Evidence map›Paper›PMID 35470794›Full record

ArticleEmerging infectious diseases2022

Characterization of Healthcare-Associated and Community-Associated Clostridioides difficile Infections among Adults, Canada, 2015-2019.

Tim Du, Kelly B Choi, Anada Silva, George R Golding, Linda Pelude, Romeo Hizon, Ghada N Al-Rawahi, James Brooks, Blanda Chow, Jun C Collet and 20 more

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Epidemiologic profile of community-acquiredEpidemiology and infection · 2025
    Pooled it
  2. Review
  3. Article
  4. Changes in the Epidemiology of Clostridioides difficile Infection.Infectious disease clinics of North America · 2025
    Review
  5. Investigating in-hospital transmission ofJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  6. Phenotypic analysis of variousApplied and environmental microbiology · 2025
    Article
  7. Article
  8. Comprehensive review ofWorld journal of gastrointestinal pharmacology and therapeutics · 2025
    Article
  9. Article
  10. Phenotypic analysis of variousbioRxiv : the preprint server for biology · 2025
    Article
  11. Article
  12. Gene Expression Dysregulation in Whole Blood of Patients withInternational journal of molecular sciences · 2024
    Article
  13. Article
  14. Healthcare-associated infections and antimicrobial resistance in Canadian acute care hospitals, 2018-2022.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2024
    Article
  15. Culture-independent detection of low-abundantApplied and environmental microbiology · 2024
    Article
  16. The Strain and the Clinical Outcome ofOpen forum infectious diseases · 2024
    Article
  17. Antibiotic Resistances of Clostridioides difficile.Advances in experimental medicine and biology · 2024
    Article
  18. Article
  19. Insights into the Evolving Epidemiology ofAntibiotics (Basel, Switzerland) · 2023
    Review
  20. 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

30 authors.

Tim Du
Kelly B Choi
Anada Silva
George R Golding
Linda Pelude
Romeo Hizon
Ghada N Al-Rawahi
James Brooks
Blanda Chow
Jun C Collet
Jeannette L Comeau
Ian Davis
Gerald A Evans
Charles Frenette
Guanghong Han
Jennie Johnstone
Pamela Kibsey
Kevin C Katz
Joanne M Langley
Bonita E Lee
Yves Longtin
Dominik Mertz
Jessica Minion
Michelle Science
Jocelyn A Srigley
Paula Stagg
Kathryn N Suh
Nisha Thampi
Alice Wong
Susy S Hota

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated epidemiologic and molecular characteristics of healthcare-associated (HA) and community-associated (CA) Clostridioides difficile infection (CDI) among adult patients in Canadian Nosocomial Infection Surveillance Program hospitals during 2015-2019. The study encompassed 18,455 CDI cases, 13,735 (74.4%) HA and 4,720 (25.6%) CA. During 2015-2019, HA CDI rates decreased by 23.8%, whereas CA decreased by 18.8%. HA CDI was significantly associated with increased 30-day all-cause mortality as compared with CA CDI (p<0.01). Of 2,506 isolates analyzed, the most common ribotypes (RTs) were RT027, RT106, RT014, and RT020. RT027 was more often associated with CDI-attributable death than was non-RT027, regardless of acquisition type. Overall resistance C. difficile rates were similar for all drugs tested except moxifloxacin. Adult HA and CA CDI rates have declined, coinciding with changes in prevalence of RT027 and RT106. Infection prevention and control and continued national surveillance are integral to clarifying CDI epidemiology, investigation, and control.

Indexed as

Clostridioides difficileClostridium InfectionsCross InfectionAdultCanadaDelivery of Health CareHumansMicrobial Sensitivity TestsRibotypingantimicrobial resistancebacteriaCanadaC. difficleClostridioides difficile infectioncommunity-associated infectionshealthcare-associated infectionsnosocomial transmissionribotype

Identifiers

PMID35470794
PMCPMC9155897
OpenAlexW4224950055

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.