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艰难梭菌与囊性纤维化:管理策略与粪便移植的作用。

Clostridium difficile and cystic fibrosis: management strategies and the role of faecal transplantation.

机构信息

Adult Cystic Fibrosis Centre, Royal Brompton Hospital, London, SW3 6NP, United Kingdom.

Department of Gastroenterology, Chelsea and Westminster Hospital, London, United Kingdom.

出版信息

Paediatr Respir Rev. 2018 Mar;26:16-18. doi: 10.1016/j.prrv.2017.03.003. Epub 2017 Mar 14.

Abstract

Clostridium difficile is a bacterial infection that colonises the gut in susceptible hosts. It is associated with exposure to healthcare settings and antibiotic use. It could be assumed that cystic fibrosis (CF) patients are a high-risk group for C.difficile. However, despite high carriage rates, CF patients have low rates of active disease. There are guidelines for the treatment of C.difficile, however little is published specific to treating C.difficile in CF. This article provides an overview of the current management strategies for C.difficile in CF, including a description of the first faecal transplantation in this patient population.

摘要

艰难梭菌是一种定植于易感宿主肠道的细菌感染。它与接触医疗保健环境和使用抗生素有关。可以假设囊性纤维化(CF)患者是艰难梭菌的高危人群。然而,尽管携带率很高,CF 患者的活跃疾病发病率却很低。有治疗艰难梭菌的指南,但是很少有专门针对 CF 患者治疗艰难梭菌的出版物。本文概述了 CF 患者中艰难梭菌的当前管理策略,包括对该患者群体中首例粪便移植的描述。

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