Evidence map›Paper›PMID 33956777›Full record

GuidelineMMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports2021

Clinical Guidelines for Diagnosis and Treatment of Botulism, 2021.

Agam K Rao, Jeremy Sobel, Kevin Chatham-Stephens, Carolina Luquez

Registry-linked trialOpen access · diamondAbstract readPractice Guideline
In one paragraph

Guideline in MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02051062 (Pharmacokinetics of Botulism Antitoxin Heptavalent), which is not on this map. Cited by 99 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 3 pooled it
13.1field-weighted citation impact, top 1% 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.

NCT02051062 phase4enrolling by invitationnot on this map

Pharmacokinetics of Botulism Antitoxin Heptavalent (A, B, C, D, E, F, G) - (Equine) (BAT®) in Pediatric Patients With a Confirmed or Suspected Exposure to Botulinum Neurotoxin

TypeinterventionalSponsorEmergent BioSolutionsRan2014 to 2028Enrolled10ConditionsBotulismArmsBlood sample collection
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 3 syntheses or guidelines pooled it, 201 citations in OpenAlex.

  1. Botulism in the 21st Century: A Scoping Review.The Brown journal of hospital medicine · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Botulism Type F, a Rare Type of Botulism that Can Masquerade as a Posterior Fossa Stroke.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  7. Botulinum neurotoxin: from molecular pathogenesis to emerging countermeasures.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. A case report of atypical type E botulism.World journal of emergency medicine · 2026
    Article
  13. Equine botulism.Equine veterinary journal · 2026
    Review
  14. Article
  15. The unsung hero:Frontiers in cellular and infection microbiology · 2026
    Article
  16. Article
  17. Article
  18. Investigating the dual nature ofLe infezioni in medicina · 2026
    Review
  19. Article
  20. Botulism Sequelae: A Systematic Review.Open forum infectious diseases · 2026
    Article

39 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

4 authors at 1 institution in 1 country.

Agam K RaoDivision of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC.
Jeremy SobelDivision of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC.
Kevin Chatham-StephensDivision of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC.
Carolina LuquezDivision of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC.
National Center for Emerging and Zoonotic Infectious Diseases · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulism is a rare, neurotoxin-mediated, life-threatening disease characterized by flaccid descending paralysis that begins with cranial nerve palsies and might progress to extremity weakness and respiratory failure. Botulinum neurotoxin, which inhibits acetylcholine release at the neuromuscular junction, is produced by the anaerobic, gram-positive bacterium Clostridium botulinum and, rarely, by related species (C. baratii and C. butyricum). Exposure to the neurotoxin occurs through ingestion of toxin (foodborne botulism), bacterial colonization of a wound (wound botulism) or the intestines (infant botulism and adult intestinal colonization botulism), and high-concentration cosmetic or therapeutic injections of toxin (iatrogenic botulism). In addition, concerns have been raised about the possibility of a bioterrorism event involving toxin exposure through intentional contamination of food or drink or through aerosolization. Neurologic symptoms are similar regardless of exposure route. Treatment involves supportive care, intubation and mechanical ventilation when necessary, and administration of botulinum antitoxin. Certain neurological diseases (e.g., myasthenia gravis and Guillain-Barré syndrome) have signs and symptoms that overlap with botulism. Before the publication of these guidelines, no comprehensive clinical care guidelines existed for treating botulism. These evidence-based guidelines provide health care providers with recommended best practices for diagnosing, monitoring, and treating single cases or outbreaks of foodborne, wound, and inhalational botulism and were developed after a multiyear process involving several systematic reviews and expert input.

Indexed as

BotulismCenters for Disease Control and Prevention, U.S.Evidence-Based MedicineHumansUnited States

Identifiers

PMID33956777
PMCPMC8112830
OpenAlexW3159645754

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

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.