Evidence map›Paper›PMID 27716140›Full record

ArticleBMC microbiology2016

Longitudinal survey of Clostridium difficile presence and gut microbiota composition in a Belgian nursing home.

Cristina Rodriguez, Bernard Taminiau, Nicolas Korsak, Véronique Avesani, Johan Van Broeck, Philippe Brach, Michel Delmée, Georges Daube

Abstract read
In one paragraph

Article in BMC microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Gut Microbiota Composition Associated withPathogens (Basel, Switzerland) · 2022
    Review
  7. Article
  8. Frontiers in microbiology · 2022
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Gut Dysbiosis andFrontiers in microbiology · 2021
    Review
  15. Article
  16. Article
  17. Intestinal Microbiota in Elderly Inpatients withInfection and drug resistance · 2020
    Article
  18. Colonisation with pathogenic drug-resistant bacteria andAntimicrobial resistance and infection control · 2019
    Article
  19. Article
  20. 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

8 authors.

Cristina RodriguezFood Science Department, FARAH, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium. c.rodriguez@ulg.ac.be.
Bernard TaminiauFood Science Department, FARAH, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Nicolas KorsakFood Science Department, FARAH, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Véronique AvesaniNational Reference Laboratory for Clostridium difficile, Cliniques Universitaires Saint Luc, Microbiology Unit, Catholic University of Louvain, Brussels, Belgium.
Johan Van BroeckNational Reference Laboratory for Clostridium difficile, Cliniques Universitaires Saint Luc, Microbiology Unit, Catholic University of Louvain, Brussels, Belgium.
Philippe BrachNursing Home Saint-Joséphine site de la Chaussée, ACIS, Theux, Belgium.
Michel DelméeNational Reference Laboratory for Clostridium difficile, Cliniques Universitaires Saint Luc, Microbiology Unit, Catholic University of Louvain, Brussels, Belgium.
Georges DaubeFood Science Department, FARAH, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing age, several co-morbidities, environmental contamination, antibiotic exposure and other intestinal perturbations appear to be the greatest risk factors for C. difficile infection (CDI). Therefore, elderly care home residents are considered particularly vulnerable to the infection. The main objective of this study was to evaluate and follow the prevalence of C. difficile in 23 elderly care home residents weekly during a 4-month period. A C. difficile microbiological detection scheme was performed along with an overall microbial biodiversity study of the faeces content by 16S rRNA gene analysis.

resultsSeven out of 23 (30.4 %) residents were (at least one week) positive for C. difficile. C. difficile was detected in 14 out of 30 diarrhoeal samples (43.7 %). The most common PCR-ribotype identified was 027. MLVA showed that there was a clonal dissemination of C. difficile strains within the nursing home residents. 16S-profiling analyses revealed that each resident has his own bacterial imprint, which was stable during the entire study. Significant changes were observed in C. difficile positive individuals in the relative abundance of a few bacterial populations, including Lachnospiraceae and Verrucomicrobiaceae. A decrease of Akkermansia in positive subjects to the bacterium was repeatedly found.

conclusionsA high C. difficile colonisation in nursing home residents was found, with a predominance of the hypervirulent PCR-ribotype 027. Positive C. difficile status is not associated with microbiota richness or biodiversity reduction in this study. The link between Akkermansia, gut inflammation and C. difficile colonisation merits further investigations.

Indexed as

Gastrointestinal MicrobiomeAgedAged, 80 and overAnti-Bacterial AgentsBelgiumClostridioides difficileClostridium InfectionsDiarrheaFecesFemaleHumansLongitudinal StudiesMaleMiddle AgedNursing HomesPrevalenceAnti-Bacterial Agents16S rRNA gene analysisC. difficileElderly care home residents

Identifiers

PMID27716140
PMCPMC5045619

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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.