Evidence map›Paper›PMID 36882700›Full record

ReviewBMC infectious diseases2023

The burden of CDI in the United States: a multifactorial challenge.

Paul Feuerstadt, Nicolette Theriault, Glenn Tillotson

Open access · goldAbstract readReview
In one paragraph

Review in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 3 pooled it
29.9field-weighted citation impact, top 1% 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

127 citing papers in PubMed, 3 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Five-Day Treatment withNutrients · 2025
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Article
  12. The Patients' Voice inOpen forum infectious diseases · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. The Patients' Voice inmedRxiv : the preprint server for health sciences · 2026
    Article
  19. Article
  20. Metabolic Syndrome Is Associated With Increased Risk ofOpen forum infectious diseases · 2026
    Article

67 more citing papers are in PubMed but not listed here.

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.

Paul FeuerstadtDivision of Digestive Disease, PACT-Gastroenterology Center, Yale University School of Medicine, Hamden, CT, USA.
Nicolette TheriaultGSTMicro LLC, North, VA, 23128, USA.
Glenn TillotsonGSTMicro LLC, North, VA, 23128, USA. gtillotson@gstmicro.com.ORCID http://orcid.org/0000-0002-2221-008X
Genomics Medicine (Ireland) · IEYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) affects approximately 500,000 patients annually in the United States, of these around 30,000 will die. CDI carries significant burdens including clinical, social and economic. While healthcare-associated CDI has declined in recent years, community-associated CDI is on the rise. Many patients are also impacted by recurrent C. difficile infections (rCDI); up to 35% of index CDI will recur and of these up to 60% will further recur with multiple recurrences observed. The range of outcomes adversely affected by rCDI is significant and current standard of care does not alter these recurrence rates due to the damaged gut microbiome and subsequent dysbiosis. The clinical landscape of CDI is changing, we discuss the impact of CDI, rCDI, and the wide range of financial, social, and clinical outcomes by which treatments should be evaluated.

Indexed as

Clostridioides difficileClostridium InfectionsGastrointestinal MicrobiomeDysbiosisHealth FacilitiesHumansUnited StatesClostridioides difficile infectionCommunity-acquiredHealthcare-associatedHealthcare burdenQuality of lifeRecurrent C. difficile infections

Identifiers

PMID36882700
PMCPMC9990004
OpenAlexW4323361227

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.