Evidence map›Paper›PMID 35500744›Full record

ArticleAnaerobe2022

Impact of COVID19 pandemic on the incidence of health-care associated Clostridioides difficile infection.

Nicolás Merchante, Pablo Chico, Esther Márquez-Saavedra, Gerónima Riera, Rocío Herrero, Pilar González-de-la-Aleja, Ana I Aller, Juan Carlos Rodríguez, Miguel Rodríguez-Fernández, José Manuel Ramos and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Anaerobe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04801862 (Clinical, Microbiological and Genetic Factors Associated With Recurrence of Clostridioides Difficile Infection and Development of a Predictive Tool for Recurrence), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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.

NCT04801862 unknown statusnot on this map

Clinical, Microbiological and Genetic Factors Associated With Recurrence of Clostridioides Difficile Infection and Development of a Predictive Tool for Recurrence

Typeobservational_patient_registrySponsorHospital Universitario de ValmeRan2021 to 2024Enrolled750ConditionsClostridium Difficile Infection, Health Care Associated Infection, Nosocomial Infection
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Clostridioides difficile pathogenesis and control.Nature reviews. Microbiology · 2026
    Review
  3. Article
  4. Comparison ofJournal of clinical medicine · 2025
    Article
  5. Article
  6. Article
  7. Antibiotic Usage and Healthcare-AssociatedAntibiotics (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

12 authors at 3 institutions in 1 country.

Nicolás MerchanteUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario de Valme, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Sevilla, Spain. Electronic address: nicolasmerchante@gmail.com.
Pablo ChicoServicio de Medicina Preventiva, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: chico_pab@gva.es.
Esther Márquez-SaavedraServicio de Farmacia, Hospital Universitario de Valme, Sevilla, Spain. Electronic address: esther.marquez.sspa@juntadeandalucia.es.
Gerónima RieraServicio de Farmacia, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: riera_ger@gva.es.
Rocío HerreroUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario de Valme, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Sevilla, Spain. Electronic address: rocio.herrero.delrio@gmail.com.
Pilar González-de-la-AlejaUnidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: pilar.gonzalez01@goumh.umh.es.
Ana I AllerUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario de Valme, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Sevilla, Spain. Electronic address: anai.aller.sspa@juntadeandalucia.es.
Juan Carlos RodríguezServicio Microbiología, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: rodriguez_juadia@gva.es.
Miguel Rodríguez-FernándezUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario de Valme, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Sevilla, Spain. Electronic address: migrodfer92@gmail.com.
José Manuel RamosServicio de Medicina Interna, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: jose.ramosr@umh.es.
Marta Trigo-RodríguezUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario de Valme, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Sevilla, Spain. Electronic address: marta.trigo88@gmail.com.
Esperanza MerinoUnidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Instituto de Investigación Biomédica de Alicante (ISABIAL), Alicante, Spain. Electronic address: merinoluc@gmail.com.
Hospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario de Valme · ESInstituto de Biomedicina de Sevilla · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the impact of COVID19 pandemic on the incidence of health-care associated Clostridioides difficile infection (HA-CDI).

methodsRetrospective study conducted in the Hospital Universitario de Valme (HUV) and the Hospital General Universitario de Alicante (HGUA) in Spain between January 2019 and February 2021. The study period was divided into non-COVID19 period (2019 and months from 2020 to 2021 with ≤30 hospitalized COVID19 patients) and COVID19 period (months from 2020 to 2021 with >30 COVID19 patients). HA-CDI incidence rates (IR) were calculated as the number of new CDI cases per 10.000 occupied bed-days (OBD) and antimicrobial consumption by means of the defined daily dose (DDD) per 1000 OBD.

resultsDuring the COVID19 period, HA-CDI IR in the HUV was 2.6 per 10.000 OBD, which was lower than what was observed during the non-COVID19 period (4.1 per 10.000 OBD; p = 0.1). In the HGUA, HA-CDI IR during COVID19 period was 3.9 per 10.000 OBD, which was not significantly different to the IR observed during the non-COVID19 period (3.7 per 10.000 OBD; p = 0.8). There was a slight increase in the total antibiotic consumption during COVID19 period in both hospitals, with significant increases of certain high-risk antibiotics as cephalosporins. CONCLSUSIONS: HA-CDI incidence has not increased during the COVID19 pandemic in two tertiary centers in Spain, in spite of a slightly higher antibiotic consumption during the COVID19 period in both hospitals. These findings suggest that, in the presence of strict infection control measures, hospital antibiotic consumption might have a lower impact than expected on HA-CDI.

Indexed as

Clostridioides difficileClostridium InfectionsCOVID-19Cross InfectionAnti-Bacterial AgentsHumansIncidencePandemicsRetrospective StudiesAnti-Bacterial AgentsAntimicrobial stewardshipClostridioides difficileCovid-19Health-care associated infectionsSARS-CoV-2

Identifiers

PMID35500744
PMCPMC9054722
OpenAlexW4225389452

What OpenQuestion holds

Textmetadata
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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.