Evidence map›Paper›PMID 27943501›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2017

Risk factors and epidemiology of Clostridium difficile infection in hematopoietic stem cell transplant recipients during the peritransplant period.

Sol Del Mar Aldrete, Colleen S Kraft, Matthew J Magee, Austin Chan, Don Hutcherson, Amelia A Langston, Brian I Greenwell, Eileen M Burd, Rachel Friedman-Moraco

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03030248 (Randomized Double Blind Controlled Trial for the Treatment of Nucleic Acid Amplification Test), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT03030248 phase2completednot on this mapstarted 2018, after this paper: background citation

Randomized Double Blind Controlled Trial for the Treatment of Nucleic Acid Amplification Test (NAAT)+/Toxin Enzyme Immunoassay (EIA)- Clostridium Difficile in the Hematology Oncology Population

TypeinterventionalSponsorMedical College of WisconsinRan2018 to 2020Enrolled9ConditionsClostridium Difficile Infection, Hematologic Diseases, Bone Marrow Transplant, Oncologic DisordersArmsVancomycin Oral Capsule, Placebo Oral Capsule
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Prevalence ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Guideline
  3. Derivation and validation of a prediction model for primary and recurrentAntimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Article
  4. Review
  5. Risk Factors and Outcome ofJournal of clinical medicine · 2020
    Article
  6. A Single-Center Experience and Literature Review of Management Strategies forInfectious diseases in clinical practice (Baltimore, Md.) · 2020
    Article
  7. Review
  8. Oral Vancomycin Prophylaxis Is Highly Effective in Preventing Clostridium difficile Infection in Allogeneic Hematopoietic Cell Transplant Recipients.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  9. Incidence Rates and Risk Factors ofOpen forum infectious diseases · 2019
    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

9 authors at 4 institutions in 1 country.

Sol Del Mar AldreteDepartment of Medicine, Division of Infectious Diseases, Emory University, Atlanta, GA, USA.
Colleen S KraftDepartment of Medicine, Division of Infectious Diseases, Emory University, Atlanta, GA, USA.
Matthew J MageeDivision of Epidemiology and Biostatics, Georgia State University, Atlanta, GA, USA.
Austin ChanDepartment of Medicine, Division of Infectious Diseases, Duke University, Durham, NC, USA.
Don HutchersonDepartment of Pharmacy, Emory University Hospital, Winship Cancer Institute, Atlanta, GA, USA.
Amelia A LangstonDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Brian I GreenwellDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Eileen M BurdDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, USA.
Rachel Friedman-MoracoDepartment of Medicine, Division of Infectious Diseases, Emory University, Atlanta, GA, USA.
Emory University · USDuke University Hospital · USEmory University Hospital · USGeorgia State University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundHematopoietic stem cell transplant (HSCT) recipients represent a high-risk group for developing Clostridium difficile (CD) infection (CDI). We aimed to identify specific risk factors for CDI in an HSCT patient population during the peritransplant period.

methodsWe performed a case-control study within a cohort of HSCT patients who received a transplant from November 2010 to March 2013. Cases had a clinical presentation compatible with CDI and a positive stool sample Xpert

resultsOf 781 HSCTs performed during the study period, 650 (83.2%) had a stool sample submitted for CD testing. Eight-six (13.2%) cases with CDI were identified. Most of the cases were diagnosed within a week after transplantation (median of 5 days). In adjusted analysis, prior hospitalization (odds ratio [OR]: 2.01, 95% confidence interval [CI] 1.2-3.36), prior cephalosporin administration (OR 2.72, 95% CI: 1.54-4.83), and prior chemotherapy (OR: 3.26, 95% CI: 1.92-5.5) were significantly associated with CDI.

conclusionsHospitalization, and prior antibiotic and chemotherapy use are risk factors that are not easily modifiable, which emphasizes the need to start investigating preventive or prophylactic strategies in this high-risk population.

Indexed as

AdultAgedAnti-Bacterial AgentsCase-Control StudiesCephalosporinsClostridioides difficileClostridium InfectionsFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPerioperative PeriodRetrospective StudiesRisk FactorsTransplantation ConditioningAnti-Bacterial AgentsCephalosporinsClostridium difficilehematopoietic stem cell transplantperitransplant

Identifiers

PMID27943501
PMCPMC12955223
OpenAlexW2560430811

What OpenQuestion holds

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LicenceCC BY
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.