Ressler Adam M, Rao Krishna, Young Vincent B
Department of Internal Medicine, Infectious Disease Division, University of Michigan Medicine, Ann Arbor, MI, USA.
Department of Internal Medicine, Infectious Disease Division, University of Michigan Medicine, Ann Arbor, MI, USA; Department of Microbiology & Immunology.
Gastroenterol Clin North Am. 2025 Jun;54(2):259-275. doi: 10.1016/j.gtc.2025.02.005. Epub 2025 Mar 24.
Clostridioides difficile infection (CDI) and recurrent CDI (rCDI) are significant causes of morbidity and mortality. The microbiome plays a significant role in the body's defense against CDI and rCDI. Antibiotics can cause significant injury to the microbiome which leads to an increased risk of CDI and rCDI. Ongoing perturbations of the microbiome perpetuate this risk. Antibiotic treatments for CDI can kill C difficile but also can impact the microbiome. Microbiome therapeutics are effective in restoring the function of the gut microbiota and re-establishing colonization resistance. The field of microbiome therapeutics is evolving with newer, more refined, modalities in development.
艰难梭菌感染(CDI)和复发性艰难梭菌感染(rCDI)是发病和死亡的重要原因。微生物群在机体抵御CDI和rCDI中发挥重要作用。抗生素可对微生物群造成严重损害,从而导致CDI和rCDI风险增加。微生物群的持续紊乱使这种风险持续存在。CDI的抗生素治疗可杀死艰难梭菌,但也会影响微生物群。微生物群疗法在恢复肠道微生物群功能和重建定植抗性方面有效。随着更新、更精细的治疗方式不断发展,微生物群疗法领域也在不断演变。