Evidence map›Paper›PMID 35146046›Full record

ArticleOpen forum infectious diseases2022

Binary Toxin Expression by

Mary K Young, Jhansi L Leslie, Gregory R Madden, David M Lyerly, Robert J Carman, Matthew W Lyerly, David B Stewart, Mayuresh M Abhyankar, William A Petri

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. A novel RNA nucleic acid amplification test more accurately distinguishes activemedRxiv : the preprint server for health sciences · 2026
    Article
  2. Microbiology spectrum · 2025
    Article
  3. Article
  4. Clostridioides difficile infections caused by hypervirulent strains: a single-centre real-life study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  5. Review
  6. Emerging Diagnostics inInternational journal of molecular sciences · 2024
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Novel Biomarkers, IncludingInfection and immunity · 2023
    Article
  15. Open forum infectious diseases · 2023
    Article
  16. Article
  17. CDT ofToxins · 2023
    Article
  18. Prevalence of diagnostically-discrepantFrontiers in medicine · 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

9 authors at 3 institutions in 1 country.

Mary K YoungDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Jhansi L LeslieDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Gregory R MaddenDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0002-5951-3156
David M LyerlyTechLab Inc, Blacksburg, Virginia, USA.
Robert J CarmanTechLab Inc, Blacksburg, Virginia, USA.
Matthew W LyerlyTechLab Inc, Blacksburg, Virginia, USA.
David B StewartDepartment of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Mayuresh M AbhyankarDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
William A PetriDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
University of Virginia Health System · USTechLab (United States) · USSouthern Illinois University School of Medicine · US

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Role of Th17 in Severe and Recurrent C. difficile InfectionR01AI152477 · NIAID · UNIVERSITY OF VIRGINIA · PI PETRI, WILLIAM A, RAMAKRISHNAN, GIRIJA · 2020 to 2025
$7.1M
Role of Type 2 Immunity in Innate Protection from C. difficileR01AI124214 · NIAID · UNIVERSITY OF VIRGINIA · PI William A Petri · 2016 to 2026
$5.4M
Institutional Career Development CoreKL2TR003016 · NCATS · UNIVERSITY OF VIRGINIA · PI PAPIN, JASON, WORRALL, BRADFORD B · 2019 to 2023
$3.9M
Interdisciplinary Training in Systems & Biomolecular Data ScienceT32GM145443 · NIGMS · UNIVERSITY OF VIRGINIA · PI Kevin A Janes, Jason Papin · 2022 to 2026
$1.5M
Immune profiling to stratify Clostridioides difficile infection outcomesK23AI163368 · NIAID · UNIVERSITY OF VIRGINIA · PI MADDEN, GREGORY RUSSELL · 2021 to 2025
$961k
The role of the Western diet in increasing severity of Clostridium difficile infectionF32DK124048 · NIDDK · UNIVERSITY OF VIRGINIA · PI LESLIE, JHANSI LAKSHMI MARGARET · 2020 to 2022
$138k
NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR003015NIAID NIH HHS K23 AI163368NIAID NIH HHS R01 AI124214NIAID NIH HHS R01 AI152477NIAID NIH HHS T32 AI007496NIDDK NIH HHS F32 DK124048NIGMS NIH HHS T32 GM145443
6 · The paper itself

Abstract

backgroundThe incidence of

methodsWe retrospectively tested stool from 215 CDI patients for CDT by enzyme-linked immunosorbent assay (ELISA). Stratifying patients by CDT status, we assessed if disease severity and clinical outcomes correlated with CDT positivity. Additionally, we completed quantitative PCR (PCR) DNA extracted from patient stool to detect cdtB gene. Lastly, we performed 16 S rRNA gene sequencing to examine if CDT-positive samples had an altered fecal microbiota.

resultsWe found that patients with CdtB, the pore-forming component of CDT, detected in their stool by ELISA, were more likely to have severe disease with higher 90-day mortality. CDT-positive patients also had higher

conclusionsPatients with fecal samples that were positive for CDT had increased disease severity and worse clinical outcomes. Utilization of PCR and testing for

Indexed as

binary toxinCDIC. difficileCDTribotype 027

Identifiers

PMID35146046
PMCPMC8825761
OpenAlexW4220865430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.