Evidence map›Paper›PMID 30805700›Full record

ArticleCurrent microbiology2019

Changes in Clostridium (Clostridioides) difficile PCR-Ribotype Distribution and Antimicrobial Resistance in a German Tertiary Care Hospital Over the Last 10 Years.

E Piepenbrock, Y Stelzer, F Berger, N Jazmati

Abstract read
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In one paragraph

Article in Current microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Ribotypes and New Virulent Strains Across Europe.Advances in experimental medicine and biology · 2024
    Review
  4. Antibiotics (Basel, Switzerland) · 2023
    Article
  5. Make It LessGenes · 2022
    Review
  6. Article
  7. The largely unnoticed spread ofInfection prevention in practice · 2020
    Review
  8. Article
  9. Molecular Epidemiology and Risk Factors ofFrontiers in cellular and infection microbiology · 2020
    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

4 authors.

E PiepenbrockInstitute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Cologne, Germany. ellen.piepenbrock@uk-koeln.de.
Y StelzerInstitute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Cologne, Germany.
F BergerInstitute of Medical Microbiology and Hygiene, National Reference Laboratory for Clostridium difficile, University of Saarland Medical Center, Homburg, Germany.
N JazmatiInstitute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium (Clostridioides) difficile ribotype 027 (RT027) was detected in Germany for the first time in 2007 during an outbreak in the region of Trier, Rhineland-Palatinate and is today the most prevalent ribotype (RT) in Europe. We aimed to determine the changes in RT distribution and corresponding antimicrobial resistance in clinical C. difficile isolates between two time points (2007 and 2017) in one tertiary care hospital in Germany. C. difficile isolates recovered in 2007 and in 2017 (80 isolates per year, respectively) from patients at a Tertiary Care University Hospital in North-Rhine Westphalia were analyzed. Isolates were characterized by ribotyping and susceptibility testing using gradient tests (metronidazole, vancomycin) and the disk diffusion method (moxifloxacin). Between 2007 and 2017, a clear switch from RT001 [18.75% (n = 15) in 2007 versus 3.75% (n = 3) in 2017 P = 0.003] to RT027 [0% in 2007 versus 21.25% (n = 17) in 2017] was evident. While minimal inhibitory concentrations (MICs) of vancomycin were stable, a significant metronidazole MIC creep was determined (MIC

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsClostridioides difficileClostridium InfectionsEpidemiological MonitoringFecesGermanyHumansMetronidazoleMicrobial Sensitivity TestsMoxifloxacinRibotypingTertiary Care CentersVancomycinAnti-Bacterial AgentsMetronidazoleMoxifloxacinVancomycin

Identifiers

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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.