Clostridium difficile in long-term-care facilities for the elderly

被引:154
作者
Simor, AE
Bradley, SF
Strausbaugh, LJ
Crossley, K
Nicolle, LE
机构
[1] Sunnybrook & Womens Coll, Dept Microbiol, Ctr Hlth Sci, Toronto, ON M4N 3M5, Canada
[2] Vet Affaris Hlth Syst, Dept Internal Med, Ann Arbor, MI USA
[3] Univ Michigan, Sch Med, Ann Arbor, MI 48109 USA
[4] VA Med Ctr, Portland, OR USA
[5] Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USA
[6] Minneapolis VA Med Ctr, Dept Educ, Minneapolis, MN USA
[7] Minneapolis VA Med Ctr, Dept Internal Med, Minneapolis, MN USA
[8] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA
关键词
D O I
10.1086/501997
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Antimicrobial agents are among the most frequently prescribed medications in long-term-care facilities (LTCFs). Therefore, it is not surprising that Clostridium difficile colonization and C. difficile-associated diarrhea (CDAD) occur commonly in elderly LTCF residents. C. difficile has been identified as the most common cause of non-epidemic acute diarrheal illness in nursing homes, and outbreaks of CDAD in LTCFs have also been recognized. This position paper review, the epidemiology and clinical features of CDAD in elderly residents of LTCFs and, using available evidence, provides recommendations for the management of C. difficile in this setting.
引用
收藏
页码:696 / 703
页数:8
相关论文
共 109 条
[1]  
al-Barrak A, 1999, Can Commun Dis Rep, V25, P65
[2]   Comparison of the TOX A/B test to a cell culture cytotoxicity assay for the detection of Clostridium difficile in stools [J].
Aldeen, WE ;
Bingham, M ;
Aiderzada, A ;
Kucera, J ;
Jense, S ;
Carroll, KC .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2000, 36 (04) :211-213
[3]   Survey of incidence of Clostridium difficile infection in Canadian hospitals and diagnostic approaches [J].
Alfa, MJ ;
Du, T ;
Beda, G .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (07) :2076-2080
[4]  
[Anonymous], 1995, INFECT CONT HOSP EP, V16, P105
[5]   ANTIMICROBIAL AGENTS AND CLOSTRIDIUM-DIFFICILE IN ACUTE ENTERIC DISEASE - EPIDEMIOLOGICAL DATA FROM SWEDEN, 1980-1982 [J].
ARONSSON, B ;
MOLLBY, R ;
NORD, CE .
JOURNAL OF INFECTIOUS DISEASES, 1985, 151 (03) :476-481
[6]   DIAGNOSIS AND EPIDEMIOLOGY OF CLOSTRIDIUM-DIFFICILE ENTEROCOLITIS IN SWEDEN [J].
ARONSSON, B ;
MOLLBY, R ;
NORD, CE .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1984, 14 :85-95
[7]   IMMUNOGLOBULIN-G DIRECTED AGAINST TOXIN-A AND TOXIN-B OF CLOSTRIDIUM-DIFFICILE IN THE GENERAL-POPULATION AND PATIENTS WITH ANTIBIOTIC-ASSOCIATED DIARRHEA [J].
BACON, AE ;
FEKETY, R .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1994, 18 (04) :205-209
[8]  
Barbut F, 2000, J CLIN MICROBIOL, V38, P2386
[9]  
BARTLETT JG, 1979, REV INFECT DIS, V1, P530
[10]   CLOSTRIDIUM-DIFFICILE - HISTORY OF ITS ROLE AS AN ENTERIC PATHOGEN AND THE CURRENT STATE OF KNOWLEDGE ABOUT THE ORGANISM [J].
BARTLETT, JG .
CLINICAL INFECTIOUS DISEASES, 1994, 18 :S265-S272