Department of Infectious Diseases, Centre for Infectious Disease, Leiden University Medical Centre, Leiden, The Netherlands.
Clin Microbiol Infect. 2009 Dec;15(12):1067-79. doi: 10.1111/j.1469-0691.2009.03099.x.
Clostridium difficile infection (CDI) is a potentially fatal illness with an increasing incidence worldwide. Despite extensive ongoing research into CDI treatment, management of CDI still poses important problems, such as a high propensity to relapse and refractoriness to treatment, especially when there is an ileus and oral drugs cannot be administered. This guideline evaluates the available literature, discusses criteria for disease severity and provides recommendations for CDI treatment, indicating level of evidence and strength of recommendation.
艰难梭菌感染(CDI)是一种具有全球发病率上升趋势的潜在致命疾病。尽管对 CDI 的治疗进行了广泛的研究,但 CDI 的管理仍然存在重要问题,例如复发倾向高和对治疗的耐药性,尤其是在存在肠梗阻且无法口服药物时。本指南评估了现有文献,讨论了疾病严重程度的标准,并为 CDI 治疗提供了建议,指出了证据水平和推荐强度。