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本文引用的文献

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Low vitamin D level is an independent predictor of poor outcomes in Clostridium difficile-associated diarrhea.低维生素 D 水平是艰难梭菌相关性腹泻不良结局的独立预测因子。
Therap Adv Gastroenterol. 2014 Jan;7(1):14-9. doi: 10.1177/1756283X13502838.
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Clostridium difficile infection.艰难梭菌感染
Curr Probl Surg. 2013 Jul;50(7):302-37. doi: 10.1067/j.cpsurg.2013.02.004.
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Guidelines for diagnosis, treatment, and prevention of Clostridium difficile infections.艰难梭菌感染的诊断、治疗和预防指南。
Am J Gastroenterol. 2013 Apr;108(4):478-98; quiz 499. doi: 10.1038/ajg.2013.4. Epub 2013 Feb 26.
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Safety and efficacy of fidaxomicin in the treatment of Clostridium difficile-associated diarrhea. fidaxomicin 在治疗艰难梭菌相关性腹泻中的安全性和疗效。
Therap Adv Gastroenterol. 2012 Nov;5(6):395-402. doi: 10.1177/1756283X12461294.
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Relapse versus reinfection: recurrent Clostridium difficile infection following treatment with fidaxomicin or vancomycin.复发与再感染: fidaxomicin 或万古霉素治疗后的复发性艰难梭菌感染。
Clin Infect Dis. 2012 Aug;55 Suppl 2(Suppl 2):S104-9. doi: 10.1093/cid/cis357.
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Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium difficile infection.系统评价肠道微生物群移植(粪便细菌治疗)治疗复发性艰难梭菌感染。
Clin Infect Dis. 2011 Nov;53(10):994-1002. doi: 10.1093/cid/cir632.
7
Diverting loop ileostomy and colonic lavage: an alternative to total abdominal colectomy for the treatment of severe, complicated Clostridium difficile associated disease.转流袢式回肠造口术和结肠灌洗:治疗严重、复杂的难辨梭状芽孢杆菌相关性疾病的全腹结肠切除术的替代方法。
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Efficacy of fidaxomicin versus vancomycin as therapy for Clostridium difficile infection in individuals taking concomitant antibiotics for other concurrent infections. fidaxomicin 与万古霉素治疗同时使用抗生素治疗其他合并感染的个体中艰难梭菌感染的疗效。
Clin Infect Dis. 2011 Sep;53(5):440-7. doi: 10.1093/cid/cir404.
9
Best strategies in recurrent or persistent Clostridium difficile infection.复发性或持续性艰难梭菌感染的最佳策略。
Surg Infect (Larchmt). 2011 Jun;12(3):235-9. doi: 10.1089/sur.2010.080. Epub 2011 Jul 18.
10
Fidaxomicin versus vancomycin for Clostridium difficile infection. fidaxomicin 与万古霉素治疗艰难梭菌感染。
N Engl J Med. 2011 Feb 3;364(5):422-31. doi: 10.1056/NEJMoa0910812.

持续性和复发性艰难梭菌结肠炎

Persistent and Recurrent Clostridium difficile Colitis.

作者信息

Cole Shola A, Stahl Thomas J

机构信息

Section of Colon and Rectal Surgery, MedStar Washington Hospital Center, Washington, District of Columbia.

Interim Chair, Department of Surgery, MedStar Washington Hospital Center; Regional Director, MedStar Colorectal Surgery Program, Washington, District of Columbia.

出版信息

Clin Colon Rectal Surg. 2015 Jun;28(2):65-9. doi: 10.1055/s-0035-1547333.

DOI:10.1055/s-0035-1547333
PMID:26034401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4442717/
Abstract

Clostridium difficile infection (CDI) is the most frequent cause of nosocomial diarrhea. It has become a significant dilemma in the treatment of patients, and causes increasing morbidity that, in extreme cases, may result in death. Persistent and recurrent disease hamper attempts at eradication of this infection. Escalating levels of treatment and novel therapeutics are being utilized and developed to treat CDI. Further trials are warranted to definitively determine what protocols can be used to treat persistent and recurrent disease.

摘要

艰难梭菌感染(CDI)是医院获得性腹泻最常见的病因。它已成为治疗患者过程中的一个重大难题,并且导致发病率不断上升,在极端情况下可能会导致死亡。持续性和复发性疾病阻碍了根除这种感染的努力。正在使用并研发升级的治疗手段和新型疗法来治疗CDI。有必要进行进一步试验,以明确确定可用于治疗持续性和复发性疾病的方案。