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艰难梭菌感染的当前诊断和治疗方法。

Current Diagnostic and Treatment Approach of Clostridioides difficile Infection.

机构信息

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

出版信息

Acta Med Indones. 2023 Apr;55(2):231-238.

Abstract

C. difficile infection is related to wide spectrum of disease, from self-limiting diarrhea to fulminant disease that can cause toxic megacolon or pseudo-membrane colitis. Difficult approach to diagnose this disease is also problem. C. difficile infection is diagnosed when diarrhea occurred in high risk patient with positive result of GDH or NAAT test that was confirmed by positive result of toxin test. Nevertheless, there is limited choice of treatment in Indonesia. Thus, the main priority of C. difficile infection  in Indonesia is associated with its prevention, by implementing standard precaution and use of rational antimicrobial.

摘要

艰难梭菌感染与广泛的疾病有关,从自限性腹泻到可能导致中毒性巨结肠或伪膜性结肠炎的暴发性疾病。诊断这种疾病的方法也很复杂。当高风险患者出现腹泻,且谷氨酸脱氢酶(GDH)或核酸扩增试验(NAAT)检测阳性结果,且毒素检测阳性结果确认时,即可诊断为艰难梭菌感染。然而,印度尼西亚治疗艰难梭菌感染的选择有限。因此,印度尼西亚艰难梭菌感染的主要重点是通过实施标准预防措施和合理使用抗菌药物来预防。

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