Evidence map›Paper›PMID 32001686›Full record

ArticleNature communications2020

Plasmid-mediated metronidazole resistance in Clostridioides difficile.

Ilse M Boekhoud, Bastian V H Hornung, Eloisa Sevilla, Céline Harmanus, Ingrid M J G Bos-Sanders, Elisabeth M Terveer, Rosa Bolea, Jeroen Corver, Ed J Kuijper, Wiep Klaas Smits

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
1.9field-weighted citation impact, top 8% 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

77 citing papers in PubMed, 123 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Frontiers in microbiology · 2026
    Article
  10. Article
  11. Article
  12. EmergingEmerging microbes & infections · 2025
    Article
  13. Biomedicines · 2025
    Review
  14. Article
  15. Article
  16. Mobilome of Environmental Isolates ofAntibiotics (Basel, Switzerland) · 2025
    Article
  17. Newly emerging metronidazole-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  18. Review
  19. Article
  20. Antimicrobial resistance ofOne health (Amsterdam, Netherlands) · 2024
    Article

17 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 2 institutions in 2 countries.

Ilse M BoekhoudDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-6579-7124
Bastian V H HornungDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Eloisa SevillaDepartamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Miguel Servet 177, 50013, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-4213-2904
Céline HarmanusDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-5328-3273
Ingrid M J G Bos-SandersDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Elisabeth M TerveerDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-1994-5421
Rosa BoleaDepartamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Miguel Servet 177, 50013, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-2746-3932
Jeroen CorverDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-9262-5475
Ed J KuijperDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Wiep Klaas SmitsDepartment of Medical Microbiology, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC, Leiden, The Netherlands. W.K.Smits@lumc.nl.ORCID http://orcid.org/0000-0002-7409-2847
Leiden University Medical Center · NLUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metronidazole was until recently used as a first-line treatment for potentially life-threatening Clostridioides difficile (CD) infection. Although cases of metronidazole resistance have been documented, no clear mechanism for metronidazole resistance or a role for plasmids in antimicrobial resistance has been described for CD. Here, we report genome sequences of seven susceptible and sixteen resistant CD isolates from human and animal sources, including isolates from a patient with recurrent CD infection by a PCR ribotype (RT) 020 strain, which developed resistance to metronidazole over the course of treatment (minimal inhibitory concentration [MIC] = 8 mg L

Indexed as

Anti-Bacterial AgentsClostridioides difficileClostridium InfectionsDNA, BacterialDrug Resistance, BacterialFecesGene DosageGene Transfer, HorizontalHumansMetronidazolePlasmidsPolymorphism, Single NucleotideRepliconAnti-Bacterial AgentsDNA, BacterialMetronidazole

Identifiers

PMID32001686
PMCPMC6992631
OpenAlexW3003395627

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.