Evidence map›Paper›PMID 29329346›Full record

ArticlePloS one2018

Evaluation of bloodstream infections, Clostridium difficile infections, and gut microbiota in pediatric oncology patients.

Bryan T Nycz, Samuel R Dominguez, Deborah Friedman, Joanne M Hilden, Diana Ir, Charles E Robertson, Daniel N Frank

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.0field-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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Omnigene-GutAMB Express · 2024
    Article
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  5. Article
  6. Review
  7. Article
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  19. Oral vitamin BGut microbes · 2019
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Bryan T NyczDivision of Adult Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Samuel R DominguezDivision of Pediatric Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Deborah FriedmanDepartment of Epidemiology, Children's Hospital Colorado, Aurora, Colorado, United States of America.
Joanne M HildenCenter for Blood and Cancer Disorders, Children's Hospital Colorado, Aurora, Colorado, United States of America.
Diana IrDivision of Adult Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Charles E RobertsonDivision of Adult Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Daniel N FrankDivision of Adult Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, United States of America.ORCID 0000-0001-6669-228X
University of Colorado Denver · USChildren's Hospital Colorado · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
6 · The paper itself

Abstract

Bloodstream infections (BSI) and Clostridium difficile infections (CDI) in pediatric oncology/hematology/bone marrow transplant (BMT) populations are associated with significant morbidity and mortality. The objective of this study was to explore possible associations between altered microbiome composition and the occurrence of BSI and CDI in a cohort of pediatric oncology patients. Stool samples were collected from all patients admitted to the pediatric oncology floor from Oct.-Dec. 2012. Bacterial profiles from patient stools were determined by bacterial 16S rRNA gene profiling. Differences in overall microbiome composition were assessed by a permutation-based multivariate analysis of variance test, while differences in the relative abundances of specific taxa were assessed by Kruskal-Wallis tests. At admission, 9 of 42 patients (21%) were colonized with C. difficile, while 6 of 42 (14%) subsequently developed a CDI. Furthermore, 3 patients (7%) previously had a BSI and 6 patients (14%) subsequently developed a BSI. Differences in overall microbiome composition were significantly associated with disease type (p = 0.0086), chemotherapy treatment (p = 0.018), BSI following admission from any cause (p < 0.0001) or suspected gastrointestinal organisms (p = 0.00043). No differences in baseline microbiota were observed between individuals who did or did not subsequently develop C. difficile infection. Additionally, multiple bacterial groups varied significantly between subjects with post-admission BSI compared with no BSI. Our results suggest that differences in gut microbiota not only are associated with type of cancer and chemotherapy, but may also be predictive of subsequent bloodstream infection.

Indexed as

Gastrointestinal MicrobiomeAdolescentBacteremiaBacterial ProteinsBacterial ToxinsBiodiversityChildChild, PreschoolClostridioides difficileClostridium InfectionsCohort StudiesCross-Sectional StudiesFecesFemaleGenes, BacterialHumansBacterial ProteinsBacterial ToxinsRNA, BacterialRNA, Ribosomal, 16StoxB protein, Clostridium difficile

Identifiers

PMID29329346
PMCPMC5766145
OpenAlexW2783673875

What OpenQuestion holds

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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.