Evidence map›Paper›PMID 27558181›Full record

ArticleJournal of clinical microbiology2016

Coinfection and Emergence of Rifamycin Resistance during a Recurrent Clostridium difficile Infection.

Emma C Stevenson, Giles A Major, Robin C Spiller, Sarah A Kuehne, Nigel P Minton

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01670149 (A Randomised Placebo Controlled Trial of "Follow on" Rifaximin for the Prevention of Relapse of Clostridium Associated Diarrhoea), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT01670149 phase4completednot on this map

A Randomised Placebo Controlled Trial of "Follow on" Rifaximin for the Prevention of Relapse of Clostridium Associated Diarrhoea

TypeinterventionalSponsorUniversity of NottinghamRan2012 to 2016Enrolled151ConditionsClostridium Difficile InfectionArmsRifaximin, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Draft genome sequences of two distinctMicrobiology resource announcements · 2025
    Article
  2. Genomic study of EuropeanMicrobial genomics · 2024
    Article
  3. Article
  4. Seasonal changes in the abundanceFrontiers in plant science · 2023
    Article
  5. 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

5 authors.

Emma C StevensonClostridia Research Group, BBSRC/EPSRC Synthetic Biology Research Centre (SBRC), School of Life Sciences, University of Nottingham, Nottingham, United Kingdom.
Giles A MajorQueen's Medical Centre, Nottingham, United Kingdom.
Robin C SpillerQueen's Medical Centre, Nottingham, United Kingdom.
Sarah A KuehneClostridia Research Group, BBSRC/EPSRC Synthetic Biology Research Centre (SBRC), School of Life Sciences, University of Nottingham, Nottingham, United Kingdom.
Nigel P MintonClostridia Research Group, BBSRC/EPSRC Synthetic Biology Research Centre (SBRC), School of Life Sciences, University of Nottingham, Nottingham, United Kingdom nigel.minton@nottingham.ac.uk.

Funding

Department of Health PB-PG-1010-23257Medical Research Council G0601176
6 · The paper itself

Abstract

Clostridium difficile (Peptoclostridium difficile) is a common health care-associated infection with a disproportionately high incidence in elderly patients. Disease symptoms range from mild diarrhea to life-threatening pseudomembranous colitis. Around 20% of patients may suffer recurrent disease, which often requires rehospitalization of patients. C. difficile was isolated from stool samples from a patient with two recurrent C. difficile infections. PCR ribotyping, whole-genome sequencing, and phenotypic assays were used to characterize these isolates. Genotypic and phenotypic screening of C. difficile isolates revealed multiple PCR ribotypes present and the emergence of rifamycin resistance during the infection cycle. Understanding both the clinical and bacterial factors that contribute to the course of recurrent infection could inform strategies to reduce recurrence. (This study has been registered at ClinicalTrials.gov under registration no. NCT01670149.).

Indexed as

Drug Resistance, BacterialAged, 80 and overAnti-Bacterial AgentsBacterial Typing TechniquesClostridioides difficileClostridium InfectionsCoinfectionFecesHumansMaleRecurrenceRibotypingRifamycinsSequence Analysis, DNAAnti-Bacterial AgentsRifamycins

Identifiers

PMID27558181
PMCPMC5078544

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.