Evidence map›Paper›PMID 34297842›Full record

ReviewThe Journal of antimicrobial chemotherapy2021

Mechanisms of antibiotic resistance of Clostridioides difficile.

Ishani Wickramage, Patrizia Spigaglia, Xingmin Sun

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of antimicrobial chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

30 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Review
  3. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  4. Antimicrobial Susceptibility ofAntibiotics (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Article
  7. Comparative Relatedness ofAntibiotics (Basel, Switzerland) · 2025
    Article
  8. CdmR, a MarR family protein fromBiochemistry and biophysics reports · 2025
    Article
  9. Review
  10. Applied and environmental microbiology · 2025
    Article
  11. Article
  12. Potent Antimicrobial Activity ofAntibiotics (Basel, Switzerland) · 2025
    Article
  13. Review
  14. Article
  15. The complete catalog of antimicrobial resistance secondary active transporters inComputational and structural biotechnology journal · 2024
    Article
  16. Article
  17. Review
  18. Pathogens (Basel, Switzerland) · 2024
    Review
  19. Fifty years devoted to anaerobes: historical, lessons, and highlights.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Review
  20. 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

3 authors at 2 institutions in 2 countries.

Ishani WickramageDepartment of Molecular Medicine, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Down Blvd, Tampa, FL 33612, USA.ORCID 0000-0002-0397-3428
Patrizia SpigagliaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Xingmin SunDepartment of Molecular Medicine, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Down Blvd, Tampa, FL 33612, USA.
University of South Florida · USIstituto Superiore di Sanità · IT

Funding

Multivalent vaccines against Clostridium difficile infectionR01AI132711 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI Xingmin Sun, Shifeng Wang · 2017 to 2026
$3.3M
Novel polymer biomaterials combating C. difficile infectionR01AI149852 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI CAI, JIANFENG, SUN, XINGMIN · 2019 to 2023
$1.9M
NIAID NIH HHS R01 AI132711NIAID NIH HHS R01 AI149852NIH HHS R01-AI132711
6 · The paper itself

Abstract

Clostridioides difficile (CD) is one of the top five urgent antibiotic resistance threats in USA. There is a worldwide increase in MDR of CD, with emergence of novel strains which are often more virulent and MDR. Antibiotic resistance in CD is constantly evolving with acquisition of novel resistance mechanisms, which can be transferred between different species of bacteria and among different CD strains present in the clinical setting, community, and environment. Therefore, understanding the antibiotic resistance mechanisms of CD is important to guide optimal antibiotic stewardship policies and to identify novel therapeutic targets to combat CD as well as other bacteria. Epidemiology of CD is driven by the evolution of antibiotic resistance. Prevalence of different CD strains and their characteristic resistomes show distinct global geographical patterns. Understanding epidemiologically driven and strain-specific characteristics of antibiotic resistance is important for effective epidemiological surveillance of antibiotic resistance and to curb the inter-strain and -species spread of the CD resistome. CD has developed resistance to antibiotics with diverse mechanisms such as drug alteration, modification of the antibiotic target site and extrusion of drugs via efflux pumps. In this review, we summarized the most recent advancements in the understanding of mechanisms of antibiotic resistance in CD and analysed the antibiotic resistance factors present in genomes of a few representative well known, epidemic and MDR CD strains found predominantly in different regions of the world.

Indexed as

Clostridioides difficileAnti-Bacterial AgentsClostridioidesDrug Resistance, MicrobialMicrobial Sensitivity TestsAnti-Bacterial Agents

Identifiers

PMID34297842
PMCPMC8598299
OpenAlexW3183975471

What OpenQuestion holds

Textmetadata
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.