Evidence map›Paper›PMID 28930010›Full record

Observational studyEmerging infectious diseases2017

Disease Burden of Clostridium difficile Infections in Adults, Hong Kong, China, 2006-2014.

Jeffery Ho, Rudin Z W Dai, Thomas N Y Kwong, Xiansong Wang, Lin Zhang, Margaret Ip, Raphael Chan, Peter M K Hawkey, Kelvin L Y Lam, Martin C S Wong and 10 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Emerging infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Epidemiologic profile of community-acquiredEpidemiology and infection · 2025
    Pooled it
  2. Infectious disease reports · 2026
    Review
  3. Changes in the Epidemiology of Clostridioides difficile Infection.Infectious disease clinics of North America · 2025
    Review
  4. Detection and Analysis ofInternational journal of environmental research and public health · 2022
    Article
  5. Vitamin DAutophagy · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Colonization of ToxigenicFrontiers in cellular and infection microbiology · 2020
    Article
  13. Tropical medicine and infectious disease · 2018
    Review
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

20 authors at 3 institutions in 2 countries.

Jeffery Ho
Rudin Z W Dai
Thomas N Y Kwong
Xiansong Wang
Lin Zhang
Margaret Ip
Raphael Chan
Peter M K Hawkey
Kelvin L Y Lam
Martin C S Wong
Gary Tse
Matthew T V Chan
Francis K L Chan
Jun Yu
Siew C Ng
Nelson Lee
Justin C Y Wu
Joseph J Y Sung
William K K Wu
Sunny H Wong
Chinese University of Hong Kong · CNPublic Health Agency · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cross-sectional studies suggest an increasing trend in incidence and relatively low recurrence rates of Clostridium difficile infections in Asia than in Europe and North America. The temporal trend of C. difficile infection in Asia is not completely understood. We conducted a territory-wide population-based observational study to investigate the burden and clinical outcomes in Hong Kong, China, over a 9-year period. A total of 15,753 cases were identified, including 14,402 (91.4%) healthcare-associated cases and 817 (5.1%) community-associated cases. After adjustment for diagnostic test, we found that incidence increased from 15.41 cases/100,000 persons in 2006 to 36.31 cases/100,000 persons in 2014, an annual increase of 26%. This increase was associated with elderly patients, for whom incidence increased 3-fold over the period. Recurrence at 60 days increased from 5.7% in 2006 to 9.1% in 2014 (p<0.001). Our data suggest the need for further surveillance, especially in Asia, which contains ≈60% of the world's population.

Indexed as

AdolescentAdultAgedAged, 80 and overClostridioides difficileClostridium InfectionsCommunity-Acquired InfectionsCross InfectionCross-Sectional StudiesEpidemiological MonitoringFemaleHong KongHumansIncidenceMaleMiddle AgedbacteriaChinaClostridium difficiledisease burdenenteric infectionsepidemiologyHong Konginfectionspseudomembranous colitissurveillance

Identifiers

PMID28930010
PMCPMC5621553
OpenAlexW2753398899

What OpenQuestion holds

Textmetadata
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.