of CDI-positive vs CDI-negative subjects were also assessed by shotgun metagenomics. A significantly lower microbial diversity was detected in CDI samples, whose microbiomes clustered separately from CDI-negative specimens. CDI was associated with a significant under-representation of gut commensals with putative protective functionalities, including Bacteroides, Alistipes, Lachnospira and Barnesiella, and over-representation of opportunistic pathogens. These findings were confirmed by functional shotgun metagenomics analyses, including an in-depth profiling of the Peptostreptococcaceae family. In CDI-negative patients, antibiotic treatment was associated with significant depletion of few commensals like Alistipes, but not with a reduction in species richness. A better understanding of the correlations between CDI and the microbiota in high-risk elderly subjects may contribute to identify therapeutic targets for CDI.

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsBacteriaBiodiversityClostridium InfectionsCross InfectionCross-Sectional StudiesDNA, BacterialDNA, RibosomalFemaleGastrointestinal MicrobiomeHospitalizationHumansMalePhylogenyAnti-Bacterial AgentsDNA, BacterialDNA, RibosomalRNA, Ribosomal, 16S

Identifiers

PMID27166072
PMCPMC4863157
OpenAlexW2385413224

What OpenQuestion holds

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LicenceCC BY
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.