Clostridium difficile: progress and challenges

被引:73
作者
Bartlett, John G. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Baltimore, MD 21205 USA
来源
ANTIMICROBIAL THERAPEUTICS REVIEWS | 2010年 / 1213卷
关键词
Clostridium difficile; C; difficile; antibiotic-associated colitis; pseudomenbraneous colitis; epidemiology; fluoroquinolones; oral vancomycin; new guidelines; tests; and treatments; RANDOMIZED CONTROLLED-TRIAL; LINKED-IMMUNOSORBENT-ASSAY; TIME PCR ASSAY; PSEUDOMEMBRANOUS COLITIS; EMERGENCY COLECTOMY; TOXIN PRODUCTION; FUSIDIC ACID; VANCOMYCIN; METRONIDAZOLE; INFECTION;
D O I
10.1111/j.1749-6632.2010.05863.x
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
There is a surge of new interest in C. difficile infection (CDI) reflecting substantial increases in cases and fatalities. The new challenges by this now old pathogen have brought renewed interest in all facets of the disease. Particularly important are the role of fluoroquinolones as inducing agents, the new polymerase chain reaction test to detect toxigenic strains in stools, the important role of the NAP-1 strain, recent evidence favoring oral vancomycin over metronidazole in seriously ill patients, and new guidelines for management.
引用
收藏
页码:62 / 69
页数:8
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