Nagesh Vignesh K, Tran Hadrian Hoang-Vu, Elias Daniel, Kianifar Aguilar Izage, Sethi Tanni, Menon Aiswarya, Mansour Charlene, Furman Florchi, Tsotsos Kylie, Subar Talia, Auda Auda, Sidiqui Aman, Lamar Jevon, Wadhwani Nikita, Dey Shraboni, Lo Abraham, Atoot Adam, Weissman Simcha, Sifuentes Humberto, Bangolo Ayrton I
Department of Internal Medicine, Hackensack Palisades Medical Center, North Bergen, NJ 07047, United States.
Department of Gastroenterology, Augusta University, Augusta, GA 30912, United States.
World J Gastrointest Pharmacol Ther. 2024 Sep 5;15(5):95467. doi: 10.4292/wjgpt.v15.i5.95467.
infection (CDI) has been increasing due to the effect of recurrent hospitalizations. The use of antibiotics has been shown to alter the gut microbiome and lead to CDIs. The treatment is limited to three major antibiotics; however, the incidence of recurrent CDIs has been increasing and drug resistance is a major concern. This aspect is a growing concern in modern medicine especially in the elderly population, critical care patients, and immunocompromised individuals who are at high risk of developing CDIs. can lead to various complications including septic shock and fulminant colitis that could prove to be lethal in these patients. Newer modalities of treatment have been developed including bezlotoxumab, a monoclonal antibody and fecal microbiota transplant. There have been studies showing asymptomatic carriers and drug resistance posing a major threat to the healthcare system. Newer treatment options are being studied to treat and prevent CDIs. This review will provide an insight into the current treatment modalities, prevention and newer modalities of treatment and challenges faced in the treatment of CDIs.
由于反复住院的影响,艰难梭菌感染(CDI)一直在增加。抗生素的使用已被证明会改变肠道微生物群并导致CDI。治疗仅限于三种主要抗生素;然而,复发性CDI的发生率一直在上升,耐药性是一个主要问题。这一方面在现代医学中越来越受到关注,尤其是在老年人群体、重症监护患者以及有发生CDI高风险的免疫功能低下个体中。CDI可导致各种并发症,包括感染性休克和暴发性结肠炎,这在这些患者中可能是致命的。已经开发了新的治疗方式,包括单克隆抗体贝佐妥单抗和粪便微生物群移植。有研究表明无症状携带者和耐药性对医疗系统构成重大威胁。正在研究新的治疗选择来治疗和预防CDI。本综述将深入探讨CDI的当前治疗方式、预防和新的治疗方式以及治疗CDI所面临的挑战。