Evidence map›Paper›PMID 41039149›Full record

ReviewNature reviews. Microbiology2026

Clostridioides difficile pathogenesis and control.

Caroline H Chilton, Virginie Viprey, Charmaine Normington, Ines B Moura, Anthony M Buckley, Jane Freeman, Kerrie Davies, Mark H Wilcox

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  5. Gut microbiota and disease.Essays in biochemistry · 2026
    Article
  6. Treating Initial and RecurrentMicroorganisms · 2026
    Article
  7. Review
  8. Article
  9. Microbiology spectrum · 2026
    Article
  10. Microbiome-Driven Risk Stratification and Biotherapeutics in Radiation Enteritis.Computational and structural biotechnology journal · 2026
    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

8 authors.

Caroline H ChiltonLeeds Institute of Medical Research, University of Leeds, Leeds, UK. C.h.chilton@leeds.ac.uk.ORCID http://orcid.org/0000-0002-8076-1699
Virginie VipreyLeeds Institute of Medical Research, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0001-6463-7092
Charmaine NormingtonLeeds Institute of Medical Research, University of Leeds, Leeds, UK.
Ines B MouraLeeds Institute of Medical Research, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-3019-7196
Anthony M BuckleySchool of Food Science and Nutrition, University of Leeds, Leeds, UK.
Jane FreemanLeeds Institute of Medical Research, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0001-9580-4586
Kerrie DaviesLeeds Institute of Medical Research, University of Leeds, Leeds, UK.
Mark H WilcoxLeeds Institute of Medical Research, University of Leeds, Leeds, UK. mark.wilcox@nhs.net.ORCID http://orcid.org/0000-0002-4565-2868

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) continues to be a notable burden worldwide, both in terms of patient mortality and morbidity, and the economic costs associated with treatment, diagnosis and management. The epidemiology of C. difficile has changed markedly over the decades, with high CDI rates driven by clinical pressures exacerbated by the severe acute respiratory syndrome coronavirus 2 pandemic, antibiotic resistance and selective pressures caused by antimicrobial use. C. difficile is challenging to diagnose and treat as it forms spores and can persist asymptomatically within the gut. Some strains express multiple virulence factors, including adhesins and toxins. The gut microbiota is crucially important in CDI, as a healthy microbiota is resistant to colonization with C. difficile. Dysbiosis, often caused by antimicrobial exposure, enables C. difficile spores to germinate and produce toxin, causing symptoms that can range from mild diarrhoea to fulminant colitis and death. This Review describes changes in epidemiology and effects on diagnosis, discusses recent breakthroughs in the understanding of pathogenesis and antibiotic resistance and explores the role of microbiota dysbiosis in CDI and novel microbiota therapies in CDI treatment.

Indexed as

Clostridioides difficileClostridium InfectionsAnti-Bacterial AgentsCOVID-19Drug Resistance, BacterialDysbiosisGastrointestinal MicrobiomeHumansSARS-CoV-2Virulence FactorsAnti-Bacterial AgentsVirulence Factors

Identifiers

What OpenQuestion holds

Textmetadata
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.