Evidence map›Paper›PMID 29058256›Full record

ArticleFrontiers of medicine2018

Simultaneous detection and characterization of toxigenic Clostridium difficile directly from clinical stool specimens.

Hanjiang Lai, Chen Huang, Jian Cai, Julian Ye, Jun She, Yi Zheng, Liqian Wang, Yelin Wei, Weijia Fang, Xianjun Wang and 3 more

Abstract readValidation Study
In one paragraph

Article in Frontiers of medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
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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

13 authors.

Hanjiang LaiThe First People's Hospital of Xiaoshan District, Hangzhou, 311021, China.
Chen HuangDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China.
Jian CaiDepartment of Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China.
Julian YeDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China.
Jun SheThe First People's Hospital of Xiaoshan District, Hangzhou, 311021, China.
Yi ZhengBiotherapy Center for Medical Oncology, the First Affiliated Hospital, Zhejiang University, Hangzhou, 310003, China.
Liqian WangDepartment of Laboratory Medicine, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Yelin WeiThe First People's Hospital of Xiaoshan District, Hangzhou, 311021, China.
Weijia FangBiotherapy Center for Medical Oncology, the First Affiliated Hospital, Zhejiang University, Hangzhou, 310003, China.
Xianjun WangDepartment of Laboratory Medicine, Hangzhou First People's Hospital, Hangzhou, 310006, China.
Yi-Wei TangDepartment of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Yun LuoDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China. yluo@cdc.zj.cn.
Dazhi JinDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China. dzjin@cdc.zj.cn.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

We employed a multiplex polymerase chain reaction (PCR) coupled with capillary electrophoresis (mPCR-CE) targeting six Clostridium difficile genes, including tpi, tcdA, tcdB, cdtA, cdtB, and a deletion in tcdC for simultaneous detection and characterization of toxigenic C. difficile directly from fecal specimens. The mPCR-CE had a limit of detection of 10 colony-forming units per reaction with no cross-reactions with other related bacterial genes. Clinical validation was performed on 354 consecutively collected stool specimens from patients with suspected C. difficile infection and 45 isolates. The results were compared with a reference standard combined with BD MAX Cdiff, real-time cell analysis assay (RTCA), and mPCR-CE. The toxigenic C. difficile species were detected in 36 isolates and 45 stool specimens by the mPCR-CE, which provided a positive rate of 20.3% (81/399). The mPCR-CE had a specificity of 97.2% and a sensitivity of 96.0%, which was higher than RTCA (x

Indexed as

Polymerase Chain ReactionClostridioides difficileClostridium InfectionsElectrophoresis, CapillaryFecesGenes, BacterialHumansRibotypingSensitivity and Specificitycapillary electrophoresischaracterizationClostridium difficiledetectionmultiplex PCR

Identifiers

PMID29058256
PMCPMC6750768

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Registered trials

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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.