{"id":"W4206482793","doi":"10.1128/spectrum.01322-21","title":"Whole-Genome Sequencing Reveals the High Nosocomial Transmission and Antimicrobial Resistance of Clostridioides difficile in a Single Center in China, a Four-Year Retrospective Study","year":2022,"lang":"en","type":"article","venue":"Microbiology Spectrum","topic":"Clostridium difficile and Clostridium perfringens research","field":"Medicine","cited_by":25,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"National Key Research and Development Program of China; Higher Education Discipline Innovation Project; Natural Science Foundation of Guangdong Province; National Natural Science Foundation of China; Ministère de l'Éducation, du Loisir et du Sport Québec","keywords":"Carriage; Multilocus sequence typing; Population; Clostridium difficile; Epidemiology; Microbiology; Biology; Transmission (telecommunications); Antibiotic resistance; Drug resistance; Clostridioides; Medicine; Genotype; Antibiotics; Internal medicine; Genetics; Gene; Environmental health; Pathology","routes":{"ca_aff":false,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0008306863,0.0002745808,0.0007508949,0.0004082229,0.0002291672,0.00001882129,0.00028517,0.0001197516,0.0001752473],"category_scores_gemma":[0.00007404652,0.000223835,0.0001172126,0.0008016132,0.0002812394,0.00004077704,0.0003049746,0.001052159,0.000004062096],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001106677,"about_ca_system_score_gemma":0.0001938227,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0006758371,"about_ca_topic_score_gemma":0.00107948,"domain_scores_codex":[0.997292,0.0005355978,0.0006686468,0.0006639066,0.0002008077,0.0006389932],"domain_scores_gemma":[0.9992055,0.00009906169,0.0001651494,0.0004186656,0.00003930149,0.00007228059],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"bench_or_experimental","study_design_gemma":"observational","study_design_scores_codex":[0.00205678,0.001106104,0.07609437,0.0000654922,0.00005452955,0.0002534309,0.002050468,0.00003283982,0.9179754,0.00003090791,0.0002433611,0.00003628836],"study_design_scores_gemma":[0.02359897,0.006677901,0.5018972,0.0004619712,0.0001448118,0.0009180814,0.006390381,0.0000302204,0.4560606,0.0003137797,0.002665827,0.0008402447],"study_design_candidate":"bench_or_experimental","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9930576,0.0003512244,0.000004078595,0.004220223,0.00009860787,0.00160069,0.0004301526,0.00002283704,0.0002145605],"genre_scores_gemma":[0.9991004,0.00006436659,0.00006372277,0.00009324374,0.00009360681,0.00005620613,0.0001026317,0.00003549854,0.0003903456],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.4619148,"threshold_uncertainty_score":0.9127727,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01587870520774199,"score_gpt":0.2450768426834917,"score_spread":0.2291981374757497,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}