Evidence map›Paper›PMID 30945014›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Clostridium difficile infection: review.

Jacek Czepiel, Mirosław Dróżdż, Hanna Pituch, Ed J Kuijper, William Perucki, Aleksandra Mielimonka, Sarah Goldman, Dorota Wultańska, Aleksander Garlicki, Grażyna Biesiada

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 427 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
427citing papers in PubMed, 2 pooled it
35.1field-weighted citation impact, top 1% 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

427 citing papers in PubMed, 2 syntheses or guidelines pooled it, 673 citations in OpenAlex.

  1. Pooled it
  2. Biological Mechanisms of Polyphenols againstInfectious disorders drug targets · 2025
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Development a novel in silico mRNA vaccine against Clostridium difficile.Journal, genetic engineering & biotechnology · 2026
    Article
  9. Burden of Clostridioides difficile infection in China, 1990-2021: an analysis based on the global burden of disease study 2021.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  10. Article
  11. Article
  12. Journal of clinical medicine · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  17. Article
  18. Review
  19. Article
  20. Article

367 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 3 countries.

Jacek CzepielDepartment of Infectious and Tropical Diseases, Jagiellonian University, Medical College, Śniadeckich 5, 31-501, Krakow, Poland. jacek.czepiel@uj.edu.pl.ORCID http://orcid.org/0000-0002-9997-8417
Mirosław DróżdżSaint Ann's Hospital, Miechów, Poland.
Hanna PituchDepartment of Medical Microbiology, Medical University of Warsaw, Warsaw, Poland.
Ed J KuijperDepartment of Medical Microbiology, Centre for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
William PeruckiDepartment of Medicine, John Dempsey Hospital, University of Connecticut, Farmington, CT, USA.
Aleksandra MielimonkaUniversity Hospital, Krakow, Poland.
Sarah GoldmanUniversity Hospital, Krakow, Poland.
Dorota WultańskaDepartment of Medical Microbiology, Medical University of Warsaw, Warsaw, Poland.
Aleksander GarlickiDepartment of Infectious and Tropical Diseases, Jagiellonian University, Medical College, Śniadeckich 5, 31-501, Krakow, Poland.
Grażyna BiesiadaDepartment of Infectious and Tropical Diseases, Jagiellonian University, Medical College, Śniadeckich 5, 31-501, Krakow, Poland. gbiesiada@op.pl.
Jagiellonian University · PLKrakow Cardiovascular Research Institute · PLMedical University of Warsaw · PLLeiden University Medical Center · NLUniversity of Connecticut · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridium difficile (C. difficile) is a Gram-positive, spore-forming, anaerobic bacillus, which is widely distributed in the intestinal tract of humans and animals and in the environment. In the last decade, the frequency and severity of C. difficile infection has been increasing worldwide to become one of the most common hospital-acquired infections. Transmission of this pathogen occurs by the fecal-oral route and the most important risk factors include antibiotic therapy, old age, and hospital or nursing home stay. The clinical picture is diverse and ranges from asymptomatic carrier status, through various degrees of diarrhea, to the most severe, life threatening colitis resulting with death. Diagnosis is based on direct detection of C. difficile toxins in feces, most commonly with the use of EIA assay, but no single test is suitable as a stand-alone test confirming CDI. Antibiotics of choice are vancomycin, fidaxomicin, and metronidazole, though metronidazole is considered as inferior. The goal of this review is to update physicians on current scientific knowledge of C. difficile infection, focusing also on fecal microbiota transplantation which is a promising therapy.

Indexed as

Fecal Microbiota TransplantationAnti-Bacterial AgentsClostridioides difficileClostridium InfectionsColitisCross InfectionDiarrheaDisease ReservoirsFecesHumansRisk FactorsVirulenceAnti-Bacterial AgentsAntibiotic-associated diarrheaClostridium difficileDiagnosisFecal transplantationTreatment

Identifiers

PMID30945014
PMCPMC6570665
OpenAlexW2932900108

What OpenQuestion holds

Textmetadata
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.