Evidence map›Paper›PMID 36585317›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2023

Prevalence, Risk Factors, and Sequelae of Asymptomatic Clostridioides difficile Colonization in Children with Cystic Fibrosis.

Seth A Reasoner, Irtiqa F Fazili, Rachel Bernard, Jacob M Parnell, Andrew G Sokolow, Kelly F Thomsen, Kathryn M Edwards, Rebekah F Brown, Maribeth R Nicholson

Open access · greenAbstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Colonic epithelial regeneration shapes susceptibility tobioRxiv : the preprint server for biology · 2026
    Article
  2. Open forum infectious diseases · 2026
    Article
  3. Article
  4. Article
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  8. [Advances in the treatment ofZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    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

9 authors at 3 institutions in 1 country.

Seth A ReasonerDivision of Molecular Pathogenesis, Department of Pathology, Microbiology & Immunology, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Irtiqa F FaziliDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, United States of America.
Rachel BernardDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, TN, United States of America.
Jacob M ParnellDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Andrew G SokolowDivision of Pediatric Pulmonary, Allergy, and Immunology, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, TN, United States of America.
Kelly F ThomsenDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, TN, United States of America.
Kathryn M EdwardsDivision of Pediatric Infectious Diseases, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, Tennessee, United States of America.
Rebekah F BrownDivision of Pediatric Pulmonary, Allergy, and Immunology, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, TN, United States of America.
Maribeth R NicholsonDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Monroe Carrell Junior Children's Hospital at Vanderbilt, Nashville, TN, United States of America; Vanderbilt Institute for Infection, Immunology and Inflammation, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America. Electronic address: maribeth.r.nicholson@vumc.org.
Monroe Carell Jr. Children's Hospital · USVanderbilt University Medical Center · USEmory University · US

Funding

Immune, Microbial, and Metabolic Factors that Impact Clostridioides difficile and Inflammatory Bowel Disease in ChildrenK23AI156132 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI NICHOLSON, MARIBETH RUTH · 2021 to 2025
$876k
NIAID NIH HHS K23 AI156132
6 · The paper itself

Abstract

Patients with CF (pwCF) have high antibiotic use and an altered intestinal microbiome, known risk factors for infection with Clostridioides difficile. However, in adults with CF, C. difficile infection (CDI) is uncommon and asymptomatic colonization with C. difficile occurs frequently, for reasons that remain unclear. We investigated the rate, risk factors, and sequelae of asymptomatic C. difficile colonization in children with CF (cwCF). We identified that 32% of cwCF were colonized with C. difficile without acute gastrointestinal symptoms. Higher BMI and exposure to specific antibiotic classes (cephalosporins, fluoroquinolones, and vancomycin) were significantly associated with C. difficile colonization. No children developed symptomatic CDI in 90-days following enrollment.

Indexed as

Clostridioides difficileClostridium InfectionsCystic FibrosisAdultAnti-Bacterial AgentsAsymptomatic InfectionsChildClostridioidesDisease ProgressionHumansPrevalenceRisk FactorsAnti-Bacterial AgentsClostridioides difficileColonizationCystic fibrosisInfectionPediatrics

Identifiers

PMID36585317
PMCPMC10300225
OpenAlexW4313207298

What OpenQuestion holds

Textmetadata
LicenceTDM
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.