Evidence map›Paper›PMID 31950071›Full record

ArticleOpen forum infectious diseases2020

Persistent Systemic Microbial Translocation, Inflammation, and Intestinal Damage During

Alessandra Oliva, Lucia Aversano, Massimiliano De Angelis, Maria Teresa Mascellino, Maria Claudia Miele, Sergio Morelli, Riccardo Battaglia, Jessica Iera, Giovanni Bruno, Enrico Stefano Corazziari and 4 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Special Issue: "Molecular Research in Human Microbiome 2.0".International journal of molecular sciences · 2025
    Article
  5. Article
  6. Article
  7. Molecular Research in Human Microbiome.International journal of molecular sciences · 2023
    Article
  8. Risk factors for carbapenem-resistantJAC-antimicrobial resistance · 2023
    Article
  9. Article
  10. Article
  11. Open forum infectious diseases · 2023
    Article
  12. Review
  13. Review
  14. Mucosal Immunity and the Gut-Microbiota-Brain-Axis in Neuroimmune Disease.International journal of molecular sciences · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Journal of inflammation research · 2021
    Article
  19. Article
  20. 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

14 authors at 3 institutions in 1 country.

Alessandra OlivaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-0832-7975
Lucia AversanoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Massimiliano De AngelisDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Maria Teresa MascellinoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Maria Claudia MieleDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Sergio MorelliDepartment of Internal Medicine and Medical Specialties, Gastroenterology Unit, Sapienza University of Rome, Rome, Italy.
Riccardo BattagliaDepartment of Internal Medicine and Medical Specialties, Gastroenterology Unit, Sapienza University of Rome, Rome, Italy.
Jessica IeraDepartment of Internal Medicine and Medical Specialties, Gastroenterology Unit, Sapienza University of Rome, Rome, Italy.
Giovanni BrunoDepartment of Internal Medicine and Medical Specialties, Gastroenterology Unit, Sapienza University of Rome, Rome, Italy.
Enrico Stefano CorazziariHumanitas Clinical and Research Hospital, Rozzano, Italy.
Maria Rosa CiardiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Mario VendittiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Claudio Maria MastroianniDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Vincenzo VulloDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Sapienza University of Rome · ITIRCCS Humanitas Research Hospital · ITIstituto Neurologico Mediterraneo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

methodsPatients with documented CDI were enrolled in the study. For each subject, plasma samples were collected at T0 and T1 (before and after CDI therapy, respectively), and the following markers were evaluated: lipopolysaccharide-binding protein (LPB), EndoCab IgM, interleukin-6, intestinal fatty acid binding protein (I-FABP). Samples from nonhospitalized healthy controls were also included. The study population was divided into BSI+/BSI- and fecal microbiota transplantation (FMT) +/FMT- groups, according to the development of n-BSI and the receipt of FMT, respectively.

resultsOverall, 45 subjects were included; 8 (17.7%) developed primary n-BSI. Markers of microbial translocation and intestinal damage significantly decreased between T0 and T1, however, without reaching values similar to controls (

conclusionsCDI is associated with high levels of microbial translocation, inflammation, and intestinal damage, which are still present at clinical resolution of CDI. The role of residual mucosal perturbation and persistence of intestinal cell damage in the development of n-BSI following CDI, as well as the possible effect of FMT in the restoration of mucosal integrity, should be further investigated.

Indexed as

Clostridioides difficile infectionfecal microbiota transplantationI-FABPLPSmicrobial translocationnosocomial bloodstream infection

Identifiers

PMID31950071
PMCPMC6954488
OpenAlexW2992608494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.