» Articles » PMID: 24587820

Clostridium Difficile Infection: Management Strategies for a Difficult Disease

Overview
Publisher Sage Publications
Specialty Gastroenterology
Date 2014 Mar 4
PMID 24587820
Citations 20
Authors
Affiliations
Soon will be listed here.
Abstract

Clostridium difficile was first described as a cause of diarrhea in 1978 and in the last three decades has reached an epidemic state with increasing incidence and severity in both healthcare and community settings. There also has been a rise in severe outcomes from C. difficile infection (CDI). There have been tremendous advancements in the field of CDI with the identification of newer risk factors, recognition of CDI in populations previously thought not at risk and development of better diagnostic modalities. Several treatment options are available for CDI apart from metronidazole and vancomycin, and include new drugs such as fidaxomicin and other options such as fecal microbiota transplantation. This review discusses the epidemiology, risk factors and outcomes from CDI, and focuses primarily on existing and evolving treatment modalities.

Citing Articles

Outcomes of Continuous Enteral Vancomycin Infusion in Intensive Care Unit Patients: A Novel Treatment Modality for Severe Clostridium Difficile Colitis.

Peters H, Iqbal A, Miller E, Khalid S, Rahman O Cureus. 2022; 14(3):e22872.

PMID: 35392442 PMC: 8979637. DOI: 10.7759/cureus.22872.


Multi-Strain Probiotics: Synergy among Isolates Enhances Biological Activities.

Kwoji I, Aiyegoro O, Okpeku M, Adeleke M Biology (Basel). 2021; 10(4).

PMID: 33924344 PMC: 8070017. DOI: 10.3390/biology10040322.


co-infection with Enterohemorrhagic (EHEC)-a potentially fatal combination.

Deshmukh F, Agrawal U, Merrell N IDCases. 2020; 21:e00797.

PMID: 32489867 PMC: 7256656. DOI: 10.1016/j.idcr.2020.e00797.


Real-world Experience of Bezlotoxumab for Prevention of Infection: A Retrospective Multicenter Cohort Study.

Hengel R, Ritter T, Nathan R, Van Anglen L, Schroeder C, Dillon R Open Forum Infect Dis. 2020; 7(4):ofaa097.

PMID: 32363211 PMC: 7186524. DOI: 10.1093/ofid/ofaa097.


Cytoskeletal Tropomyosin as a Biomarker in Infection.

Usacheva E, Peterson L, Mendoza K, Schora D, Hossain M, Jin J J Clin Med Res. 2019; 11(2):98-105.

PMID: 30701001 PMC: 6340674. DOI: 10.14740/jocmr3696.


References
1.
Khanna S, Pardi D, Rosenblatt J, Patel R, Kammer P, Baddour L . An evaluation of repeat stool testing for Clostridium difficile infection by polymerase chain reaction. J Clin Gastroenterol. 2012; 46(10):846-9. DOI: 10.1097/MCG.0b013e3182432273. View

2.
Allen S, Wareham K, Wang D, Bradley C, Hutchings H, Harris W . Lactobacilli and bifidobacteria in the prevention of antibiotic-associated diarrhoea and Clostridium difficile diarrhoea in older inpatients (PLACIDE): a randomised, double-blind, placebo-controlled, multicentre trial. Lancet. 2013; 382(9900):1249-57. DOI: 10.1016/S0140-6736(13)61218-0. View

3.
Kelly C, Lamont J . Clostridium difficile--more difficult than ever. N Engl J Med. 2008; 359(18):1932-40. DOI: 10.1056/NEJMra0707500. View

4.
Khanna S, Baddour L, Huskins W, Kammer P, Faubion W, Zinsmeister A . The epidemiology of Clostridium difficile infection in children: a population-based study. Clin Infect Dis. 2013; 56(10):1401-6. PMC: 3693491. DOI: 10.1093/cid/cit075. View

5.
Cornely O, Crook D, Esposito R, Poirier A, Somero M, Weiss K . Fidaxomicin versus vancomycin for infection with Clostridium difficile in Europe, Canada, and the USA: a double-blind, non-inferiority, randomised controlled trial. Lancet Infect Dis. 2012; 12(4):281-9. DOI: 10.1016/S1473-3099(11)70374-7. View