Evidence map›Paper›PMID 31359254›Full record

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

Real-world efficacy of bezlotoxumab for prevention of recurrent Clostridium difficile infection: a retrospective study of 46 patients in five university hospitals in Finland.

Jarmo Oksi, A Aalto, P Säilä, T Partanen, V-J Anttila, E Mattila

Abstract read
In one paragraph

Article 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Real-world use of bezlotoxumab to prevent recurrentTherapeutic advances in gastroenterology · 2025
    Article
  4. Review
  5. Bezlotoxumab during the first episode of Clostridioides difficile infection in patients at high risk of recurrence.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  6. Immunization Strategies Against Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Review
  7. Recurrent Clostridioides difficile Infection: Current Clinical Management and Microbiome-Based Therapies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  8. Article
  9. The Role of Bezlotoxumab for the Prevention of RecurrentAntibiotics (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Bezlotoxumab in the treatment of Clostridioides difficile infections: a real-life experience.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Article
  12. Article
  13. Review
  14. Review
  15. Effectiveness of Bezlotoxumab for Prevention of RecurrentOpen forum infectious diseases · 2021
    Article
  16. Journal of clinical medicine · 2021
    Review
  17. Immune response againstTherapeutic advances in gastroenterology · 2021
    Review
  18. Article
  19. Review
  20. Real-world Experience of Bezlotoxumab for Prevention ofOpen forum infectious diseases · 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

6 authors.

Jarmo OksiDepartment of Infectious Diseases, Turku University Hospital and Turku University, SH-rak 4.krs, PO Box 52, 20521, Turku, Finland. jarmo.oksi@utu.fi.ORCID http://orcid.org/0000-0002-3331-997X
A AaltoDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
P SäiläDepartment of Infectious Diseases, Tampere University Hospital, Tampere, Finland.
T PartanenDepartment of Internal Medicine, Oulu University Hospital, Oulu, Finland.
V-J AnttilaDepartment of Infectious Diseases, Helsinki University Central Hospital, Helsinki, Finland.
E MattilaDepartment of Infectious Diseases, Helsinki University Central Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports on real-world experience on efficacy of bezlotoxumab (BEZ) has been lacking thus far. We retrospectively studied the efficacy and safety of BEZ in preventing the recurrence of Clostridium difficile infection (CDI) in five university hospitals in Finland. Seventy-three percent of our 46 patients remained free of recurrence in the following 3 months and the performance remained as 71% effective also among immunocompromised patients. In severe CDI, BEZ prevented recurrence in 63% of cases. From our study patients, 78% had three or more known risk factors for recurrence of CDI. Eight of our patients were waiting for fecal microbiota transplantation but after stopping the antibiotics that were continued to prevent recurrence of CDI and after receiving BEZ, all remained free of recurrence and did not need the procedure. Success with BEZ as an adjunctive treatment in preventing recurrence of CDI in high-risk patients may be rated as high. Among a subgroup of our patients, those already evaluated to be in need of fecal microbiota transplantation, BEZ seems to be an alternative option.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAntibodies, MonoclonalBroadly Neutralizing AntibodiesClostridioides difficileClostridium InfectionsFemaleFinlandHospitals, UniversityHumansMaleMiddle AgedRecurrenceAnti-Bacterial AgentsAntibodies, MonoclonalbezlotoxumabBroadly Neutralizing AntibodiesBezlotoxumabClostridium difficile infectionRecurrence

Identifiers

PMID31359254
PMCPMC6778539

What OpenQuestion holds

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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.