MétaCan
Menu
Back to cohort
Record W4394981645 · doi:10.1016/j.eclinm.2024.102604

Guideline for the management of Clostridioides difficile infection in pediatric patients with cancer and hematopoietic cell transplantation recipients: 2024 update

2024· article· en· W4394981645 on OpenAlexafffund
Priya Patel, Paula D. Robinson, Brian T. Fisher, Jessica E. Morgan, Thomas Lehrnbecher, Susan Kuczynski, Christa Koenig, Gabrielle M. Haeusler, Adam J. Esbenshade, Caitlin W. Elgarten, Nathan Duong, Caroline Diorio, Elio Castagnola, Melissa Beauchemin, Roland A. Ammann, L. Lee Dupuis, Lillian Sung

Bibliographic record

VenueEClinicalMedicine · 2024
Typearticle
Languageen
FieldMedicine
TopicClostridium difficile and Clostridium perfringens research
Canadian institutionsInstitute for Clinical Evaluative SciencesSickKids FoundationUniversity of TorontoHospital for Sick ChildrenPediatric Oncology Group
FundersCanadian Institutes of Health ResearchU.S. Food and Drug AdministrationNational Institutes of HealthPediatric Oncology Group of OntarioAbramson Cancer CenterCenters for Disease Control and PreventionCanada Research ChairsAstellas Pharma US
KeywordsMedicineGuidelineFidaxomicinClostridioidesIntensive care medicineMetronidazoleVancomycinTransplantationInternal medicineRandomized controlled trialHematopoietic stem cell transplantationPopulationHematopoietic cellClostridium difficileAntibioticsPathology

Abstract

fetched live from OpenAlex

infection (CDI) in pediatric patients with cancer and hematopoietic cell transplantation recipients. We reconvened an international multi-disciplinary panel. A systematic review of randomized controlled trials (RCTs) for the prevention or treatment of CDI in any population was updated and identified 31 new RCTs. Strong recommendations were made to use either oral metronidazole or oral vancomycin for non-severe CDI treatment, and to use either oral vancomycin or oral fidaxomicin for severe CDI. A strong recommendation that fecal microbiota transplantation should not be routinely used to treat CDI was also made. The panel made two new good practice statements to follow infection control practices including isolation in patients experiencing CDI, and to minimize systemic antibacterial administration where feasible, especially in patients who have experienced CDI.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.104
Threshold uncertainty score0.445

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.335
Teacher spread0.314 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations14
Published2024
Admission routes2
Has abstractyes

Explore more

Same venueEClinicalMedicineSame topicClostridium difficile and Clostridium perfringens researchFrench-language works237,207