Evidence map›Paper›PMID 34007671›Full record

ReviewInnovations in pharmacy2021

The Positive Association between Proton Pump Inhibitors and Clostridium Difficile Infection.

Dania Tawam, Michael Baladi, Paiboon Jungsuwadee, Grace Earl, Jayoung Han

Open access · diamondAbstract readReview
In one paragraph

Review in Innovations in pharmacy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 47 citations in OpenAlex.

  1. Outcomes ofJGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  2. Push Enteroscopic Jejunal and Ileoscopic Delivery of Fecomicrobiota Transplantation (FMT) for Treatment ofJGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  3. Changes in the Epidemiology of Clostridioides difficile Infection.Infectious disease clinics of North America · 2025
    Review
  4. Article
  5. Article
  6. Article
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  8. Observational
  9. Review
  10. Review
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  12. Epidemiology ofSaudi medical journal · 2024
    Article
  13. Review
  14. Review
  15. Outcomes of acute pyelonephritis in patients with a penicillin allergy label in the United States.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  16. Review
  17. Review
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  20. Incidence and Risk Factors forMicroorganisms · 2023
    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

5 authors at 1 institution in 1 country.

Dania TawamFairleigh Dickinson University School of Pharmacy and Health Sciences.
Michael BaladiFairleigh Dickinson University School of Pharmacy and Health Sciences.
Paiboon JungsuwadeeFairleigh Dickinson University School of Pharmacy and Health Sciences.
Grace EarlFairleigh Dickinson University School of Pharmacy and Health Sciences.
Jayoung HanFairleigh Dickinson University School of Pharmacy and Health Sciences.
Fairleigh Dickinson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton pump inhibitors (PPIs) are among the most commonly used medications by patients due to its availability over the counter and frequent prescribing by physicians to treat and alleviate symptoms of gastroesophageal reflux disease. Recently, the FDA issued a warning with respect to the utilization of PPIs and risk of developing Clostridium difficile infections (CDI). The most commonly known medications to cause CDI are antibiotics. However, available studies suggest an association and increase in risk for CDI with PPI use as well.

objectiveThe purpose of this research is to review and summarize data currently available on the association between PPIs and CDI.

methodsTo search for eligible studies, EBSCO engines were investigated using proton pump inhibitors or PPIs and Clostridium difficile or C. diff. as search terms. Meta analyses and systematic reviews published between 2000 and 2020 on adult patients were considered.

resultsEight meta-analyses and systematic reviews met the inclusion criteria. They included studies conducted in the US, Europe, Asia and Canada on inpatient and outpatient adults. The final result for all 8 studies showed a statistically significant association between PPIs and CDI ranging from mild to high risk.

conclusionCurrently available data suggest a positive association between PPIs and CDI.

Indexed as

Clostridium difficile infectionproton pump inhibitorsreview

Identifiers

PMID34007671
PMCPMC8102963
OpenAlexW3137015745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.