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感染:挑战、检测与指南。

Infection: The Challenge, Tests, and Guidelines.

机构信息

TechLab, Inc., 2001 Kraft Drive, Blacksburg, Virginia 24060, United States.

GST Micro LLC, Henrico, Virginia 24529, United States.

出版信息

ACS Infect Dis. 2020 Nov 13;6(11):2818-2829. doi: 10.1021/acsinfecdis.0c00290. Epub 2020 Oct 2.

Abstract

is a dangerous human pathogen because it can grow to high numbers in the intestine, cause colitis with its potent toxins, and persist as spores. C. infection (CDI) is the primary hospital-acquired infection in North America and Europe, and it now is a global disease. Even with newer laboratory tests, there still is confusion on accurately diagnosing this disease. Three guidelines from three different healthcare-affiliated societies have recently been published. Consensus consolidated recommendations from these guidelines should be recognized by healthcare professionals, who need to understand why this disease continues to be difficult to diagnose and need a clear understanding of the advantages and limitations of current tests. Hopefully, these combined efforts will lead to an improvement in the recognition of this pathogen and a reduction in the suffering and economic loss caused by CDI.

摘要

艰难梭菌是一种危险的人类病原体,因为它可以在肠道中大量生长,产生强效毒素引起结肠炎,并以孢子形式持续存在。艰难梭菌感染(CDI)是北美和欧洲主要的医院获得性感染,现在已经成为一种全球性疾病。即使有了更新的实验室检测方法,对于这种疾病的准确诊断仍然存在混淆。最近发表了来自三个不同医疗保健相关协会的三个指南。医疗保健专业人员应该认识到这些指南中的共识综合推荐,他们需要了解为什么这种疾病仍然难以诊断,并清楚了解当前检测的优势和局限性。希望这些共同努力将提高对这种病原体的认识,并减少 CDI 带来的痛苦和经济损失。

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