Molecular analysis of Clostridium difficile strains isolated from 18 cases of recurrent Clostridium difficile-associated diarrhea

被引:49
作者
Tang-Feldman, Y [1 ]
Mayo, S [1 ]
Silva, J [1 ]
Cohen, SH [1 ]
机构
[1] Univ Calif Davis, Med Ctr, Dept Internal Med, Div Infect Dis & Immunol, Sacramento, CA 95817 USA
关键词
D O I
10.1128/JCM.41.7.3413-3414.2003
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Recurrence of Clostridium difficile-associated diarrhea (CDAD) occurs in 15 to 20% of patients after discontinuation of treatment. Arbitrarily primed PCR was used to investigate the epidemiology of recurrent CDAD in 18 patients. Reinfection with a new strain occurred in 6 of 18 patients (33.3%), while 12 patients relapsed with the original strain shortly after discontinuation of treatment. These data suggest that reinfection with exogenous C. difficile is a common problem and that not all recurrences are due to relapse.
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收藏
页码:3413 / 3414
页数:2
相关论文
共 11 条
[1]   Molecular analysis of relapse vs re-infection in HIV-positive patients suffering from recurrent Clostridium difficile associated diarrhoea [J].
Alonso, R ;
Gros, S ;
Peláez, T ;
García-de-Viedma, D ;
Rodríguez-Créixems, M ;
Bouza, E .
JOURNAL OF HOSPITAL INFECTION, 2001, 48 (02) :86-92
[2]  
BARTLETT JG, 1980, GASTROENTEROLOGY, V78, P431
[3]   Typing of Clostridium difficile [J].
Brazier, JS .
CLINICAL MICROBIOLOGY AND INFECTION, 2001, 7 (08) :428-431
[4]  
Cohen S H, 2001, Expert Rev Mol Diagn, V1, P61, DOI 10.1586/14737159.1.1.61
[5]   Recurrent Clostridium difficile diarrhea: Characteristics of and risk factors for patients enrolled in a prospective, randomized, double-blinded trial [J].
Fekety, R ;
McFarland, LV ;
Surawicz, CM ;
Greenberg, RN ;
Elmer, GW ;
Mulligan, ME .
CLINICAL INFECTIOUS DISEASES, 1997, 24 (03) :324-333
[6]  
GEORGE WL, 1979, J CLIN MICROBIOL, V9, P214
[7]   RECURRENCES OF CLOSTRIDIUM-DIFFICILE DIARRHEA NOT CAUSED BY THE ORIGINAL INFECTING ORGANISM [J].
JOHNSON, S ;
ADELMANN, A ;
CLABOTS, CR ;
PETERSON, LR ;
GERDING, DN .
JOURNAL OF INFECTIOUS DISEASES, 1989, 159 (02) :340-343
[8]   RELAPSE VERSUS REINFECTION WITH CLOSTRIDIUM-DIFFICILE [J].
ONEILL, GL ;
BEAMAN, MH ;
RILEY, TV .
EPIDEMIOLOGY AND INFECTION, 1991, 107 (03) :627-635
[9]   COMPARISON OF ARBITRARILY PRIMED PCR WITH RESTRICTION-ENDONUCLEASE AND IMMUNOBLOT ANALYSES FOR TYPING CLOSTRIDIUM-DIFFICILE ISOLATES [J].
TANG, JJ ;
HOUSTON, S ;
GUMERLOCK, PH ;
MULLIGAN, ME ;
GERDING, DN ;
JOHNSON, S ;
FEKETY, FR ;
SILVA, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (12) :3169-3173
[10]   CLOSTRIDIUM-DIFFICILE INFECTION - RESPONSES, RELAPSES AND REINFECTIONS [J].
WILCOX, MH ;
SPENCER, RC .
JOURNAL OF HOSPITAL INFECTION, 1992, 22 (02) :85-92