Clostridium difficile infection: new developments in epidemiology and pathogenesis

被引:1118
作者
Rupnik, Maja [1 ,2 ]
Wilcox, Mark H. [3 ]
Gerding, Dale N. [4 ,5 ]
机构
[1] Inst Publ Hlth Maribor, Ctr Microbiol, Maribor 2000, Slovenia
[2] Univ Maribor, Fac Med, Maribor 2000, Slovenia
[3] Leeds Gen Infirm, Leeds LS1 3EX, W Yorkshire, England
[4] US Dept Vet Affairs, Vet Affairs Edward Hines Jr Hosp, Hines, IL 60141 USA
[5] Loyola Univ Chicago, Stritch Sch Med, ACOS Res & Dev, Hines, IL 60141 USA
关键词
SURFACE-LAYER PROTEINS; TERM-CARE FACILITY; TOXIN-B; BINARY TOXIN; ANTIBODY-RESPONSE; PCR RIBOTYPES; ADP-RIBOSYLTRANSFERASE; PATHOGENICITY LOCUS; DIARRHEA; DISEASE;
D O I
10.1038/nrmicro2164
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Clostridium difficile is now considered to be one of the most important causes of health care-associated infections. C. difficile infections are also emerging in the community and in animals used for food, and are no longer viewed simply as unpleasant complications that follow antibiotic therapy. Since 2001, the prevalence and severity of C. difficile infection has increased significantly, which has led to increased research interest and the discovery of new virulence factors, and has expanded and focused the development of new treatment and prevention regimens. This Review summarizes the recent epidemiological changes in C. difficile infection, our current knowledge of C. difficile virulence factors and the clinical outcomes of C. difficile infection.
引用
收藏
页码:526 / 536
页数:11
相关论文
共 128 条
[1]   Recurrent Clostridium difficile colitis:: Case series involving 18 patients treated with donor stool administered via a nasogastric tube [J].
Aas, J ;
Gessert, CE ;
Bakken, JS .
CLINICAL INFECTIOUS DISEASES, 2003, 36 (05) :580-585
[2]   The distribution of Clostridium difficile in the environment of South Wales [J].
AlSaif, N ;
Brazier, JS .
JOURNAL OF MEDICAL MICROBIOLOGY, 1996, 45 (02) :133-137
[3]   A novel toxin homologous to large clostridial cytotoxins found in culture supernatant of Clostridium perfringens type C [J].
Amimoto, Katsuhiko ;
Noro, Taichi ;
Oishi, Eiji ;
Shimizu, Mitsugu .
MICROBIOLOGY-SGM, 2007, 153 :1198-1206
[4]  
ANGULO F, 2007, 2 INT CLOSTR DIFF S
[5]  
[Anonymous], 47 ANN INT C ANT AG
[6]   Surface layer proteins from Clostridium difficile induce inflammatory and regulatory cytokines in human monocytes and dendritic cells [J].
Ausiello, Clara Maria ;
Cerquetti, Marina ;
Fedele, Giorgio ;
Spensieri, Fabiana ;
Palazzo, Raffaella ;
Nasso, Maria ;
Frezza, Simona ;
Mastrantonio, Paola .
MICROBES AND INFECTION, 2006, 8 (11) :2640-2646
[7]   Emergence of reduced susceptibility to metronidazole in Clostridium difficile [J].
Baines, Simon D. ;
O'Connor, Rachael ;
Freeman, Jane ;
Fawley, Warren N. ;
Harmanus, Celine ;
Mastrantonio, Paola ;
Kuijper, Ed J. ;
Wilcox, Mark H. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 62 (05) :1046-1052
[8]   Comparison of oritavancin versus vancomycin as treatments for clindamycin-induced Clostridium difficile PCR ribotype 027 infection in a human gut model [J].
Baines, Simon D. ;
O'Connor, Rachael ;
Saxton, Katie ;
Freeman, Jane ;
Wilcox, Mark H. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 62 (05) :1078-1085
[9]   Activity of vancomycin against epidemic Clostridium difficile strains in a human gut model [J].
Baines, Simon D. ;
O'Connor, Rachel ;
Saxton, Katie ;
Freeman, Jane ;
Wilcox, Mark H. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2009, 63 (03) :520-525
[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