Evidence map›Paper›PMID 34162264›Full record

Observational studyThe Journal of international medical research2021

A prospective, observational study of fidaxomicin use for

Benoit Guery, Pierre Berger, Remy Gauzit, Magali Gourdon, Frédéric Barbut, DAFNE study group, Dafne Study Group, Pascale Bémer, Emilie Bessède, Fabrice Camou and 19 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06030245 (Clostridioides Difficile Infection), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 34% 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.

NCT06030245 recruitingnot on this mapstarted 2023, after this paper: background citation

Clostridioides Difficile Infection: Prospective Cohort Analyzing CLInic Evolution and Bacterial Clearance

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2023 to 2027Enrolled100ConditionsClostridium Difficile Infections
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Real-world effectiveness of fidaxomicin in patients at high risk ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  2. Article
  3. Review
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

29 authors at 5 institutions in 2 countries.

Benoit GueryUniversity Hospital and University of Lausanne, Lausanne, Switzerland.ORCID https://orcid.org/0000-0002-6526-0714
Pierre BergerPaoli-Calmettes Institute, Marseille, France.
Remy GauzitCochin University Hospital, Paris, France.
Magali GourdonAstellas Pharma S.A.S., Levallois-Perret, France.
Frédéric BarbutNational Reference Laboratory for C. difficile, Saint-Antoine Hospital, Paris, France.
DAFNE study group
Dafne Study Group
Pascale Bémer
Emilie Bessède
Fabrice Camou
Vincent Cattoir
Carine Couzigou
Dominique Descamps
Aurélien Dinh
Caroline Laurans
Jean-Philippe Lavigne
Catherine Lechiche
Véronique Leflon-Guibout
Alban Le Monnier
Marion Levast
Joy Yoganaden Mootien
Yohan N'Guyen
Lionel Piroth
Thierry Prazuck
Olivier Rogeaux
Anne-Laure Roux
Anne Vachée
Véronique Vernet Garnier
Frédéric Wallet
Hôpital Cochin · FRInserm · FRInstitut Pprime · FRSorbonne Université · FRUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the characteristics, management and outcomes of hospitalised patients with

methodsThis prospective, multicentre, observational study (DAFNE) enrolled hospitalised patients with CDI, including 294 patients treated with fidaxomicin (outcomes recorded over a 3-month period) and 150 patients treated with other CDI therapies during three 1-month periods. The primary endpoint was baseline and CDI characteristics of fidaxomicin-treated patients.

resultsAt baseline, the fidaxomicin-treated population included immunocompromised patients (39.1%) and patients with severe (59.2%) and recurrent (36.4%) CDI. Fidaxomicin was associated with a high rate of clinical cure (92.2%) and low CDI recurrence (16.3% within 3 months). Clinical cure rates were ≥90% in patients aged ≥65 years, those receiving concomitant antibiotics and those with prior or severe CDI. There were 121/296 (40.9%) patients with adverse events (AEs), 5.4% with fidaxomicin-related AEs and 1.0% with serious fidaxomicin-related AEs. No fidaxomicin-related deaths were reported.

conclusionsFidaxomicin is an effective and well-tolerated CDI treatment in a real-world setting in France, which included patients at high risk of adverse outcomes.Trial registration: Description of the use of fidaxomicin in hospitalised patients with documented

Indexed as

Clostridioides difficileClostridium InfectionsAminoglycosidesAnti-Bacterial AgentsClostridioidesFidaxomicinFranceHumansProspective StudiesVancomycinAminoglycosidesAnti-Bacterial AgentsFidaxomicinVancomycinantibiotic usageclinicalClostridioides (Clostridium) difficilefidaxomicininfectionreal-world setting

Identifiers

PMID34162264
PMCPMC8236878
OpenAlexW3175394026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.