Evidence map›Paper›PMID 38800338›Full record

ReviewCureus2024

Testing and Diagnosis of Clostridioides difficile Infection in Special Scenarios: A Systematic Review.

Karan B Singh, Anas Khouri, Deepak Singh, Jose Prieto, Priyata Dutta, Maduka C Nnadozie, Clista Clanton, Esther Morrison, William Sonnier

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Karan B SinghInternal Medicine, Frederick P. Whiddon College of Medicine at the University of South Alabama, Mobile, USA.
Anas KhouriInternal Medicine, Frederick P. Whiddon College of Medicine at the University of South Alabama, Mobile, USA.
Deepak SinghInternal Medicine, Caribbean Medical University, Willemstad, CUW.
Jose PrietoInternal Medicine, Loyola University MacNeal Hospital, Berwyn, USA.
Priyata DuttaInternal Medicine, Trinity Health St. Joseph Mercy Ann Arbor, Ann Arbor, USA.
Maduka C NnadozieInternal Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.
Clista ClantonBiomedical Research, Frederick P. Whiddon College of Medicine at the University of South Alabama, Mobile, USA.
Esther MorrisonInfectious Diseases, Frederick P. Whiddon College of Medicine at the University of South Alabama, Mobile, USA.
William SonnierGastroenterology and Hepatology, Frederick P. Whiddon College of Medicine at the University of South Alabama, Mobile, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction

resultsTesting patients with a significant gastrointestinal surgical history, hypogammaglobulinemia, inflammatory bowel disease, intensive care unit, and immunocompromised patients for CDI is highly recommended. Diarrhea in these subsets of patients requires correlation of clinical context and an understanding of assay results to avoid over- and under-treating.

conclusionCDI should be considered in all patients with traditional risk factors. Heightened clinical suspicion of CDI is required in patients with hypogammaglobulinemia, transplant recipients, patients with gastrointestinal surgical history, and inflammatory bowel disease. Testing should be limited to patients with clinical manifestations of CDI to ensure a high pretest probability for test interpretation. Healthcare workers should adhere to testing algorithms to optimize yield in the appropriate clinical context. Diagnostic assays should follow a sequential, stepwise approach to categorize the toxin expression status of the bacteria accurately.

Indexed as

antibioticclostridioides difficile infectioninfection prevention and controlinfectious colitisinflammatory bowel diseasemicrobial sensitivity testmolecular diagnosis for infectious diseasesspecificitytoxic megacolon

Identifiers

PMID38800338
PMCPMC11127751

What OpenQuestion holds

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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.