Evidence map›Paper›PMID 29427356›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2018

Epidemiology and outcomes of Clostridium difficile infection in allogeneic hematopoietic cell and lung transplant recipients.

E R Dubberke, K A Reske, M A Olsen, K Bommarito, A A Cleveland, F P Silveira, M G Schuster, C A Kauffman, R K Avery, P G Pappas and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Prevalence ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Guideline
  3. Review
  4. Screening and targeted prophylaxis for Clostridioides difficile infection.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2025
    Article
  5. Clinical microbiology reviews · 2024
    Review
  6. Comparison ofJournal of clinical microbiology · 2024
    Article
  7. Informing estimates of probability ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  8. Article
  9. Article
  10. Journal of clinical medicine · 2022
    Review
  11. Review
  12. Risk Factors and Outcome ofJournal of clinical medicine · 2020
    Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. 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
  18. Pre-transplantCell transplantation
    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

11 authors at 7 institutions in 1 country.

E R DubberkeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-3779-2796
K A ReskeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-4752-8796
M A OlsenDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
K BommaritoDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
A A ClevelandCenters for Disease Control and Prevention, Atlanta, GA, USA.
F P SilveiraDivision of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA, USA.
M G SchusterUniversity of Pennsylvania, Philadelphia, PA, USA.
C A KauffmanVA Ann Arbor Healthcare System, University of Michigan Medical School, Ann Arbor, MI, USA.
R K AveryJohns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-7692-3619
P G PappasUniversity of Alabama at Birmingham, Birmingham, AL, USA.
T M ChillerCenters for Disease Control and Prevention, Atlanta, GA, USA.
Washington University in St. Louis · USCenters for Disease Control and Prevention · USJohns Hopkins University · USUniversity of Alabama at Birmingham · USUniversity of Michigan · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

C. DIFFICILE DISEASE IN STEM CELL TRANSPLANT RECIPIENTSK23AI065806 · NIAID · WASHINGTON UNIVERSITY · PI DUBBERKE, ERIK R · 2009 to 2011
$374k
NCEZID CDC HHS U01 CK000134NIAID NIH HHS K23 AI065806
6 · The paper itself

Abstract

backgroundClostridium difficile infection (CDI) is a common complication of lung and allogeneic hematopoietic cell (HCT) transplant, but the epidemiology and outcomes of CDI after transplant are poorly described.

methodsWe performed a prospective, multicenter study of CDI within 365 days post-allogeneic HCT or lung transplantation. Data were collected via patient interviews and medical chart review. Participants were followed weekly in the 12 weeks post-transplant and while hospitalized and contacted monthly up to 18 months post-transplantation.

resultsSix sites participated in the study with 614 total participants; 4 enrolled allogeneic HCT (385 participants) and 5 enrolled lung transplant recipients (229 participants). One hundred and fifty CDI cases occurred within 1 year of transplantation; the incidence among lung transplant recipients was 13.1% and among allogeneic HCTs was 31.2%. Median time to CDI was significantly shorter among allogeneic HCT than lung transplant recipients (27 days vs 90 days; P = .037). CDI was associated with significantly higher mortality from 31 to 180 days post-index date among the allogeneic HCT recipients (Hazard ratio [HR] = 1.80; P = .007). There was a trend towards increased mortality among lung transplant recipients from 120 to 180 days post-index date (HR = 4.7, P = .09).

conclusionsThe epidemiology and outcomes of CDI vary by transplant population; surveillance for CDI should continue beyond the immediate post-transplant period.

Indexed as

Transplant RecipientsClostridium InfectionsFemaleHematopoietic Stem Cell TransplantationHumansLung TransplantationMaleProspective StudiesRisk FactorsClostridium difficileepidemiologyhematopoetic cell transplantlung transplantoutcomes

Identifiers

PMID29427356
PMCPMC6065107
OpenAlexW2793557866

What OpenQuestion holds

Textmetadata
LicenceTDM
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.