Evidence map›Paper›PMID 29649308›Full record

ArticlePloS one2018

Subtyping of Clostridium difficile PCR ribotypes 591, 106 and 002, the dominant strain types circulating in Medellin, Colombia.

Clara Lina Salazar, Catalina Reyes, Astrid Vanessa Cienfuegos-Gallet, Emma Best, Santiago Atehortua, Patricia Sierra, Margarita M Correa, Warren N Fawley, Daniel Paredes-Sabja, Mark Wilcox and 1 more

Abstract 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. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Insights into the Evolving Epidemiology ofAntibiotics (Basel, Switzerland) · 2023
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  7. Predictive factors, outcomes, and molecular epidemiology of Clostridioides difficile diarrhea in Brazilian hospitals.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Observational
  8. Clinics in colon and rectal surgery · 2020
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  9. Emerging microbes & infections · 2020
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  10. Article
  11. First Microbiological and Molecular Identification ofBioMed research international · 2019
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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

11 authors.

Clara Lina SalazarResearch Group in Anaerobic Bacteria (GIBA), School of Microbiology, Universidad de Antioquia, Medellín, Colombia.
Catalina ReyesBasic and Applied Microbiology Research Group (MICROBA), School of Microbiology, Universidad de Antioquia, Medellín, Colombia.
Astrid Vanessa Cienfuegos-GalletBasic and Applied Microbiology Research Group (MICROBA), School of Microbiology, Universidad de Antioquia, Medellín, Colombia.
Emma BestDepartament of Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Santiago AtehortuaSan Vicente Fundación University Hospital, Medellín, Colombia.
Patricia SierraClínica León XIII, IPS Universitaria, Universidad de Antioquia, Medellín, Colombia.
Margarita M CorreaMolecular Microbiology Group, School of Microbiology, Universidad de Antioquia, Medellín, Colombia.
Warren N FawleyDepartament of Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Daniel Paredes-SabjaMicrobiota-Host Interactions and Clostridia Research Group, Departamento de Ciencias Biológicas, at Universidad Andres Bello, Santiago, Chile.
Mark WilcoxDepartament of Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Angel GonzalezBasic and Applied Microbiology Research Group (MICROBA), School of Microbiology, Universidad de Antioquia, Medellín, Colombia.ORCID 0000-0002-7052-7938

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to achieve a higher typing resolution within the three dominant Clostridium difficile ribotypes (591,106 and 002) circulating in Colombia. A total of 50 C. difficile isolates we had previously typed by PCR-ribotyping, representing the major three ribotypes circulating in Colombia, were analyzed. Twenty-seven isolates of ribotype 591, 12 of ribotype 106 and 11 of ribotype 002 were subtyped by multiple locus variable-number tandem-repeat analysis (MLVA). The presence of the PaLoc genes (tcdA/tcdB), toxin production in culture and antimicrobial susceptibility were also determined. From the total C. difficile ribotypes analyzed, 20 isolates (74%) of ribotype 591, nine (75%) of ribotype 106 and five (45.5%) of ribotype 002 were recovered from patients with Clostridium difficile infection (CDI). MLVA allowed us to recognize four and two different clonal complexes for ribotypes 591 and 002, respectively, having a summed tandem-repeat difference (STRD) <2, whereas none of the ribotype 106 isolates were grouped in a cluster or clonal complex having a STRD >10. Six ribotype 591 and three ribotype 002 isolates belonging to a defined clonal complex were isolated on the same week in two different hospitals. All ribotypes harbored either tcdA+/tcdB+ or tcdA-/tcdB+ PaLoc genes. Moreover, 94% of the isolates were positive for toxin in culture. All isolates were susceptible to vancomycin and metronidazole, while 75% to 100% of the isolates were resistant to clindamycin, and less than 14.8% of ribotype 591 isolates were resistant to moxifloxacina. No significant differences were found among ribotypes with respect to demographic and clinical patients' data; however, our results demonstrated a high molecular heterogeneity of C. difficile strains circulating in Colombia.

Indexed as

RibotypingAdultAgedAged, 80 and overClostridioides difficileColombiaFemaleHumansMaleMiddle AgedPolymerase Chain ReactionTandem Repeat Sequences

Identifiers

PMID29649308
PMCPMC5896986

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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.