Evidence map›Paper›PMID 31793457›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Sibel Bolukcu, Ismail Necati Hakyemez, Bilge Sumbul Gultepe, Gulay Okay, Bulent Durdu, Meliha Meric Koc, Turan Aslan

Abstract read
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  2. Analysis of risk factors ofPrzeglad gastroenterologiczny · 2024
    Article
  3. A Case ofInfectious diseases & clinical microbiology · 2022
    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

7 authors.

Sibel BolukcuDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Ismail Necati HakyemezDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Bilge Sumbul GultepeDepartment of Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Gulay OkayDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Bulent DurduDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Meliha Meric KocDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.
Turan AslanDepartment of Infectious Diseases and Clinical Microbiology, Bezmialem Vakif University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND /

aimsClostridium difficile is a Gram-positive, strict anaerobe, spore-forming bacterium. It can cause self-limiting mild diarrhea, severe diarrhea, pseudomembranous colitis, and fatal fulminant colitis. We aimed to investigate the changes in epidemiology and incidence of C. difficile infection in our hospital database. PATIENTS AND

methodsEpisodes of C. difficile toxin were identified in hospital database, and data such as age, sex, community versus hospital acquisition, intensive care follow-up, current or previous treatments with antibiotics within the past 3 months, medication with proton pump inhibitors, or immunosuppressive therapies were collected.

resultsToxin-positive 78 individuals constituted the patient group. In univariate analyses, independent risk factors for toxin positivity were community versus hospital acquisition [odds ratio (OR), 5.49; 95% confidence interval (CI), 2.52-11.95; P = 0.0001], presence of inflammatory bowel diseases (IBDs) (OR, 21.5; 95% CI, 8.65-53.44; P = 0.0001), proton pump inhibitors' use (OR, 4.53; 95% CI, 1.97-10.43; P = 0.0001), immunosuppressive drug use (OR, 4.1; 95% CI, 2.01-8.3; P = 0.0001), and use of quinolone group of antibiotics (OR, 5.95; 95% CI, 1.92-18.46; P = 0.001). Antibiotic use was a protective risk factor (OR, 0.09; 95% CI, 0.01-0.78; P = 0.01) and presence of IBDs was an independent risk factor (OR, 6.8; 95% CI, 1.5-30.08; P = 0.01) in community-acquired group (OR, 0.09; 95% CI, 0.01-0.78; P = 0.01).

conclusionIn recent studies, C. difficile infections were demonstrated to be more frequent in younger individuals who did not have a history of hospitalization but had an underlying disease such as IBD. In our study, we showed the change in the epidemiological data with prominence of underlying diseases such as IBDs.

Indexed as

AdultAnti-Bacterial AgentsCase-Control StudiesClostridioides difficileClostridium InfectionsCommunity-Acquired InfectionsCross InfectionFemaleHospitalizationHumansImmunosuppressive AgentsInflammatory Bowel DiseasesMaleMiddle AgedProton Pump InhibitorsQuinolonesAnti-Bacterial AgentsImmunosuppressive AgentsProton Pump InhibitorsQuinolonesAntibioticsClostridium difficileinflammatory bowel diseaserisk factorsTurkey

Identifiers

PMID31793457
PMCPMC6941457

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.