Evidence map›Paper›PMID 28641091›Full record

Observational studyThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Increasing rates of Clostridium difficile infection in Mexican hospitals.

Laura Palau Dávila, Elvira Garza-González, Patricia Rodríguez-Zulueta, Rayo Morfín-Otero, Eduardo Rodríguez-Noriega, Diana Vilar-Compte, Juan C Rodríguez-Aldama, Adrián Camacho-Ortiz

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. The Global Burden ofInfectious disease reports · 2025
    Review
  2. Best Practices in the Management ofTropical medicine and infectious disease · 2024
    Review
  3. Article
  4. Implementation of control measures against an outbreak due toJournal of preventive medicine and hygiene · 2021
    Observational
  5. Article
  6. Article
  7. Assessing risk factors, mortality, and healthcare utilization associated with Clostridioides difficile infection in four Latin American countries.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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 at 6 institutions in 1 country.

Laura Palau DávilaUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Hospital de Epidemología, Monterrey, Mexico.
Elvira Garza-GonzálezUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Departamento of Gastroenterología, Monterrey, Mexico.
Patricia Rodríguez-ZuluetaHospital General Manuel Gea González, Departamento de Enfermedades Infecciosas, Mexico City, Mexico.
Rayo Morfín-OteroUniversidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico.
Eduardo Rodríguez-NoriegaUniversidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico.
Diana Vilar-CompteInstituto Nacional de Cancerología, Departamento de Enfermedades Infecciosas, Mexico City, Mexico.
Juan C Rodríguez-AldamaHospital General Manuel Gea González, Departamento de Enfermedades Infecciosas, Mexico City, Mexico.
Adrián Camacho-OrtizUniversidad Autónoma de Nuevo León, Hospital Universitario Dr. José Eleuterio González, Hospital de Epidemología, Monterrey, Mexico. Electronic address: acamacho_md@yahoo.com.
Hospital General Dr. Manuel Gea Gonzalez · MXUniversidad Autónoma de Nuevo León · MXHospital Civil de Guadalajara · MXHospital Universitario Dr José Eleuterio Gonzalez · MXInstituto Nacional de Cancerología · MXUniversidad de Guadalajara · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe epidemiology of Clostridium difficile infection (CDI) has changed in the last two decades. There is a lack of information regarding incidence and severity of CDI, especially in the developing world.

methodsThis was a retrospective and observational study from four hospitals of three Mexican cities. Patients were diagnosed with CDI when presented with loose stools and had at least one of the following tests positive: toxins assay, real-time PCR, or an endoscopic image compatible with pseudomembranous colitis. CDI was classified according to international guidelines. Demographic and clinical data as well as information regarding total hospital admissions, total length-of-hospital stay, and other variables related to hospitalization were gathered from the epidemiology and administration departments of each hospital.

resultsA total of 2050 hospital beds were analyzed with 288,171 patients hospitalized accumulating 1,576,446 days of hospitalization during the study period. The average rate of CDI per 1000 hospital-days was lower than the rates reported in the US and Europe, although in 2015 CDI rates were almost persistently above the mean rate for the study period. More than half of PCR positive patients were ribotype 027.

conclusionHospital rates of CDI are increasing in Mexican hospitals with a predominance of infections caused by ribotype 027.

Indexed as

Clostridioides difficileClostridium InfectionsCross InfectionFemaleHumansIncidenceLength of StayMaleMexicoMiddle AgedRetrospective StudiesSeasonsClostridium difficileHospital acquired infectionsHospital diarrheaInfection rates

Identifiers

PMID28641091
PMCPMC9425492
OpenAlexW2707232469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.