Evidence map›Paper›PMID 32404060›Full record

ArticleBMC infectious diseases2020

Molecular characteristics of Clostridium difficile in children with acute gastroenteritis from Zhejiang.

Huiqun Shuai, Qiao Bian, Yun Luo, Xiaohong Zhou, Xiaojun Song, Julian Ye, Qinghong Huang, Zhaoyang Peng, Jun Wu, Jianmin Jiang and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.2field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. The prevalence and molecular epidemiology ofEmerging microbes & infections · 2026
    Observational
  2. Molecular epidemiology ofMicrobiology spectrum · 2026
    Article
  3. Comparative genomic analysis ofMicrobial genomics · 2026
    Article
  4. Addressing Unmet Needs inCurrent medicinal chemistry · 2026
    Review
  5. Genomic epidemiology ofEmerging microbes & infections · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Characteristics and management of children with Clostridioides difficile infection at a tertiary pediatric hospital in China.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Observational
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

11 authors at 6 institutions in 2 countries.

Huiqun ShuaiXiacheng District Center for Disease Control and Prevention, Hangzhou, China.
Qiao BianSchool of Medicine, Ningbo University, Ningbo, China.
Yun LuoDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Xiaohong ZhouXiacheng District Center for Disease Control and Prevention, Hangzhou, China.
Xiaojun SongCentre of Laboratory Medicine, Zhejiang Provincial People Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Julian YeDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Qinghong HuangXiacheng District Center for Disease Control and Prevention, Hangzhou, China.
Zhaoyang PengDepartment of Clinical Laboratory, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jun WuLin'an District Center for Disease Control and Prevention, Hangzhou, China.
Jianmin JiangDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. jmjiang@cdc.zj.cn.
Dazhi JinSchool of Laboratory Medicine, Hangzhou Medical College, No. 481, Binwen Road, Hangzhou, Zhejiang, China. jind@hmc.edu.cn.
Hangzhou Center for Disease Control and Prevention · CNHangzhou Medical College · CNZhejiang Center for Disease Control and Prevention · CNChildren's Hospital of Zhejiang University · CNNingbo University · CNUNSW Sydney · AU

Funding

Key Research and Development Program of Zhejiang 2015C03048Medical Health and Technology Plan of Zhejiang 2017KY571
6 · The paper itself

Abstract

backgroundClostridium difficile infection (CDI) has an increasing pediatric prevalence worldwide. However, molecular characteristics of C. difficile in Chinese children with acute gastroenteritis have not been reported.

methodsA five-year cross-sectional study was conducted in a tertiary children's hospital in Zhejiang. Consecutive stool specimens from outpatient children with acute gastroenteritis were cultured for C. difficile, and isolates then were analyzed for toxin genes, multi-locus sequence type and antimicrobial resistance. Diarrhea-related viruses were detected, and demographic data were collected.

resultsA total of 115 CDI cases (14.3%), and 69 co-infected cases with both viruses and toxigenic C. difficile, were found in the 804 stool samples. The 186 C. difficile isolates included 6 of toxin A-positive/toxin B-positive/binary toxin-positive (A

conclusionsCDI has been revealed as a major cause of acute gastroenteritis in children with various genotypes. The role of toxigenic C. difficile and risk factors of CDI should be emphatically considered in subsequent diarrhea surveillance in children from China.

Indexed as

Child, PreschoolChinaClostridioides difficileClostridium InfectionsCoinfectionCross-Sectional StudiesDiarrheaDrug Resistance, BacterialFecesFemaleGastroenteritisGenotypeHumansInfantMaleMicrobial Sensitivity TestsAcute gastroenteritisChildrenClostridium difficileMolecular characteristics

Identifiers

PMID32404060
PMCPMC7222317
OpenAlexW3024726242

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.