Evidence map›Paper›PMID 32062723›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2020

Diagnosing Clostridioides difficile infections with molecular diagnostics: multicenter evaluation of revogene C. difficile assay.

Vittorio Sambri, Cécile Gateau, Silvia Zannoli, Giorgio Dirani, Jeanne Couturier, Ingrid Op den Buijs, René Roymans, Emma Hallet, Mihaela Arnold, Anja Zumoberhaus and 6 more

Open access · hybridAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.0field-weighted citation impact, top 63% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Diagnosis ofJournal of medical microbiology · 2024
    Review
  2. Comparative evaluation of the STANDARD M10 and XpertJournal of clinical microbiology · 2024
    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

16 authors at 6 institutions in 5 countries.

Vittorio SambriOperative unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies, S. Orsola-Malpighi University Hospital, Bologna, Italy. vittorio.sambri@unibo.it.ORCID http://orcid.org/0000-0002-5012-7355
Cécile GateauNational Reference Laboratory for C. difficile, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, INSERM U-1139, University Paris Descartes, Paris, France.
Silvia ZannoliOperative unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies, S. Orsola-Malpighi University Hospital, Bologna, Italy.
Giorgio DiraniOperative unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies, S. Orsola-Malpighi University Hospital, Bologna, Italy.
Jeanne CouturierNational Reference Laboratory for C. difficile, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, INSERM U-1139, University Paris Descartes, Paris, France.
Ingrid Op den BuijsLaboratory of Medical Microbiology, Stichting PAMM, Veldhoven, Netherlands.
René RoymansLaboratory of Medical Microbiology, Stichting PAMM, Veldhoven, Netherlands.
Emma HalletGreat Western Hospital, Swindon, UK.
Mihaela ArnoldLucerne Cantonal Hospital, Luzern, Switzerland.
Anja ZumoberhausBioanalytica AG, Luzern, Switzerland.
Stanislava SteinerBioanalytica AG, Luzern, Switzerland.
Jeroen van de BovenkampLaboratory of Medical Microbiology, Stichting PAMM, Veldhoven, Netherlands.
Martin AltweggBioanalytica AG, Luzern, Switzerland.
Livia BerlingerBioanalytica AG, Luzern, Switzerland.
Frédéric BarbutNational Reference Laboratory for C. difficile, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, INSERM U-1139, University Paris Descartes, Paris, France.
revogene C. Difficile study group
Inserm · FRBioanalytica (Switzerland) · CHIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Lucerne · CHPAMM · NLRoyal Devon and Exeter Hospital · GB

Funding

GenePOC, now part of Meridian Biosciences N/A
6 · The paper itself

Abstract

Clostridioides difficile infections are a significant threat to our healthcare system, and rapid and accurate diagnostics are crucial to implement the necessary infection prevention and control measurements. Nucleic acid amplification tests are such reliable diagnostic tools for the detection of toxigenic Clostridioides difficile strains directly from stool specimens. In this multicenter evaluation, we determined the performance of the revogene C. difficile assay. The analysis was conducted on prospective stool specimens collected from six different sites in Europe. The performance of the revogene C. difficile assay was compared to the different routine diagnostic methods and, for a subset of the specimens, against toxigenic culture. In total, 2621 valid stool specimens were tested, and the revogene C. difficile assay displayed a sensitivity/specificity of 97.1% [93.3-99.0] and 98.9% [98.5-99.3] for identification of Clostridioides difficile infection. Discrepancy analysis using additional methods improved this performance to 98.8% [95.8-99.9] and 99.6% [99.2-99.8], respectively. In comparison to toxigenic culture, the revogene C. difficile assay displayed a sensitivity/specificity of 93.0% [86.1-97.1] and 99.5% [98.7-99.9], respectively. These results indicate that the revogene C. difficile assay is a robust and reliable aid in the diagnosis of Clostridioides difficile infections.

Indexed as

Bacterial ProteinsBacterial ToxinsClostridioides difficileClostridium InfectionsDiagnostic Tests, RoutineEuropeFecesHumansMolecular Diagnostic TechniquesNucleic Acid Amplification TechniquesPoint-of-Care TestingProspective StudiesSensitivity and SpecificityBacterial ProteinsBacterial ToxinstoxB protein, Clostridium difficile

Identifiers

PMID32062723
PMCPMC7225180
OpenAlexW3005886971

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.